CHAUDHARY CHARAN SINGH UNIVERSITY, MEERUT

Examination Form for Traditional U.G/P.G. Courses

Back Paper Examination, Session: 2014 - 2015
Registration No. : 14VR3220027

Roll No. : 163908

Submit Date : 18 Feb 2015 13:01:45

Form No. : 1474351

Last Submit Date : 18 Feb 2015 13:01:45

Print Date : 18 Feb 2015 21:59:02

Name of Examination : B.A. IInd Year 2014 - 2015 (Hindi, Political Science, Economics)
Name of College : S.D. COLLEGE, GHAZIABAD
Enrollment No. : 14VR3220027
1. Name of the Candidate (IN BLOCK LETTERS) :
ANUJ YADAV
2. Father's Name (IN BLOCK LETTERS) :
JAGBIR SINGH YADAV
3. Mother's Name (IN BLOCK LETTERS) :
RAJKUMARI YADAV
4. Date of Birth :

28/10/1995

5. Category :

OBC

6. Gender :

MALE

7. Email :

anuj929974@gmail.com

8. Address (IN BLOCK LETTERS)

Permanent Address

Address of Correspondence

Address :
H NO 1375 GALI NO 6 KRISHNA NAGAR
BAGU BY PASS VIJAY NAGAR GHAZIABAD

Address :
H NO 1375 GALI NO 6 KRISHNA NAGAR
BAGU BY PASS VIJAY NAGAR GHAZIABAD

Mobile :

9716640002

9. Details of Paper & Paper Code for Main Semester/Ex- student/P.G. Courses
Sr.No.
1
2

Paper Code
245
246

Name of the Paper

National Income Analysis, Money and Banking
Public Finance and International Trade

10. Academic Record

Sr.No. Examination Passed

Year

Max Marks Marks Obt. Exam Stream

Matriculation

2009

600

339

Intermediate

2011

500

281

PCM

11. At Graduation/P.G. level, Give Details of marks obtained in previous semester :

Subjects Taken

Board/University

SCIENCE

U.P. Board of High

School & Intermediate
Education, Allahabad.
U.P. Board of High
School & Intermediate
Education, Allahabad.

PCM

12. Details of Punishment for U.F.M.(Unfair Means) if any, imposed in any previous examination. : No
Name of Examination:
Year:
Roll No:
Name of Centre :
Punishment Details :
13.If last examination passed from the other university give detail of migration certificate from that university
14. If you are employed, give the details of "No - Objection Certificate"
15. If Migration certificate of another University/board enclosed, mentioned it's number
16. Details of attached Document :
Sr. No.
1
2
3

Document
Class 10th Certificate
Class 12th Certificate
Payment Receipt

Declaration
I ANUJ YADAV S/o, D/o Sh. JAGBIR SINGH YADAV hereby declare that the information given in the application
form is true to best of my knowledge and belief. In case any information is found false/untrue, cancel my exam
form, for which no claim of refund of the fee would be raised by me, in future also, if any particular submitted are
found to be untrue / false, the university can cancel my degree.

Amount Deposited : 730.00

Date : 18/02/2015

(Signature of Applicant)

Certificate by the Principal

Shri/Smt./Km. ANUJ YADAV S/o / D/o JAGBIR SINGH YADAV has been registered for regular examination. All the
entries in the exam form, marksheets and other certificate attached have been duly checked and this is certified
that he/she is eligible for examination and his/her examination form being forwarded.
Signature of the Principal with Stamp

CHAUDHARY CHARAN SINGH UNIVERSITY, MEERUT

Enrollment Form for (Private) Student Session 2014 - 2015
The Candidate who have already enrolled not need to fill the entries of this form
To,
The REGISTRAR,
CHAUDHARY CHARAN SINGH UNIVERSITY,
MEERUT

Enrollment No. 14VR3220027

Sir,
I Request you for permission to be enrolled as a member of the University.
Imp: Name of the Candidate, Father's and Mother's Name should be written strictly as per High School certificate.
1. Name of the Candidate (Female Candidate should write Km./Smt. after her Name) : ANUJ YADAV
2. Father's Name : JAGBIR SINGH YADAV
3. Mother's Name : RAJKUMARI YADAV
4. Date of Birth ( as recorded in High school certificate) : 28/10/1995
5. Category : OBC
6. Permanent Address: H NO 1375 GALI NO 6 KRISHNA NAGAR BAGU BY PASS VIJAY NAGAR GHAZIABAD
7. Length of residence in U.P. :
8. Year of Admission to Degree Class in the College : 2012
9. Name of Board or University conducting the Intermediate Examination :
10. Year of Intermediate Examination :
12. Details of exam passed :
Sr.No. Examination Passed

Year

11. If already Enrolled in CCSU, mention enrollment number :

14VR3220027
Max Marks Marks Obt. Exam Stream

Matriculation

2009

600

339

Intermediate

2011

500

281

PCM

Subjects Taken

Board/University

SCIENCE

U.P. Board of High

School & Intermediate
Education, Allahabad.

PCM

U.P. Board of High

School & Intermediate
Education, Allahabad.

13. Whether doing Ph.D. or any other degree of any other University in India/Abroad, you may please state full
Particulars:
14. Examination for which studying / appearing at the time of filling the form : B.A. IInd Year 2014 - 2015 (Hindi, Political
Science, Economics)
15. If enclosed Migration Certificate of another University / Board, mention following :
Migration No :
University & Board Name:

Date of Issue:
Your's faithfully.

Class :

Year :

(Signature of the Student)

I Certify that the above named candidate is not enrolled in Chaudhary Charan Singh University, Meerut earlier and has
filled the form himself / herself and I believe the above information is true. The Fee of Rs 120/- is forwarded herewith.
(College Seal)

Principal's Signature

TO BE FILLED VERY ACCURATELY & LEGIBLY BY THE UNIVERSITY OFFICE:

Enrollment No. 14VR3220027

Year

Examination

Roll No

Result

1 : Migration Certificate No.

Dated
2 : Duplicate Migration Certificate No.
Dated
3 : Migration Certificate No.
Dated
University Received and Enrollment number renewed

College/Center

Issued
Issued
of

Full Sign. of Clerk Who

Posted the entries

Signature of Clerk
Signature of Clerk
Signature of Clerk

Signature of the Clerk receiving the Migration certificate

CHAUDHARY CHARAN SINGH UNIVERSITY, MEERUT

ENROLLMENT CERTIFICATE
Examination :

B.A. IInd Year 2014 - 2015 (Hindi, Political Science, Economics)

Roll No. : 163908

N.B. (All entries except that of Enrollment No. should be filled by the candidate)
Shri/Smt/Km. ANUJ YADAV S/o / D/o JAGBIR SINGH YADAV College S.D. COLLEGE, GHAZIABAD has been enrolled
as a student of University at
No.
M --------------------- Date------------------------- resident of
H NO 1375 GALI NO 6 KRISHNA NAGAR BAGU BY PASS
VIJAY NAGAR GHAZIABAD .
Note: This form must be enclosed along with examination form of the candidate who are to be enrolled.
Registrar

|
|

: -

:
/ :
/ - | -

|

:
01.
02.
03.
04.
05.
06.
07 .
08.
09.
10.
11.
12.
13.
14.
15.
16.

,
|
- , |
, , / |
, ,
|
- , - - |
- (Roll No.) (Enrollment No.)
|
- / / /
|

|
|
- - -
|
, - / ,
|
- ,
-
( ) , , ,
|

, - - ' '
|
- (Identity card) / |
- ,
|
|

|
, |

Wednesday,February, 18 2015 13:1:45

Wednesday,February, 18 2015 13:1:45

Student Copy

University Copy

CHAUDHARY CHARAN SINGH

UNIVERSITY, MEERUT
Payment Mode :
Date of Deposit :
College Code :
Student Name :
ID Ref No / App no.:
Date of Birth :
Class Sem/Year :
Cash Details
Denomination

Online Payment
18/02/2015
024

CHAUDHARY CHARAN SINGH

UNIVERSITY, MEERUT
Payment Mode :
Date of Deposit :
College Code :
Student Name :
ID Ref No / App no.:
Date of Birth :
Class Sem/Year :

ANUJ YADAV
1474351
28/10/1995

B.A. IInd Year 2014 - 2015

(Hindi, Political Science,
Economics)
FEE DETAILS
Amount

Cash Details
Denomination

1000 X
500 X
100 X
50 X
10 X
5X
2X
Coins

FEE HEAD
Examination Fee

AMOUNT
610.00

University
Registration Fee

120.00

Total

Total Amount

730.00

Submit Date : 18 Feb 2015 13:01:45

IG00PWBMZ8

ANUJ YADAV
1474351
28/10/1995

B.A. IInd Year 2014 - 2015

(Hindi, Political Science,
Economics)
FEE DETAILS
Amount

1000 X
500 X
100 X
50 X
10 X
5X
2X
Coins

FEE HEAD
Examination Fee

AMOUNT
610.00

University
Registration Fee

120.00

Total

Total Amount

Signature of Depositor
Journal/ Transaction
ID No.

Online Payment
18/02/2015
024

730.00

Signature of Depositor
Journal/ Transaction
ID No.

Last Submit Date : 18 Feb 2015 13:01:45

IG00PWBMZ8
Print Date : 18 Feb 2015 21:59:02