(2) Vasantrao Naik Govt.

Institute of Arts & Social Science NAGPUR

RASHTRASANT TUKADOJI MAHARAJ NAGPUR UNIVERSITY, NAGPUR

EXAMINATION FORM

Name of Examination: ________________________________________________________

Enrollment No. / PRN: ________________________________________________________

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Students Details: Regular / Ex-Student / Old Ex-Student
Session: Winter / Summer __________________________Midium__________________

First Name: __________________________________________________________________

Middle Name: ________________________________________________________________

Last Name: __________________________________________________________________

Mother Name: ___________________Date of Birth: __________________ Mobile No.:________________________

Category: _________________________ Aadhar No.:_____________________________________________________

Email ID: ____________________________________________________________________________________________

Subject Applied For:

S.No. Subject Name
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2
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5

Scholarship Form Submission: Yes/No

Roll Exemption Marks
Last Exam Details: _____________________ No. Subject Th. P.

Session: Summer / Winter: ______________

Year: ___________________________________

Roll Number: ___________________________

Address:-
__________________________________________________
__________________________________________________
__________________________________________________. Signature of Student
Pin Code : __________________
Date. : __________________