UTTARAKHAND AYURVED UNIVERSITY

S.R. NO.
NAME OF INSTITUTE ………………………………………………………………………………………….
BATCH ……………………………………………………………………………………….
Course :- BAMS/BHMS/BUMS/MD/MS/BNYS 100142
Year :- I/II/ III/ final year
Affix
Pass Year:- 1st ………2nd ………. 3rd ………… 4th ………… Photograph duly
Roll Number ……………………………………………………………………….. attested by
Principal/
Director of the
1. Name : _____________________________________________________________________
Institute from
DOB ………………………………………………………………………………. which he/she
doning course
2. Father's Name ___________________________________________________________

* DECLARAITION BY CANDIDATE:
I Hereby declare that the information given above has been filled by me and are correct ot the
best of my knowledge and belief.

Signature of Candidate

Certificate By director / Principal

this is to certify that the information filled in is correct as per the original recods available in the college /
Institute

Signature of Director/Principal of Institute/college

Date
Seal:
………………………………………………………………………………………………………………………………………………………………………………….

ADMIT CARD
(MAIN EXAM/BACK /SESSIONAL)
Affix
Photograph duly
Name of Institue ……………………………………………………………………………………………….. attested by
Batch ………………………………………………………………… Year ……………………………………. Principal/
Name of Student ………………………………………………………………………………………….. Director of the
Institute from
Roll Number …………………………………………………………………………………………………… which he/she
Date of Birth ………………………………………………………………………………………………….. doning course
Subject in which Student Appearing

1……………………………………………………….. 2………………………………………………….. 3…………………………………………………………

4…………………………………………………………….. 5…………………………………………………………6……………………………………………………………

Sig of Student Sig of Principal Sig Registrar (UAU)