Dr.

Babasaheb Ambedkar Technological University

Lonere-402103Tal-Mangaon, Dist-Raigad(M.S.) 1ndia.
EXAMINATIONHALL TICKET

Semester Examination Supply Summer 2024

PRN 2112901823001

Name
|PATIL PRASHIK ANANDIRAO

|Exam Center Code & Name 1290-Jagadambha Institute Of Pharmacy

And Research

Phone No 9834537502

Email ID prashik.jipr@gmail.com

Course Code & Name 13823-Bachelor of Pharmacy

Semcter 6

Exam Date Exam Tíme

|Superior
SubjectCode Subject Name Signature

BP501T Medicinal Chemistry II - Theory

BP502T Industríal Pharmacyl- Theory

BP503T Pharmacology II - Theory

Controller of Examinations:
|Important Inst ructions to student:
by Competent Authority
|1 : Examination HallTicket will be considered valid only if signedphones or any a attempt to assist
|2: Possession of papers, books, notes of any kind, use of mobile and malpractice of any nature
or get assistance from any other student/s is strictly prohibited Technological University
is punishable as per the Ordinances of Dr. Babasaheb Ambedkar
Examination
|3 : Student should occupy their seats before 10 minutes of
** Note: Kindly confirm date and time from exam time table issued by DBATUuniversity

enarmacy
$3eg sid
nstitute withPrincipal Signature) (Studeft Sighature)
(DTE
Code)
1290
Principal
amagadambha Institute of
harmacy & Research,Kalar'
VQuepsel
College/ University in case of any querv.
Note: Please bring this acknowledgement to the
 REGULAR / SUPPLEMENTARY Form No:
Institut Copy
Dr. BABASAHEB AMBEDKAR TECHNOLOGICAL
UNIVERSITY
LONERE-RAIGAD 402 103
(EXAMINATION FORM FORAFIILIATEDINSTILUIE SIUDENTS ON)

Ful Name of the student: Pgashik Anandsao Pat

Exam Centre Code & Name:
290-Tugadambha IostBete af phaymay
t keseavch, kalaneb
Class :First/ Second/Third/Fourth/Final Year B. ARCH./ M.
(Strike out which is not applicable) ARCH/pha)
lnstitu
ao ngmacy Fyu.e Branch: pharmay _Semester : PRN 242961 8 2300L
Examination fees paid Receipt No./UTR No.: 4l621FLOOF Date : o/o6/204
1290
Rtructions:
Applicant should fillin the particular in his/her own handwriting.
V9wepe Date:
Incomplete application form is liable for rejection.

1olo6/2024
Place kalamh Signature of the student

Note Take a back to back printout of two pages

REGULAR/ SUPPLEMENTARY Form No:

Student's Copy
Dr. BABASAHEB AMBEDKAR TECHNOLOGICAL UNIVERSITY
LONERE-RAIGAD 402 103
EXAMINATION HALL-TICKET FOR AFFILIATED INSTITUTE STUDENTS ONLY)

Full Name of the student: Prashik Anandaao etil

Exam Centre Code & Name: JA30- Seyadan bha fngfitute ofiphavray
Class :First/ Second/Third/Fourth/Final Year B.ARCH. /M. ARCH.) BPhaTm
(Strike out which is not applicable)

PRN: 212J018 28004

pharma
onsttute
(DT
C E
ofe & Branch: pharmay Semester:

1290
Examination fees paid Receipt No,/UTR No.: 4L62t4L0072 Date
Instructions:
Applicant should fill in the particular in his/her own handwrlting.
qwep5es Date
Incomplete applicatlon form is llable for rejection.
20l06|2024 Slgnature of the student
Place: Kalank.
Note Take a back to back printout of two pages
 Iwould like to reglster for the following theory courses for Examination to be held in
Sr. Exam Date Full Subject Name In whlch to appear Verity &Sign. by
Subject Code Exam Coordinator
No.

13/6/24|GP5ol T |Mecdicina) Chemjstoy fr

1

3
S/6/24 BP5o2T 7ndustial Phatmay 1
4 13/6/24 BP Bo3TPhat Ma cology 1T
Officer ncharge
5 Jagadambha Institute
of
Pharrmacy&
Reseárch,Kalamb
6
2024
7 Exam
/Surmer
Winker
9

10

Ihereby certity that the application has been filled in by me and statements made there in are correct and
complete.

Date : Signature of the student :

pharmacv
IAnbha
n
DTEIRadat Date: Principal /Director Officer on Special Duty
(Name &Sign.) (Name & Sign.)
1290

uep6et Iwould like to register for the following theory courses for Examination to be held in
Subject Code Full Subject Name in which to appear Signature of the
Sr. Exarn Date
No.
Supervisor
1
13/6/24 BPSOl T Mecicina) Chem StTy 1
2
1s|6|24 BP5017 nclustnul pha MaLy T.
3 1s/6/24BP503Tphapmo cology TT
4

10
in are correct and
certify that the appllcation has been flled in by me and statements made there
Ihereby
complete.
Slgnatureof the student :
Date:

Phar
Imacy &
Princlpal /Director Officer on Special Duty
Exam Coordinator
(orbaods Date:
(Name &Slgn.) (Name &Sign.) (Name &Slgn.)
1290