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Examination Form – 2024

Please submit a printed copy of this examination form in your respective college.
NAME OF COLLEGE: (015) K.S.SAKET P.G. COLLEGE AYODHYA FORM NO. 241037059

COURSE APPLIED FOR B.A. IVTH SEMESTER STUDENT TYPE REGULAR

FEE AMOUNT: ₹ 1010 /- TRANSACTION NO.:19632108483 TRANSACTION DATE: 12-Apr-2024

FEE BREAKUP: EXAM FEE:800-/ MARKSHEET FEE:100-/ ENROLL FEE:0-/ SPORTS FEE:100-/ ALUMNI FEE:10-/ DEGREE FEE:0-/

FATHER'S / HUSBAND NAME :

STUDENT NAME TULIKA HITAISHY UIN No. : 2022119464
DINESH CHANDRA HITAISHY

MOTHER'S NAME SHASHI HITAISHY DATE OF BIRTH : 02-Nov-2005 MOBILE : 9569878434

CATEGORY OBC SUB CATEGORY : NOT APPLICABLE APPLY FOR NSS : NO

ABC ID 229284992156

SUBJECT/PAPER OPTED

S.NO. TYPE SUBJECT PAPER PAPER NAME CREDIT

1 MAJOR ANCIENT INDIAN HISTORY & ARCHAEOLOGY A150401T POLITICAL HISTORY OF SOUTH INDIA (100 AD- 1300 AD) 6

2 MAJOR ENGLISH A040401T INDIAN LITERATURE IN TRANSLATION 6

3 VOCATIONAL Event Management I700401T Event Management 1

4 VOCATIONAL Event Management I700402P Event Management 2

5 COCURRICULAR Physical Education and Yoga Z040401T PHYSICAL EDUCATION AND YOGA 2

6 MAJOR POLITICAL SCIENCE A060401T WESTERN POLITICAL THOUGHT 6

DISCLAIMER

I, TULIKA HITAISHY son/daughter/wife of DINESH CHANDRA HITAISHY , as a bonafied student of the (015) K.S.SAKET P.G. COLLEGE AYODHYA , hereby, declare that all the

statements/particulars made/furnished in this Examination Form No. 241037059 are true, complete and correct to the best of my knowledge and belief. I also declare and fully understand that my

candidature for the examination is strictly abide with the rules and regulations of the University and in the event of any information furnished being found false or incorrect at any stage in future, my
application/candidature is liable to be summarily rejected and the University/College may additionally take legal action in this regard against me, as deemed fit.

VERIFIED BY- DEAN /HOD/ PRINCIPAL SIGNATURE WITH SEAL)

SIGNATURE OF STUDENT (015) K.S.SAKET P.G. COLLEGE AYODHYA
FORM FILLED ON: 12-Apr-2024 01:24:PM DATE: