Panjab University, Chandigarh

Online Examination Form for Post Graduate Examination May 2022

No need to submit this form to Panjab University .

Candidate Type University Department (Full Subjects)

College/Deptt. UIAMS, PU, Chandigarh
Dept Roll No: 24061
Application No. 2146047533

Regd./PUPIN NO. 29921005035

Category General

Gender Female

Name of Candidate Gargi

Father's Name Deepak Kothari

Mother's Name Anamika
Date of Birth 01-01-1998 PaymentType: Bank
Txn No. CPABNVIYK8
Aadhar NO. 335802023868
Name Gargi
Nationality Indian Amount(Rs) 2575
Working in Government/Public Deposit Date 04-04-2022 00:00:00
Sector
No
Branch Code 742
Mobile 9877979862
Email ID gargikothari@gmail.com
Correspondence Address House no. 777 Sector 29 A Chandigarh, 160030
Permanent Address House no. 777 Sector 29 A Chandigarh, 160030
Course Information:
Course MBA (Banking and Insurance Management )
Semester 2
Current Subject(s) 1. Financial Management [BI2002]
2. Principles of Marketing [BI2003]
3. Human Resource Management [BI2004]
4. Principles of Insurance [BI2008]
5. Summer Training and Viva Voce [BI2009]
6. Comprehensive Viva-Voce [BI2010]
7. Seminar on Research Methodology [BI2006]
8. Principles and Practices of Banking [BI2007]
9. Workshop on Soft Skills [BI2005]
10. Business Environment [BI2001]
Previous Semester Information:
Course MBA (Banking and Insurance Management )
Semester/Year 1
Result Result Awaited
Roll No. 24061
Passing Year 2021
University Panjab University, Chandigarh
Subject(s) BI1003,BI1005,BI1006,BI1001,BI1002,BI1007,BI1004
Other Details:
Applied for Re-Evaluation
 No
Blind/Permanently disabled
from writing
No
Is UMC No
I have filled the form after careful study of the University syllabi, structural outlines of the course,rules and
regulations pertaining to the year and session of the examination, under reference. The statements made by me
in the form are correct. I accept full liability for any action against me under the rules/regulations of the
University for any mis-statement or concealment of facts made by me.
Place:
Date: 07-04-2022 Full Signature of Candidate
 Panjab University, Chandigarh
Certificates
(For College/ Department of Evening Studies/University school of Open Learning
Candidates)(Strike
out which is not applicable).

Certified That :
1. The candidate has remained on the rolls of this College/Department for the full
academic year preceding the examination.
2. The candidate has passed, at least one academic year previously (except in compartment
cases, appearing simultaneously), the lower examination with the required subjects
and % age of
marks on the basis of which he/she is eligible to appear in the exam.
3. The candidate has attended not less than 75% of the full course of lectures delivered
to his/her
class in each of the paper being offered for examination.
4. The candidate has attended not less than 75% of periods assigned to practical
work in each
science subject or Psychology, Home Science or in the case of Geography,
Map work and
Practical and 80% each in the subjects of Physical Education and Defence
and Strategic Studies.
5. The candidate has obtained at least 25% marks in the aggregate of all the combined
results of
(a) the house examination held in November/December and (b) the internal
assessment based on
three monthly class tests held in August, September and October
respectively.
6. This college has duly been granted affiliation by the Panjab University which
is valid upto date in the Course(s) being
offered by the candidate in his/her examination
form and the number of candidates admitted and being sent for examination
is within
the strength sanctioned by the University for the Course/Session.
7. The candidate bears a good moral character, that he/she has filled in and signed
this examination form in my presence
and has further satisfied by production of
authentic documents, that the statements made by him/her in the form are correct.

Place:_________________
(Full Signatures of the Principal/Chairperson Deptt.
of Evening Studies/University
School of Open
Learning with official stamp)

Dated:_________________

Full Name of the Principal of the (Name of the College/Department with official
College/Chairperson __________________ Stamp)

Certificate for Late College Students (Colleges/University School of Open Learning/Evening

Studies)
I certify that the applicant :
(a) has completed the prescribed course of lectures/practicals etc in the college
or has been on the rolls of the Department of
Correspondence/Evening Studies from
July 20__ to April, 20__ in the subject/s offered by him/her and has paid requisite
continuation fee of Rs. 40 vide Receipt No. Dated.
(b) has previously appeared in the examination under Roll No. in Session Year.

(c) bears a good moral character. (d) has signed this form in my presence and satisfied
me by production of authentic
documents, that the statements made by him/her are
correct.

Full Signature of the Principal of the College/Chairperson

Date:_________________
U.S.O.L./D.E.S. (Last
Attended) (With Official Stamp)
 Certificate for Private Candidates (other than late college students)

(Items not applicable may be struck off)

Certified that :
(i) I know the applicant personally. He/she bears a good moral character. His/her
attested photograph is affixed. He/she has
signed this examination form in my presence
and has satisfied me by production of authentic documents that the statements
made
by Him/her in the form are correct.
(ii) The applicant has been in continuous service since ______________________________
and
will continue to be as such till the commencement of the examination. He/she
has completed at
least 3 year service on 30th November preceding the year of examination

(a) Name of Institution/Organisation/Deptt.

(b) Date of Joining (c) Rank/Designation

(iii) He/she has not been a regular student of an affiliated college during the
academic year
preceding the examination.
(iv) There is no Evening College/Evening Classes in any college at the place where
the applicant is
employed OR he was not granted departmental permission to join
the Evening College/Evening
Classes by the employer due to the nature of his duties
)Attach certificate) OR that the applicant
was not granted admission in the Evening
College/Evening Classes by the Principal. In case there
are more than one Evening
College/Classes, this certificate may be obtained from all of them.
(v) For Defence Personnel Only: (a) He is a bonafied (permanent ) resident of District
in the State
of Punjab/Haryana/Himachal Pradesh/Chandigarh (U.T.) (b) He has been
working in the State
since (Month) (Year) and will continue till the commencement
of Examination.

Note : Teacher of Govt. Primary/Middle/High School should get their

forms attested by the Distt. Education Officer/Circle Education Officer.

(Signatures & Stamp of the Head of

Institution/Organisation/Deptt. where candidate
is
employed or any other attesting authority)
Name of the Attesting Authority(in Capitals)
Designation:_________________
Dated:         _________________
Full Name of the Principal of the College/Chairperson (Name of the College/Department with official
__________________ Stamp)

CHECK LIST OF DOCUMENTS/INFORMATION (To be supplied by the Private Candidate Only)

1. Have you passed the qualifying exam. from the University? If yes, do not attach
the original Detailed Marks Card.
2. If you have passed the qualifying exam. from the University/Council other than
Panjab University attach the Original DMC
& Migration Certificates from the University/Council.

3. Have you got your examination form attested by a competent authority as prescribed
by the Panjab University?

4. Have you filled in all the columns of the Exam. Form properly and that no column
has been left blank?
5. Have you attached three copies of your latest passport size photograph from one
and the same negative?
6. Have you attached the SC/ST/BC certificate issued by the competent authority
(if applicable).

Full Signature
Dated _________________
of Candidate

(For Office Use only)

Not
Eligible _________________
Eligible_________________

Eligible Subject to_________________ Reasons_________________

Dealing Official         A.S.O.         O.S.E.         Dealing
Official          A.S.O.         O.S.E.         A.R.E