The Maharaja Sayajirao University of Baroda

Faculty of Arts
Application Form for Examination of October-2023 event
First Semester of Bachelor of Arts-I-No Branch-2023-2024

Examination Form No :

PRN : Eligibility Status : 100198420

Division/ Section : Roll No :
8023041300 Eligible

Instruction Medium : English

Student's Personal Information

Student's Name : Jha Anshu Lokesh Mother's Name : Putul Gender : Male
Address: Village - Jamuawan Post- Apsadh
State :
City : Jamuawan District : Nawada PIN : 805108
Bihar
Telephone No : Mobile No : 6207862758 Email : jhaanshu9006@gmail.com

DOB : 15-03-2004 Category : General Physically Handicape : false

Exam form appearance type: Fresher

Course Details: Please select Course details which you want to appear (UA-University Assessment, IA-Internal Assessment)
Course
SN Course Name T.L.M.- A.M.- A.T.
Code

1 FRM2001C French Grammar & Usage-I Lecture - Theory - UA

2 FRM2011C Communicative Skills in French-I Lecture - Theory - UA
3 HNE2001C Aadhunik Kavita Lecture - Theory - UA
4 AEC2001C Fundamentals of Communication Skills in English Lecture - Theory - UA
5 IKS2071C Ancient Indian Sciences (Mathematics, Astronomy, Astrology, Politics & Ayurveda) Lecture - Theory - UA
6 MDC2131C Knowing Russia Lecture - Theory - UA
7 SEC2121C Communication Skills in Sindhi Language Lecture - Theory - UA
Total :

Payment Details : Amount Received : Faculty/College/Institution Receipt No. and Date :

DD No : MICR No : DD Date : Bank :
Center Preference (Code/Name) :
Venue Preference (Code/Name) :
To, The Deputy Registrar (EXAMINATION),
Place : Vadodara
I request permission to present myself for the ensuing examination. I have remitted the
prescribed fee for the same. I hereby declare that all statement made in this application are Date :
true, complete and correct to the best of my knowledge and belief. I have gone through the
syllabus and the list of books prescribed for the examination for which I am appearing. I
shall not request for any special concession such as change in time or day fixed for
university Examination etc. on religious or any other ground. I understand that in the event of
any information being found false or incorrect, my candidature is liable to be cancelled or Student's Signature
rejected.

Declaration by Dean/Principal

This form is carefully scrutinized by the Faculty/College/Institution staff and by me. The information printed in the form is correct
to the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information. He/she is regular
student of this Faculty/College/Institution and has completed the required attendance and practical course/term work (if any)
according to university rules.

Place :

Date : Faculty/College/Institution Staff Signature Seal and Signature of Dean/Principal