HIMACHAL PRADESH UNIVERSITY,SHIMLA -171005.

(NAAC - 'A' Accredited University)

[ EXAMINATION FORM ]

STREAM : B.VOC. TYPE : Passcourse

Registration No./Application ID : 325244981 Roll no (college/ICDEOL/Institute) : 2006130014

College/Institute Name: Govt.College Rampur-Bushahr Exam Center : Govt.College Rampur-Bushahr

Semester : Sixth Exam Type : Fresh Exam Month : APR Exam Year : 2023

Capacity : Regular Candidate Category : Scheduled Caste

Medium : Hindi Handicapped : Normal

Basic Details :

Name : SANJAY

Father's Name : ISHWAR DASS

Mother's Name : GUMMI DEVI

Date of Birth : 05/03/2002 [DD/MM/YYYY] Gender : Male

Aadhaar No. : 468145432791

Mobile No. : 7876142298 Email-Id sanjayroach69@gmail.com

:

Fee Details:

Fee Paid Amount : Rs. 400.00 Dated : 27/03/2023 12:02

Pay Method: Online Challan/Transaction No. 308663124937

Last Exam Details:
Last exam qualifying Univ./Board : H.P. BOARD OF SCHOOL EDUCATION Year of Passing Exam : 2020

Last Exam Name : Sanjay Roach Roll Number : 2043449030

Permanent Address Details : Correspondence Address Details :

Address : VILLAGE- BHARGAON,P.O.- Address : VILLAGE- BHARGAON,P.O.-
BHUTTI,TEH.KUMARISAON, DISTRICT-SHIMLA BHUTTI,TEH.KUMARISAON, DISTRICT-SHIMLA
(HP)172030 (HP)172030
State : Himachal Pradesh State : Himachal Pradesh
City / Village : Bhargaon
City / Village : Bhargaon
Pin Code : 172030
Pin Code : 172030
Phone : 7876142298 7876142298
Phone :

Subject Details :

S.No. Subject Code Subject Category Credits

1 R.A.611 Core Course 6

2 R.A.612 Core Course 6

Total Credits : 12

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 :