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HIMACHAL PRADESH UNIVERSITY,SHIMLA -171005.

(NAAC - 'A' Accredited University)


[ EXAMINATION FORM ]

STREAM : B.VOC. TYPE : Passcourse

Registration No./Application ID : 352119865 Roll no (college/ICDEOL/Institute) : 17BVOCRM-26

College/Institute Name: Govt.College Hamirpur Exam Center : Govt.College Hamirpur

Semester : Fifth Exam Type : Re-Appear Exam Month : APR Exam Year : 2020

Capacity : Regular Candidate Category : Other Backward Classes

Medium : English Handicapped : Normal

Basic Details :

Name : SHOURABH KUMAR

Father's Name : SWAROOP KUMAR


Mother's Name : SUMNA

Date of Birth : 10/07/2000 [DD/MM/YYYY] Gender : Male

Aadhaar No. : 227180869102

Mobile No. : 8628877251 Email-Id SHOURABHBVOC@GMAIL.COM


:

Fee Details:

Fee Paid Amount : Rs. 500.00 Dated : 30/01/2021 22:29

Pay Method: Online Challan/Transaction No. 103022098671


Last Exam Details:
Last exam qualifying Univ./Board : H.P. BOARD OF SCHOOL EDUCATION Year of Passing Exam : 2017

Last Exam Name : 12TH Roll Number : 1741571047

Permanent Address Details : Correspondence Address Details :


Address : VILL-PHARNOHAL,PO-BARI,TEH AND DISTT- Address : VILL-PHARNOHAL,PO-BARI,TEH AND DISTT-
HAMIRPUR HAMIRPUR
State : Himachal Pradesh State : Himachal Pradesh
City / Village : PHARNOHAL
City / Village : PHARNOHAL
Pin Code : 177001
Pin Code : 177001
Phone : 8628877251 8628877251
Phone :

Subject Details :

S.No. Subject Code Subject Category Credits


1 R.A.512 Core Course 6

2 R.A.512 Core Course 6

Total Credits : 12

Declaration by the Candidate


I have filled the form and carefully verified all the details after careful study of the university syllabi, rules and regulations pertaining to the year and
session of the examination, under reference. The above particulars filled by me are correct and that in case of any discrepancy therein, I shall be
responsible for the consequences, I also certify that I have not been debarred to appear in the examination for any case of unfair means. No such
case is pending against me.

Candidate Sign : Date : Place :

Principal's Sign &Stamp: Date : Place :

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