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2 - 12 - 2023 - 15 - 38 - 18 - 608bachelor of Pharmacy B.Pharm - ExamForm

1) The document is an examination application form for Patil Harshal Manohar to appear for the December 2022 examination for the Bachelor of Pharmacy (B.Pharm) program at Smt. SharadChandrika Suresh Patil College of Pharmacy, which is affiliated with Kavayitri Bahinabai Chaudhari North Maharashtra University. 2) The form provides Patil's personal details like name, address, contact information, as well as academic details like program, semester, roll number. 3) It lists the papers Patil wishes to appear for in the examination and allows indicating whether the exams will be university-assessed or college-asses

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Harshal Patil
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Download as PDF, TXT or read online on Scribd
58 views2 pages

2 - 12 - 2023 - 15 - 38 - 18 - 608bachelor of Pharmacy B.Pharm - ExamForm

1) The document is an examination application form for Patil Harshal Manohar to appear for the December 2022 examination for the Bachelor of Pharmacy (B.Pharm) program at Smt. SharadChandrika Suresh Patil College of Pharmacy, which is affiliated with Kavayitri Bahinabai Chaudhari North Maharashtra University. 2) The form provides Patil's personal details like name, address, contact information, as well as academic details like program, semester, roll number. 3) It lists the papers Patil wishes to appear for in the examination and allows indicating whether the exams will be university-assessed or college-asses

Uploaded by

Harshal Patil
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Kavayitri Bahinabai Chaudhari North Maharashtra University, Jalgaon

https://nmuj.digitaluniversity.ac/

MGSMS Smt. SharadChandrika Suresh Patil College of Pharmacy (140046)


Application Form for Examination of December-2022 event.

Bachelor of Pharmacy B.Pharm


To explore your personalized Job Opportunities, Competitive Exams, Career Fairs etc., click on 'EASY' link in your 'e-Suvidha' account on
https://nmuj.digitaluniversity.ac/. Activate your 'e-Suvidha' account and login today!

PRN: Eligibility Status: Examination form No.:


154472
2020015400302262 Eligible
Instruction Medium: English Nationality: Indias
Student's Name: PATIL HARSHAL MANOHAR Mother's Name: MANDAKINI Gender: Male
Name in Vernacular Language: ”ȡŠȣ›¡Ÿ[›˜“Ȫ¡š
Address: AT POST ,PLOT NO.26 Aadarsh NAGAR CHOPDA YAWAL ROAD
City: CHOPDA, Taluka: Chopada, District: Jalgaon, State: Maharashtra, PIN: 425107
Telephone no.: Mobile no: 918857801901 Email : [email protected]
DOB: Sep 03, 2002 Category: Reserved (OBC) Physically Handicap: No
Important: You will be allowed to appear for only those Paper which you have marked. Please mark carefully. NA: Not Applicable, NS: Not Scheduled for this event, M: Excluded from
appearing in this event
1. Sem-V(Regular-June-2017 Pattern)
Division : 1 ,Roll Number : 004 Exam Appearance Type: Fresher
Paper Details: Please select Paper details which you want to appear ( UA - University Assessment,CA - College Assessment ) Inward Status: Yes
SN Paper Code Paper Name AM - AT
1 735501 BP501T Medicinal Chemistry-II TH-UA [ ] ;TH-CA [ ]
2 735502 BP502T Industrial Pharmacy-I TH-UA [ ] ;TH-CA [ ]
3 735503 BP503T Pharmacology-II TH-UA [ ] ;TH-CA [ ]
4 735504 BP504T Pharmacognosy-II TH-UA [ ] ;TH-CA [ ]
5 735505 BP505T Pharmaceutical Jurisprudence TH-UA [ ] ;TH-CA [ ]
6 735506 BP506P Industrial Pharmacy-I PR-UA [ ] ;PR-CA [ ]
7 735507 BP507P Pharmacology-II PR-UA [ ] ;PR-CA [ ]
8 735508 BP508P Pharmacognosy-II PR-UA [ ] ;PR-CA [ ]
Center Preference (Code/Name): Venue Preference (Code/Name):

Fee Head 1 2 3 4 5 6 7 8
CAP Fee
Environment Fee
Exam Fee
Exam Form Fee
Exam Form Late Fee
Exam Form Super Late Fee
Exam Form Super Late-Per Day Fee
General Knowledge Fee
Other Fee
Passing Certificate Fee
Practical Fee
Project Viva Fee
Statement of Marks Fee
Sub Total:
Payment Details: Amount Received: College Receipt No. and Date:
DD No: MICR No: DD Date: Bank:
To, Director, Board of Examination and Evaluations / The Controller Of Examination, Place:
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 true, complete and correct to the best of my knowledge and belief. I have gone through the syllabus and Date:
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 rejected.

Student's Signature
Declaration by Principal/HOD/Chairperson
This form is carefully scrutinized by the College 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 College and has completed the required attendance and practical course/term work (if any) according to university
rules.

Place:

Date:
College Staff Signature Seal and Signature of
Principal/HOD/Chairperson
Form Generated on: Thursday,October 6,2022,10:57:57 PM by Jyoti K Patil, Form Downloaded on: Sunday, February 12, 2023, 3:38:19 PM by PATIL HARSHAL MANOHAR

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