Purnea University (Bihar)

EXAMINATION APPLICATION FORM (REGULAR/BACK) - SESSION 2023-24

Type of Programme B.A

Name of Course /Branch/Level B.A / POL/3RD
Name of College/Institute Purnea Mahila College, Purnia
Enrollment No 2113B100126
Roll No 405002
PERSONAL DETAILS:
Full Name of The Applicant: PUJA KUMARI
Father`s/Husband`s Full Name: ANANT KUMAR SHARMA
Mother`s Full Name: PINKI DEVI
AT MAHTHOUR, PO DAGARUA PS DAGARUA, Purnia, Bihar,
Address:
854326
E-mail-ID : pujasksharma9122@gmail.com Contact No. : 9263207139
Date of Birth: 05-05-2001 Applicant Gender: Female
Category: BC-I Differently Abled/Divyang: NO
SUBJECT OFFERED:
SUBJECT
SUBJECT NAME PAPER TYPE THEORY PRACTICAL
CODE
GES GENRAL ENVIRONMENTAL STUDIES( GES ) COMPULSARY THEORY
POLV POLITICAL SOCIOLOGY( POLV ) HONOURS THEORY
POLVI PUBLIC ADMINISTRATION( POLVI ) HONOURS THEORY
NATIONAL MOVEMENT AND CONSTITUTIONAL
POLVII HONOURS THEORY
DEVELOPMENT IN INDIA( POLVII )
POLVIII POLITICAL THOUGHT( POLVIII ) HONOURS THEORY

Payment Receipt No.: 11000217791672 Medium : ONLINE

Date/Time of payment of exam fees: 2024-05-03 19:33:34 Total Fee Rs.: 1400.00
Student Declaration :
1. As per provision of the PU, ordinances and regulations of examination, I have participated in allactivities.
2. As is not permitted in the Ordinance, I am not appearing in any other Examination.
3. I solemnly affirm that the complete information given in this application form is true and correct.If any information given in this
form found to be false I shall be eligible for imposition of fine andpunishment & shall be personally responsible for any loss.
4. I understand that my application form shall be rejected or result of examination shall not be declared in case of appearing any
discrepancy/deficiency in this application form as well as fornon-compliance of the same within the stipulated time.

Date : 03-05-2024
Applicant Signature

( Student should take printout of two copies & one copy Submit to College/Institute )