Re-Print Exam Form

1 Print Date :02-Feb-2023   13:34                                            UNIVERSITY COPY

UNIVERSITY OF KOTA, KOTA Print Date 02-Feb-2023

NC-STUDENT Examination :B.A. PART-I EXAM 2023    

 College  Form No. 70043786

 Exam Centre 44 - GOVT. COLLEGE, KARAULI,1
 Roll No.  
 Student's Name GANGOLI MEENA
 Name in Hindi गांगोली मीना
 Father's Name KAMLESH MEENA
Father's Name in Hindi कमलेश मीना
 Mother's Name BHURO DEVI
 Mother'sin Hindi Name भूरो देवी
 Caste ST
 Sex MALE
 Date of Birth 12-Jun-2004
 Medium HINDI
 Phone/MobileNo 7378022869
 Email ID gangolimeena@gmail.com
VILL GAVADIYAPURA
 Address
TESH KARAULI DIST KARAULI
  KARAULI  RAJASTHAN   322241

 Already Enrolled NO                    
 Religion & Nationality HINDU    &    INDIAN
 Roll No. Class & Year of last exam appeared in this University
 Roll No. Class Year
Signature of Student

For College Use Compulsory subjects already passed Roll No. Year
 Examination Fee Rs. 2930
 Deposited Vide Ref. No 70043786
Transaction No- 230201142480153
Transaction Date- 01-Feb-2023

Reappearing in Practical Exam : NA

 Details of Last Qualifying Examination passed
  Class   Name of Board / University   Optional Subject   Roll No.  Percentage   Year of passing   Result
ELECTRICAL&
X RBSE   HARDWARE   2440982 81.50   2020   PASS  
ELECTRICAL&
XII RBSE   HARDWARE   2725939 69.60   2022   PASS  
 Details of Subjects Offered for Examination
 Compulsory subject / Papers  Optional subjects / Papers
5101:GENERAL HINDI:1 - TH. 5111:HISTORY:1 - TH.
5102:GENERAL ENGLISH:1 - TH. 5111:HISTORY:2 - TH.
5106:ENVIRONMENTAL STUDIES:1 - TH. 5113:SOCIOLOGY:1 - TH.
5107:ELE.COMP.APPLICATION (ONLY NEW STUDENT):1 - TH. 5113:SOCIOLOGY:2 - TH.
5120:PHILOSOPHY:1 - TH.
5120:PHILOSOPHY:2 - TH.
UNFAIRMEANS IN LAST YEAR: NO
I hare by declare that I have been residing within the districts of Kota, Bundi, Baran, Jhalawar, Swaimadhopur, Karauli, for atleast 2� yrs (ord.176). and have not applied to appear at any other
ensuing examination of the university either as a regular or an ex-student or a non-collegiate. I have also passed the qualifying examination as required under the rules for appearing at the
examination I therefore, request you to permit me to appear at the above exam at -1 as a non-collegiate candidate. The prescribed fee has been deposited in the Bank.
Signature of Candidate
Residence Certificate (To be submitted by all candidates)
Certified that GANGOLI MEENA/KAMLESH MEENA has been residing within the districts of Kota,Bundi,Baran,Jhalawar,Swm,Karauli for atleast 2� yrs. on this day the ...............
Signature of Gazetted officer with seal
P le as e che ck that challan num b e r and fo rm num b e r s ho uld b e s am e in all co p ie s . If yo ur fo rm is co rre ctly p rinte d d e p o s it fe e in ONLINE
PAYMENT in tim e and e xam fo rm with a co py o f challan in co lle g e . Fe e s o nce d e p o s ite d will no t b e re fund e d .
Certified that all above entries are checked & verified by college and student is eligible to appear in above-mentioned examination. Examination Fee is deposited in
bank
Signature & seal of Principal
All entries have been verified and checked through record and documents provided by student. Student is qualified / not qualified to appear in B.A. PART-I EXAM
2023 Query pending
Full Signature of Checker in University
Note : Please Submit enrolment form and enclose Original Marksheet of Qualifying examination and Migration certificate if you are not enrolled in University of Kota,
Kota, otherwise Photo state copies of documents is to be enclosed with form.
This Examination form is valid from to
कृ पया हिंदी में नाम बोर्ड कि अंकतालिका के अनुसार लिखकर , यथास्थान पर अपने हस्ताक्षर कर परीक्षा आवेदन पत्र को निर्धारित अवधि में सम्बन्धित महाविद्यालय में जमा करावे |
 
Re-Print Exam Form
2 Print Date :02-Feb-2023   13:34                                            COMPUTER COPY

UNIVERSITY OF KOTA, KOTA Print Date 02-Feb-2023

NC-STUDENT Examination :B.A. PART-I EXAM 2023    

 College  Form No. 70043786

 Exam Centre 44 - GOVT. COLLEGE, KARAULI,1

 Roll No.  
 Student's Name GANGOLI MEENA
 Name in Hindi गांगोली मीना
 Father's Name KAMLESH MEENA
Father's Name in Hindi कमलेश मीना
 Mother's Name BHURO DEVI
 Mother'sin Hindi Name भूरो देवी
 Caste ST
 Sex MALE
 Date of Birth 12-Jun-2004
 Medium HINDI
 Phone/MobileNo 7378022869
 Email ID gangolimeena@gmail.com
VILL GAVADIYAPURA
 Address
TESH KARAULI DIST KARAULI
  KARAULI  RAJASTHAN   322241

 Already Enrolled NO                    
 Religion & Nationality HINDU    &    INDIAN
 Roll No. Class & Year of last exam appeared in this University
 Roll No. Class Year
Signature of Student

For College Use Compulsory subjects already passed Roll No. Year
 Examination Fee Rs. 2930
 Deposited Vide Ref. No 70043786
Transaction No- 230201142480153
Transaction Date- 01-Feb-2023

Reappearing in Practical Exam : NA

 Details of Last Qualifying Examination passed
  Class   Name of Board / University   Optional Subject   Roll No.  Percentage   Year of passing   Result
ELECTRICAL&
X RBSE   HARDWARE   2440982 81.50   2020   PASS  
ELECTRICAL&
XII RBSE   HARDWARE   2725939 69.60   2022   PASS  
 Details of Subjects Offered for Examination
 Compulsory subject / Papers  Optional subjects / Papers
5101:GENERAL HINDI:1 - TH. 5111:HISTORY:1 - TH.
5102:GENERAL ENGLISH:1 - TH. 5111:HISTORY:2 - TH.
5106:ENVIRONMENTAL STUDIES:1 - TH. 5113:SOCIOLOGY:1 - TH.
5107:ELE.COMP.APPLICATION (ONLY NEW STUDENT):1 - TH. 5113:SOCIOLOGY:2 - TH.
5120:PHILOSOPHY:1 - TH.
5120:PHILOSOPHY:2 - TH.
UNFAIRMEANS IN LAST YEAR: NO
I hare by declare that I have been residing within the districts of Kota, Bundi, Baran, Jhalawar, Swaimadhopur, Karauli, for atleast 2� yrs (ord.176). and have not applied to appear at any other
ensuing examination of the university either as a regular or an ex-student or a non-collegiate. I have also passed the qualifying examination as required under the rules for appearing at the
examination I therefore, request you to permit me to appear at the above exam at -1 as a non-collegiate candidate. The prescribed fee has been deposited in the Bank.
Signature of Candidate
Residence Certificate (To be submitted by all candidates)
Certified that GANGOLI MEENA/KAMLESH MEENA has been residing within the districts of Kota,Bundi,Baran,Jhalawar,Swm,Karauli for atleast 2� yrs. on this day the ...............
Signature of Gazetted officer with seal
P le as e che ck that challan num b e r and fo rm num b e r s ho uld b e s am e in all co p ie s . If yo ur fo rm is co rre ctly p rinte d d e p o s it fe e in ONLINE
PAYMENT in tim e and e xam fo rm with a co py o f challan in co lle g e . Fe e s o nce d e p o s ite d will no t b e re fund e d .
Certified that all above entries are checked & verified by college and student is eligible to appear in above-mentioned examination. Examination Fee is deposited in
bank
Signature & seal of Principal
All entries have been verified and checked through record and documents provided by student. Student is qualified / not qualified to appear in B.A. PART-I EXAM
2023 Query pending
Full Signature of Checker in University
Note : Please Submit enrolment form and enclose Original Marksheet of Qualifying examination and Migration certificate if you are not enrolled in University of Kota,
Kota, otherwise Photo state copies of documents is to be enclosed with form.
This Examination form is valid from to
कृ पया हिंदी में नाम बोर्ड कि अंकतालिका के अनुसार लिखकर , यथास्थान पर अपने हस्ताक्षर कर परीक्षा आवेदन पत्र को निर्धारित अवधि में सम्बन्धित महाविद्यालय में जमा करावे |
 
Re-Print Exam Form         [02-Feb-2023 13:34]
UNIVERSITY OF KOTA, KOTA
Enrollment/Eligibility Form for NC
Name of Examination :  51071-B.A. PART-I EXAM 2023
 महाविद्यालय का नाम 44 - GOVT. COLLEGE, KARAULI For Office Use Only
आवेदक का विवरण :     Form No. 70043786
 नाम GANGOLI MEENA  En No.  
 पिता का नाम KAMLESH MEENA

 माता का नाम BHURO DEVI

 आरक्षित वर्ग ST

 लिंग MALE

 प्रवेश की तिथि  
 जन्मतिथि 12-Jun-2004

 Phone/MobileNo 7378022869
 आवेदक का पत्र व्यवहार का
पता VILL GAVADIYAPURA    KARAULI RAJASTHAN   322241  
 आवेदक का धर्म / राष्ट्रीयता HINDU    &    INDIAN  
 उतीर्ण की गई परीक्षा का विवरण
  Optional Total  Marks
  Class   Name of Board / University   Year of passing Subject Marks obtained  % Marks
Sr. Secondary RBSE 2020 ELECTRICAL& 600 489 81.50
HARDWARE
Sr. Secondary RBSE 2022 ELECTRICAL& 500 348 69.60
HARDWARE
First Year

Second Year

Third Year

Other

आवेदन के लिए निर्देश:- सत्या पन हेतु संलग्न किये गये मूल प्रपत्रों की सूची ( सत्या पित फोटो प्रति भी संलग्न करे)
मेरे द्वारा भरी गई उपरोक्त जानकारी सत्य है, मैं इस सत्र में भी किसी अन्य बोर्ड / विश्वविधालय की परीक्षा में नहीं प्रमाणित किया जाता है कि उपरोक्त जानकारी जांचने पर सही पायी गयी है बोर्ड / विश्वविद्यालय / संस्था जंहा से अर्हकारी
बेथ रहा हूँ ना ही मुझे इस सत्र में किसी बोर्ड द्वारा अनुचित साधनों के प्रयोग के कारण परीक्षा में बैठने से वंचित परीक्षा उतीर्ण की गयी है विश्वविध्यालय से सांत्वना प्राप्त है| छात्र ने उपरोक्त विवरण अपनी अंतिम उतीर्ण परीक्षा की मूल
किया है तथा मैं पूर्व में इस विश्वविद्यालय में नामांकित नहीं रहा हूँ | अंक तालिका के आधार पर पूर्ण किया है, तथा छात्र ने स्वंय का पिता का तथा माता का नाम इसी तरह भरा है जैसा की
अर्हकारी अंतिम उतीर्ण परीक्षा की मूल अंक तालिका से दर्ज है |
प्राचार्य के हस्ताक्षर
आवेदक के हस्ताक्षर (मय महाविद्यालय की मोहर )
महाविद्यालय उपयोग हेतु विश्विद्यालय उपयोग हेतु
छात्र के द्वारा अर्हकारी परीक्षा उतीर्ण करने की मूल प्राप्त नामांकन शुल्क राशि रु कमियां जो पूर्ण की जाती है
अंकतालिका की जांच क्र ली गई है छात्र नामाकं न की प्राप्त पात्रता शुल्क राशि रु 1. ..........
पात्रता रखता   है| मूल अंकतालिका तथा प्रवजन प्रमाण 2. ..........
पत्र संलग्न हैं | 3. ..........
फ़ीस विवरण : रसीद संख्या  ..........
राशि रु    200 दिनांक        ..........
रसीद संख्या   ..........
दिनांक         ..........
हस्ताक्षर ( महाविद्यालय लिपिक)
 
X Class Marksheet (For Age Proof)
FORM NO : UOK MAIN EXAM FORM-2023-70043786

 
XII Class Marksheet
FORM NO : UOK MAIN EXAM FORM-2023-70043786