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Submit Date : 22/02/2022 13:40:32 Correction Date : --NA-- Print Date : 25/02/2022 21:12:56 Office Copy

JAI NARAIN VYAS UNIVERSITY, JODHPUR


Examination Form (Main) - Session ( 2021 - 2022 )
Total Fee : 750
REGULAR Student B.E.(CBCS) VIIth Sem
Subject : Production & Industrial Engineering

DEPARTMENT OF PRODUCTION AND INDUSTRIAL ENGINEERING (FOEA, JNVU, JODHPUR)


Form No. : 11180256 Roll No./Reg. No. : 19UPIE1314
Student Name : PUSHPENDER BAJAJ Gender : MALE
Student Name(H) : Date of Birth : 19/07/1999

Father's Name : PRAHLAD BAJAJ Nationality : INDIAN


Father's Name(H) : Caste : Scheduled Caste

Mother's Name : POOJA BAJAJ University Ward : NO


Mother's : Is Orphan : NO
Name(H)
Medium : ENGLISH Minority : NO
Domicile : Rajasthan Mobile No. : 9460802355
Enrollment No. : 18R/04769 Religion : Hindu
Blood Group : O- Is PH/ Blind : NO
E-Mail Id : hbajaj332@gmail.com Address : 9/162 CHOUPASNI HOUSING BOARD,
JODHPUR,Rajasthan,JODHPUR,342008
Aadhar No : 729535504869

Candidate's Bank Details


Bank Name A/C Holder Name Account No. IFSC Code Relation With A/C Holder
STATE BANK OF INDIA PRAHALAD BAJAJ 10002049825 SBIN003178 Father
5
Previous Year/Sem Result

S No. Degree Year/Sem Year SGPA Credit Point Due Paper Result Status Total
Marks Attempt
1 B.E.(CBCS) Ist Sem 2019 5.88 25 0 PASS 2
2 B.E.(CBCS) IInd Sem 2019 6.23 35 0 PASS 2
3 B.E.(CBCS) IIIrd Sem 2020 6.46 25 0 PASS 1
4 B.E.(CBCS) IVth Sem 2020 8.24 25 0 PASS 1
5 B.E.(CBCS) Vth Sem 2021 9.46 25 0 PASS 1
6 B.E.(CBCS) VIth Sem 2021 9.18 25 0 PASS 1

Total Due Attempt

S No. Year Degree Name Roll No


1 2018 B.E.(CBCS) Ist Sem 19UPIE1314
2 2018 B.E.(CBCS) IInd Sem 19UPIE1314

Details of last Qualifying Examination Passed


Qualification Name of Board/ University Max Marks Obtained Passing Year Percentage
Marks
12th Rajasthan Board of Secondary Education, 500 369 2017 73.80
Ajmer-305 001.
10th Rajasthan Board of Secondary Education, 600 401 2015 66.83
Ajmer-305 001.

Candidate's Identification Details


10th RollNo 10th Marksheet Sr. No. 10th Passing Year
0601336 0355673 2015

Main Papers Main Papers Fee Details

Page 1
S Paper Code Paper Name Degree Year/Sem Head Name Amount
No Exam Fee 700
.
Admit Card Fee 25
1 PI 401 A AUTOMATION & COMPUTER AIDED MANUFACTURING (PI) B.E.(CBCS) VIIth Sem
Marksheet Fee 25
2 PI 402 A Production Technology - V (PI) B.E.(CBCS) VIIth Sem
3 PI 403 A Plant Engineering (PI) B.E.(CBCS) VIIth Sem
4 PI 404 A TOOL DESIGN - I (PI) B.E.(CBCS) VIIth Sem
5 PI 405 A PRODUCTION & OPERATIONS MANAGEMENT -I (PI) B.E.(CBCS) VIIth Sem
6 PI 411 B COMPUTER AIDED MACHINING LABORATORY-I (PI) B.E.(CBCS) VIIth Sem
7 PI 412 B PRODUCTION ENGINEERING LABORATORY-III (PI) B.E.(CBCS) VIIth Sem
8 PI 413B INDUSTRIAL ENGINEERING LABORATORY-III (PI) B.E.(CBCS) VIIth Sem
9 PI 414 B SIMULATION LABORATORY (PI) B.E.(CBCS) VIIth Sem
10 PI 415 D SEMINAR (PI) B.E.(CBCS) VIIth Sem

Certified that all above entries are correct to the best Certified that all above entries are checked and All entries has been verified and checked through
of my knowledge and belief, I am not appearing in verified by faculty college and student is eligible to record and documents provided by student. Student
any other University examination and there is no UM appear in above mentioned examination. is qualified / not qualified to appear in B.E.(CBCS)
case against me. I have deposited Examination fee. Examination fee has been deposited through Online VIIth Sem.query pending ................
Fee once deposited will not be refunded. payment and all marksheets has been attached with
exam form by the student.

Signature of Student Signature and seal of Dean/Head/Principal Full signature of checker in University

Signature

Document Enclosed
1. TC(Transfer Certificate)
2. Original Migration Certificate
3. CC(Caste Certificate)
4. Valid Challan of Examination Fees
Page 2
5. Graduation Marksheet
6. Last Examination Marksheet(Photocopy with self attest)
7. Token No. Slip of E-Mitra or E-Reciept
8. PH/Blind category certificate(in case of student belongs to PH/Blind category)
9. Employee ward certificate (In case of student belongs to employee award category-only for non teaching staff)
Note: Self Attest Photocopy of All The Above Document to be Enclosed.
Before submitting Examination. Please check Eligibility.

THE LAST DATE TO SUBMIT PRINTED EXAMINATION FORM (HARD COPY) IS 01/01/1900

Page 3
Submit Date : 22/02/2022 13:40:32 Correction Date : --NA-- Print Date : 25/02/2022 21:12:56 Student Copy

JAI NARAIN VYAS UNIVERSITY, JODHPUR


Examination Form (Main) - Session ( 2021 - 2022 )
Total Fee : 750
REGULAR Student B.E.(CBCS) VIIth Sem
Subject : Production & Industrial Engineering

DEPARTMENT OF PRODUCTION AND INDUSTRIAL ENGINEERING (FOEA, JNVU, JODHPUR)


Form No. : 11180256 Roll No./Reg. No. : 19UPIE1314
Student Name : PUSHPENDER BAJAJ Gender : MALE
Student Name(H) : Date of Birth : 19/07/1999

Father's Name : PRAHLAD BAJAJ Nationality : INDIAN


Father's Name(H) : Caste : Scheduled Caste

Mother's Name : POOJA BAJAJ University Ward : NO


Mother's : Is Orphan : NO
Name(H)
Medium : ENGLISH Minority : NO
Domicile : Rajasthan Mobile No. : 9460802355
Enrollment No. : 18R/04769 Religion : Hindu
Blood Group : O- Is PH/ Blind : NO
E-Mail Id : hbajaj332@gmail.com Address : 9/162 CHOUPASNI HOUSING BOARD,
JODHPUR,Rajasthan,JODHPUR,342008
Aadhar No : 729535504869

Candidate's Bank Details


Bank Name A/C Holder Name Account No. IFSC Code Relation With A/C Holder
STATE BANK OF INDIA PRAHALAD BAJAJ 10002049825 SBIN003178 Father
5
Previous Year/Sem Result

S No. Degree Year/Sem Year SGPA Credit Point Due Paper Result Status Total
Marks Attempt
1 B.E.(CBCS) Ist Sem 2019 5.88 25 0 PASS 2
2 B.E.(CBCS) IInd Sem 2019 6.23 35 0 PASS 2
3 B.E.(CBCS) IIIrd Sem 2020 6.46 25 0 PASS 1
4 B.E.(CBCS) IVth Sem 2020 8.24 25 0 PASS 1
5 B.E.(CBCS) Vth Sem 2021 9.46 25 0 PASS 1
6 B.E.(CBCS) VIth Sem 2021 9.18 25 0 PASS 1

Total Due Attempt

S No. Year Degree Name Roll No


1 2018 B.E.(CBCS) Ist Sem 19UPIE1314
2 2018 B.E.(CBCS) IInd Sem 19UPIE1314

Details of last Qualifying Examination Passed


Qualification Name of Board/ University Max Marks Obtained Passing Year Percentage
Marks
12th Rajasthan Board of Secondary Education, 500 369 2017 73.80
Ajmer-305 001.
10th Rajasthan Board of Secondary Education, 600 401 2015 66.83
Ajmer-305 001.

Candidate's Identification Details


10th RollNo 10th Marksheet Sr. No. 10th Passing Year
0601336 0355673 2015

Main Papers Main Papers Fee Details

Page 4
S Paper Code Paper Name Degree Year/Sem Head Name Amount
No Exam Fee 700
.
Admit Card Fee 25
1 PI 401 A AUTOMATION & COMPUTER AIDED MANUFACTURING (PI) B.E.(CBCS) VIIth Sem
Marksheet Fee 25
2 PI 402 A Production Technology - V (PI) B.E.(CBCS) VIIth Sem
3 PI 403 A Plant Engineering (PI) B.E.(CBCS) VIIth Sem
4 PI 404 A TOOL DESIGN - I (PI) B.E.(CBCS) VIIth Sem
5 PI 405 A PRODUCTION & OPERATIONS MANAGEMENT -I (PI) B.E.(CBCS) VIIth Sem
6 PI 411 B COMPUTER AIDED MACHINING LABORATORY-I (PI) B.E.(CBCS) VIIth Sem
7 PI 412 B PRODUCTION ENGINEERING LABORATORY-III (PI) B.E.(CBCS) VIIth Sem
8 PI 413B INDUSTRIAL ENGINEERING LABORATORY-III (PI) B.E.(CBCS) VIIth Sem
9 PI 414 B SIMULATION LABORATORY (PI) B.E.(CBCS) VIIth Sem
10 PI 415 D SEMINAR (PI) B.E.(CBCS) VIIth Sem

Certified that all above entries are correct to the best Certified that all above entries are checked and All entries has been verified and checked through
of my knowledge and belief, I am not appearing in verified by faculty college and student is eligible to record and documents provided by student. Student
any other University examination and there is no UM appear in above mentioned examination. is qualified / not qualified to appear in B.E.(CBCS)
case against me. I have deposited Examination fee. Examination fee has been deposited through Online VIIth Sem.query pending ................
Fee once deposited will not be refunded. payment and all marksheets has been attached with
exam form by the student.

Signature of Student Signature and seal of Dean/Head/Principal Full signature of checker in University

Signature

Document Enclosed
1. TC(Transfer Certificate)
2. Original Migration Certificate
3. CC(Caste Certificate)
4. Valid Challan of Examination Fees
Page 5
5. Graduation Marksheet
6. Last Examination Marksheet(Photocopy with self attest)
7. Token No. Slip of E-Mitra or E-Reciept
8. PH/Blind category certificate(in case of student belongs to PH/Blind category)
9. Employee ward certificate (In case of student belongs to employee award category-only for non teaching staff)
Note: Self Attest Photocopy of All The Above Document to be Enclosed.
Before submitting Examination. Please check Eligibility.

THE LAST DATE TO SUBMIT PRINTED EXAMINATION FORM (HARD COPY) IS 01/01/1900

Page 6

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