Lalit Narayan Mithila University

(Kameshwaranagar, Darbhanga)

EXAM FORM PRINT(B.A./B.Sc./B.Com.) Session: 2022

Application No: 22/Hon/204214142458

To,

The Controller of Examinations

Lalit Narayan Mithila University, Kameshwarnagar, Darbhanga- 846004

Sir,

As Regular applicant, I am requesting you to permit me for the examination

Bachelor of Commerce(Honours)Part- III Session- 2022

Personal Details:

University Roll No: 204214142458 Registration No.: 19421140742

Bachelor of
Candidate Name: SAJIYA AFREEN Course/Programme: Commerce(Honours)Part- III
Session- 2022
Father's Name: MD AKRAMUL HAQUE Mother's Name: RAFAT JAHAN
Date of Birth: 2000-05-07 Gender: Female
Adhaar No: 298661416759
Class Roll No: 7
Category: GEN
Email: sajiyaafreen110@gmail.com Mobile Number: 9905457655
Payment Details:

Reference Number: 69304354 Paid Amount: 1130

Payment Mode: ONLINE Transaction Date: Aug 11 2022 7:53PM
Address Details:

Correspodence Address Details: VILL- BHAMRUPUR,

PO- MOHANPUR,
PS- MUFASHIL,
DIST- SAMASTIPUR,
PIN- 848101
Parmanent Address Details: VILL- BHAMRUPUR,
PO- MOHANPUR,
PS- MUFASHIL,
DIST- SAMASTIPUR,
PIN- 848101
Subject Details:

General and Enviormental

Honours Subject: Accounting and Finance Compulsary Subject:
Studies
I declare that above information filled by me is true and correct to the best of my knowledge. I also declare that I
will always follow the Rules & Regulations of the L.N. Mithila University, Darbhanga. I will not indulge in any
kind of activities which affect the dignity of the University/College and if found doing so, I may be explelled by
the University/College for which I myself will be responsible.

Signature of Principal/Head

Assistant Signature of Candidate

with Seal