Kavayitri Bahinabai Chaudhari North Maharashtra University, Jalgaon

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Kisan Vidya Prasarak Sanstha's Kisan Arts, Commerce and Science College (190040)
Application Form for Examination of December-2021 event.

Bachelor of Arts B.A.

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PRN: Eligibility Status: Examination form No.:

100317
2018015400142803 Eligible
Instruction Medium: English Nationality: Indias
Student's Name: PATIL RAKESH AABA Mother's Name: LATABAI Gender: Male
Name in Vernacular Language: ”ȡŠȣ›šȡ€ȯž]–ȡ
Address: KOIL GALLI PAROLA
City: PAROLA, Taluka: Parola, District: Jalgaon, State: Maharashtra, PIN: 425111
Telephone no.: Mobile no: 918390627578 Email :
DOB: Jun 23, 2000 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-III(Regular-under CBCS Pattern)
Division : A ,Roll Number : 397 Exam Appearance Type: Repeater
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 831211 HIS-231 History of the Marathas (A.D.1605-1750 A.D.) TH-UA [ ]
2 831507 GG-234 Regional Planning and Development TH-UA [ ]
Center Preference (Code/Name): Venue Preference (Code/Name):
2. Sem-V(Regular-under CBCS Pattern)
Division : A ,Roll Number : 397 Exam Appearance Type: Repeater
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
3 850212 MAR-351-B Vyavsayabhimukh Lekhanasathi Marathi TH-UA [ ]
4 851211 HIS-351-A History of Modern Europe (A.D. 1781-A.D. 1913) TH-UA [ ]
5 851503 GG-353 Practical in Human Geography and Geo-Statistics PR-UA [ ]
6 850208 MAR-355 Drushva-Shravya Madhyamansathi Lekhan va Sanvad TH-UA [ ]
7 851507 GG-354 Field Technique and Introduction to Project Report TH-UA [ ]
Center Preference (Code/Name): Venue Preference (Code/Name):
3. Sem-VI(Regular-under CBCS Pattern)
Division : A ,Roll Number : 397 Exam Appearance Type: Repeater
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
8 860111 CENG-361 Developing Communication Skills TH-UA [ ] ;TH-CA [ ]
9 860212 MAR-361-B Vyavsayabhimukh Lekhanasathi Marathi TH-UA [ ] ;TH-CA [ ]
10 861211 HIS-361-A History of Modern Europe (A.D. 1914-A.D. 1945) TH-UA [ ] ;TH-CA [ ]
11 861511 GG-361 Population Geography TH-UA [ ] ;TH-CA [ ]
12 861502 GG-362 Political Geography TH-UA [ ] ;TH-CA [ ]
13 861503 GG-363 Practical in Physical Geography PR-UA [ ] ;PR-CA [ ]
14 860208 MAR-365 Adhunik Samaj Madhyamansathi Lekhan va Sanvad TH-UA [ ] ;TH-CA [ ]
15 861507 GG-364 Geographical Information System TH-UA [ ] ;TH-CA [ ]
16 861209 HIS-365 Making of Contemporary India-II TH-UA [ ] ;TH-CA [ ]
17 862409 ENG-365 Film and Literature TH-UA [ ] ;TH-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

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