HIMACHAL PRADESH UNIVERSITY,SHIMLA -171005.

(NAAC - 'A' Accredited University)

[ EXAMINATION FORM ]

STREAM : BA TYPE : Passcourse

Registration No./Application ID : 659162229 Roll no (college/ICDEOL/Institute) :

College/Institute Name: Govt.College Chaura Maidan, Shimla-4 Exam Center : Govt.College Chaura Maidan, Shimla-4

Degree year : First Year Exam Type : Re-Appear Exam Month : October Exam Year : 2022

Capacity : Regular Candidate Category : General Medium : English

University Regno: 21-GCM-1127 Handicapped : Normal

Basic Details :

Name : TARUWAR BHARDWAJ

Father's Name : PAWAN KUMAR

Mother's Name : TULSI BHARDWAJ

Date of Birth : 08/05/2003 [DD/MM/YYYY] Gender : Male

Aadhaar No. : 557816130338

Mobile No. : 7807510849 Email-Id taruwarbhardwaj3@gmail.com

:

Fee Details:

Fee Paid Amount : Rs. 500.00 Dated : 03/12/2022 08:53

Pay Method: Online Challan/Transaction No. 233708096351

Last Exam Details:
Last exam qualifying Univ./Board : H.P. BOARD OF SCHOOL EDUCATION Year of Passing Exam : 2021

Last Exam Name : 12th Roll Number : 2143523016

Permanent Address Details : Correspondence Address Details :

Address : VILLAGE- NALA, P.O - FAGU , TEHSIL,& DISTRICT - Address : VILLAGE- NALA, P.O - FAGU , TEHSIL,& DISTRICT -
SHIMLA SHIMLA
State : Himachal Pradesh State : Himachal Pradesh
City / Village : Shimla
City / Village : Shimla
Pin Code : 171209
Pin Code : 171209
Phone : 7807510849 7807510849
Phone :

Subject Details :

S.No. Subject Code Subject Category Credits

1 HIST(A)101 Core Course 6

Total Credits : 6

Declaration by the Candidate

I have filled the form and carefully verified all the details after careful study of the university syllabi, rules and regulations pertaining to the year and
session of the examination, under reference. The above particulars filled by me are correct and that in case of any discrepancy therein, I shall be
responsible for the consequences, I also certify that I have not been debarred to appear in the examination for any case of unfair means. No such
case is pending against me.

Candidate Sign : Date : Place :

Principal's Sign &Stamp: Date : Place :