Patliputra University, Patna

Type of Exam : U.G. Semester-1 Exam

College Name with Code 224 - S.U. College, Hilsa, Nalanda.

Course Name U.G. NEP Semester
Year / Semester Semester-1
Subjects (Major) Affix your recent
passport size
Registration Number photograph here
University Roll Number
College Roll Number
Candidate's Name
Father's Name
Mother's Name
Affix your recent
Category Signature here
Sub-Category
Religion
Nationality/Domicile
Date of Birth / Gender
Telephone
Email
Present Address:-

Permanent Address:-

Subjects / Papers Details:-

Subject Papers
MJC
MIC
MDC
AEC
SEC
VAC
Declaration by the Candidate

I, ............................................. on ................... solemnly declare that all the information provided in the form no. ......................... is true to
the best of my knowledge and belief. If any information herewith is found to be untrue / false / incorrect, my candidature / admission /
examination is liable to be cancelled and no claim of its fee refund would be raised by me. If in future, any of this information is found
untrue / false / incorrect, the University may cancel my degree.

vH;FkhZ dk uke ¼fgUnh esa½ (Signature of the Candidate)

(Signature of H.O.D.)