Lalit Narayan Mithila University

(Kameshwaranagar, Darbhanga)

EXAM FORM PRINT(B.A./B.Sc./B.Com.)Part- II (Session- 2021-2024)

Application No: 2023/223065030522

To,

The Controller of Examinations

Lalit Narayan Mithila University, Kameshwarnagar, Darbhanga- 846004

Sir,

As Regular applicant, I am requesting you to permit me for the examination

Bachelor of Arts(Honours)Part - II(Session - 2021-2024)

Personal Details:

University Roll No: 223065030522 Registration No.: 21306088487

Bachelor of
Candidate Name: PREETY KUMARI Course/Programme: Arts(Honours)Part- II (Session-
2021-2024 )
Father's Name: CHANDRA MOHAN MANDAL Mother's Name: MONI DEVI
Date of Birth: 2003-05-12 Gender: Female
Class Roll No: 1232
Category: EBC
Email: PREETYKUMARI639@GMAIL.COM Mobile Number: 8092219264
Payment Details:

Reference Number: 301102905231150113 Paid Amount: 300

Payment Mode: BHIM UPI QR Transaction Date: May 29 2023 11:23PM
Subject Details (For Examination):

Honours Subject: Geography

Subsidiary Subject: History, English,
Language/Composition: RB Hindi,
I declare that above information filled by me is true and correct to the best of my knowledge. I also declare
that I will always follow the Rules & Regulations of the L.N. Mithila University, Darbhanga. I will not indulge
in any kind of activities which affect the dignity of the University/College and if found doing so, I may be
explelled by the University/College for which I myself will be responsible.

Signature of
Assistant Signature of Candidate
Principal/Head with Seal