ATAL BIHARI VAJPAYEE VISHWAVIDYALAYA

BILASPUR (C.G.) INDIA

Exam Application (DEC. - 2023)
005 - B. SC. PART-II (TWO)

User ID BP210221703
Roll No 643442
Enrolment No./Reg. No. 2021047361
Name AVANTIKA
Date of Birth 24-Sep-2001 Gender : FEMALE
Father's Name/Husband GANGA RAM Mother's Name : BIRANGNA BAI
Category ST Minority : No
Handicapped No Medium : HINDI
Status Supplementary Aadhaar Number : *******
Mobile Number 6262302750 Email ID : avantika1paikra@gmail.com
Domicile CG Nationality : INDIAN
Exam Fees Rs 1010 Date : 05-November-2023 at 10:58 AM
Payment Status PAID TXN ID : 2311A7B5A672 Verification Status : Verified
Permanent Address VILL- BAMHANI POST- KODGAR TEH- PENDRA DIST- GPM CG, Bilaspur - 495119, Chhattisgarh
Institute 114 : DR. BHANVAR SINGH PORTE GOVT. COLLEGE, PENDRA DIST.-GAURELA-PENDRA-MARWAHI (C.G.)
Exam. Center :
Previous Education Detail

Class University/Board Name Year Max Marks Obt. Marks Percent/Grade/CGPA

High School (10th) CG BOARD RAIPUR 2018 600 279 46.5

Higher Secondary School (12th) CG OPEN SCHOOL RAIPUR 2020 500 318 63.6
Previous Year's Marks

Year Obtain Marks Total Marks

I Year/I Sem. 362 600

Permitted to appear in following subjects/papers

S.No. Subject Code Subject/Paper Name Appeared in

1 18 ZOOLOGY Theory
2 26 CHEMISTRY Theory
Attached Document
 1. Photocopy of mark sheets of Previous Exam10 th /12 th /UG/PG(if applicable).
2. Domicile/Caste/Migration/Eligibility (if applicable).

Declaration
This is to certify that the above information given by me in this application is true to the best of my knowledge & belief. If at later stage, it is found that, I have furnished
wrong information and/or submitted false certificate(s) the application form will be rejected. Further I will be subject to legal action as per the provisions of the law.

(Signature) Seal and Signature

Name - AVANTIKA Principal/Forwarding Officer
Note:
Submit one copy of application form in your institute and keep one copy as further reference.
परीक्षार्थी पूरक परीक्षा का आवेदन फॉर्म उसी महाविद्यालय में जमा करेंगे जो पूरक परीक्षा आवेदन में उल्लेखित है| पूरक परीक्षा कें द्र का निर्धारण प्रवेश पत्र जारी करने के दौरान घोषित किया जाएगा |