Student Copy

EXAMINATION FORM SEMESTER - I

SESSION - 2024-25 (NEP)
Type of Programme UG
Name of Course BACHELOR OF SCIENCE
College Code - Name 331 - KALYAN POST GRADUATE COLLEGE, SECTOR-7, BHILAI NAGAR
Student Type REGULAR
Enrollment No H2433100126
Admission Application
244775946853
ID
ABC ID 472269934778

PERSONAL DETAILS
1. Full Name Of The Applicant: BHAWANA VERMA
2. Father's/Husband's Name: HARISHCHAND VERMA
3. Mother's Name: REENA VERMA
4. Address For Communication: WARD NO 35 HOLLAR MIL,MOHBHATTA,, BHATAPARA,BALODA
(With Pin Code) BAZAR,493113
5. Permanent Address: WARD NO 35 HOLLAR MIL,MOHBHATTA, ,BHATAPARA,BALODA
(With Pin Code) BAZAR,493113
6. E-mail-ID : [email protected]
7. Contact No. : 7067933078
8. Date of Birth: 23/2/2006
9. Gender: FEMALE
10.Category: OBC
11.Religion: HINDU
12.Medium of Instruction: HINDI
13.Differently Abled/Divyang: NO
14.Nationality: INDIAN
15. Submitted Migration NO
Certificate:
16. Last Year Passout From: CHHATTISGARH MADHYAMIK SIKSHA MANDAL(C.G. BOARD)
17. User Id: 472269934778
18. Password: ******1927

SUBJECTS
SLNO SUBJECT GROUP SUBJECT CODE SUBJECT NAME
1 DSC BTSC-01 BIO-TECHNOLOGY
2 DSC BOSC-01 BOTANY
3 DSC CHSC-01 CHEMISTRY
4 AEC COAEC-02 ENGLISH LANGUAGE
5 GE SOGE-01 INTRODUCTION TO SOCIOLOGY
6 VAC CHVAC-01 CHEMISTRY IN DAILY LIFE
Payment ID & Date of payment of exam fees : HN12070674e843774665/ 03-12-2024 09:38:51/ 1130
Payment Done
APN : TS00120690100298
Declaration
I, hereby certify that the above given information is correct to the best of my knowledge. If any
of the information is found forged, I will be liable for punishment as per university norms.
Student's Signature
University Copy

EXAMINATION FORM SEMESTER - I

SESSION - 2024-25 (NEP)
Type of Programme UG
Name of Course BACHELOR OF SCIENCE
College Code - Name 331 - KALYAN POST GRADUATE COLLEGE, SECTOR-7, BHILAI NAGAR
Student Type REGULAR
Enrollment No H2433100126
Admission Application
244775946853
ID
ABC ID 472269934778

PERSONAL DETAILS
1. Full Name Of The Applicant: BHAWANA VERMA
2. Father's/Husband's Name: HARISHCHAND VERMA
3. Mother's Name: REENA VERMA
4. Address For Communication: WARD NO 35 HOLLAR MIL,MOHBHATTA,, BHATAPARA,BALODA
(With Pin Code) BAZAR,493113
5. Permanent Address: WARD NO 35 HOLLAR MIL,MOHBHATTA, ,BHATAPARA,BALODA
(With Pin Code) BAZAR,493113
6. E-mail-ID : [email protected]
7. Contact No. : 7067933078
8. Date of Birth: 23/2/2006
9. Gender: FEMALE
10.Category: OBC
11.Religion: HINDU
12.Medium of Instruction: HINDI
13.Differently Abled/Divyang: NO
14.Nationality: INDIAN
15. Submitted Migration NO
Certificate:
16. Last Year Passout From: CHHATTISGARH MADHYAMIK SIKSHA MANDAL(C.G. BOARD)
17. User Id: 472269934778
18. Password: ******1927

SUBJECTS
SLNO SUBJECT GROUP SUBJECT CODE SUBJECT NAME
1 DSC BTSC-01 BIO-TECHNOLOGY
2 DSC BOSC-01 BOTANY
3 DSC CHSC-01 CHEMISTRY
4 AEC COAEC-02 ENGLISH LANGUAGE
5 GE SOGE-01 INTRODUCTION TO SOCIOLOGY
6 VAC CHVAC-01 CHEMISTRY IN DAILY LIFE

Payment ID & Date of payment of exam fees : HN12070674e843774665/ 03-12-2024 09:38:51/ 1130
Payment Done
APN : TS00120690100298
Declaration
I, hereby certify that the above given information is correct to the best of my knowledge. If any
of the information is found forged, I will be liable for punishment as per university norms.
Student's Signature
 प्रमाण पत्र

प्रमाणित किया जाता है दिनांक.......................की स्थिति में छात्र /

छात्रा का नाम BHAWANA VERMA पिता HARISHCHAND
VERMA कक्षा Bachelor of Science Semester - I की
उपस्थिति ..................प्रतिशत है।

हस्ताक्षर विषय शिक्षक/विभागाध्यक्ष

CERTIFICATE OF PRINCIPAL

a.Certified that all details filled up by student is correct and true. There is no objection
regarding his/her character which could be a disqualification for appearing in the
examination.
b.Original certificates/Marksheets/Degree/Diploma as an eligibility qualification issued by
the Board/University to this student are verified and he/she is eligible for admitting in
this examination.

Date: Principal ------------- (Sig. & Stamp)