HIMACHAL PRADESH UNIVERSITY,SHIMLA -171005.

(NAAC - 'A' Accredited University)

[ EXAMINATION FORM ]

STREAM : BSC TYPE : Passcourse

Registration No./Application ID : 993099921 Roll no (college/ICDEOL/Institute) : 21BSM053

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

Degree year : First Year Exam Type : Fresh Exam Month : April Exam Year : 2022

Capacity : Regular Candidate Category : General Medium : English

University Regno: 21-BP-345 Handicapped : Normal

Basic Details :

Name : SHUBHAM CHANDEL

Father's Name : JASVEER SINGH

Mother's Name : SUNITA DEVI

Date of Birth : 08/05/2004 [DD/MM/YYYY] Gender : Male

Aadhaar No. : N/A

Mobile No. : 9015380586 Email-Id rajputshubu6789@gmail.com

:

Fee Details:

Fee Paid Amount : Rs. 2000.00 Dated : 04/02/2022 10:35

Pay Method: Online Challan/Transaction No. 203510006586

Last Exam Details:
Last exam qualifying Univ./Board : H.P. BOARD OF SCHOOL EDUCATION Year of Passing Exam : 2021

Last Exam Name : Intermediate Roll Number : 2141128068

Permanent Address Details : Correspondence Address Details :

Address : VILL. DUDHIAN, P.O. KALOL, TEH. JHANDUTTA, Address : VILL. DUDHIAN, P.O. KALOL, TEH. JHANDUTTA,
DISTT. BILASPUR (H.P.),174035 DISTT. BILASPUR (H.P.),174035
State : Himachal Pradesh State : Himachal Pradesh
City / Village : Dudhian
City / Village : Dudhian
Pin Code : 174035
Pin Code : 174035
Phone : N/A N/A
Phone :

Subject Details :

S.No. Subject Code Subject Category Credits

1 ENVS2AECC2 AE Compulsory Course(AECC) 4

2 PHYS101 Core Course 6

3 PHYS102 Core Course 6

4 MATH101TH Core Course 6

 5 MATH102TH Core Course 6

6 CHEM 101 Core Course 6

7 CHEM 102 Core Course 6

8 ENG AECC 104 AE Compulsory Course(AECC) 4

Total Credits : 44

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 :