HIMACHAL PRADESH TAKNIKI SHIKSHA BOARD DHARAMSHALA

POLYTECHNIC EXAMINATION FORM

Examination Session JUN-2024
Roll No. 230515211021
Candidate Name MANISHA THAKUR
Father Name DEVI SINGH THAKUR
Mobile No 8580646405
Email Id vinayakaipharmacy@gmail.com
Branch PHARMACY
Institute VINAYAKA INSTITUTE OF PHARMACY, BALH (MANDI)

Year 1 (Regular) (N-22)

1 (011) PHARMACEUTICS (T)
2 (012) PHARMACEUTICS (P)
3 (021) PHARMACEUTICAL CHEMISTRY (T)
4 (022) PHARMACEUTICAL CHEMISTRY (P)
5 (031) PHARMACOGNOSY (T)
6 (032) PHARMACOGNOSY (P)
7 (041) HUMAN ANATOMY & PHYSIOLOGY (T)
8 (042) HUMAN ANATOMY & PHYSIOLOGY (P)
9 (051) SOCIAL PHARMACY (T)
10 (052) SOCIAL PHARMACY (P)

Payment Mode : Online

Sr. No. Semister / Year Transaction Id Apply Type Exam Fee (Rs.)
1 Year 1 2024Apr05163307512_23003734 Regular Rs. 500/-
Total Rs. 500/-

I solemnly declare that the information as supplied by me in form is correct and true and nothing has been concealed and that I understand that any wrong statement on my part will
result in disqualification for all future examination to be conducted by the board.

Signature of Student
Certified that the particulars given by the candidate are correct & duly checked & verifying by me.

Signature of Dealing Clerk

1. Certified that MANISHA THAKUR is bonafide student of this institute and has completed his course satisfactorily.
2. The institution owes the responsibility for any wrong /incorrect information in the form.
3. Certified that the roll number shall be delivered to the candidate provide his/her attains the requisite percentage of attendance as prescribed by the board or is otherwise eligible for
appearing in the examination.

Signature of Principal with seal