Examination Form With Challan

CHAUDHARY CHARAN SINGH UNIVERSITY, MEERUT
Examination Form for Traditional U.G/P.G. Courses

Main( Regular ) Paper Examination, Session: 2014 - 2015
Registration No. : 14DR8756512
Roll No. : C2296533
Submit Date : 18 Feb 2015 15:26:24
Form No. : 1481300
Last Submit Date : 18 Feb 2015 15:26:24
Print Date : 18 Feb 2015 20:38:37
Name of Examination : B.Com. IInd Year 2014 - 2015 (Commerce)

Name of College : INSTITUTE OF MGMT. AND INFORMATION TECH. 1, NEW CHUNGI,
BULANDSHAHR ROAD,HAPUR, (GHAZIABAD)
Enrollment No. : 14DR8756512
1. Name of the Candidate (IN BLOCK LETTERS) :
IMRAN
2. Father's Name (IN BLOCK LETTERS) :
RAMJANI
3. Mother's Name (IN BLOCK LETTERS) :
MAHKUMNISHA
4. Date of Birth :
15/07/1992
5. Category :
6. Gender :
MALE
7. Email :
OBC
8. Address (IN BLOCK LETTERS)

Permanent Address
Address of Correspondence
Address :
SAIN VIHAR DUNDEHRA IPEM COLLEGE
GHAZIABAD
Address :
SAIN VIHAR DUNDEHRA IPEM COLLEGE
GHAZIABAD
Mobile :
9958043749
9. Details of Paper & Paper Code for Main Semester/Ex- student/P.G. Courses
Sr.No.
1
2
3
4
5
6
7
8
9
Paper Code
201
202
203
204
205
206
011
C 010
C 002
Name of the Paper

Corporate Law
Cost Accounting
Principles of Business Management
Income Tax
Fundamentals of Entrepreneurship
Public Finance
Hindi
General Awareness
Sports & Physical Education
10. Academic Record

Sr.No. Examination Passed
Year
Max Marks Marks Obt. Exam Stream
Matriculation
2011
600
322
Intermediate
2013
500
234
Commerce
11. At Graduation/P.G. level, Give Details of marks obtained in previous semester :
Subjects Taken
Board/University
HINDI, ENGLISH,
MATHEMATICS,
SCIENCE, SOCIAL
SCIENCE,
DRAWING
COMMERCE
U.P. Board of High

School & Intermediate
Education, Allahabad.
U.P. Board of High

12. Details of Punishment for U.F.M.(Unfair Means) if any, imposed in any previous examination. : No
Name of Examination:
Year:
Roll No:
Name of Centre :
Punishment Details :
13.If last examination passed from the other university give detail of migration certificate from that university
14. If you are employed, give the details of "No - Objection Certificate"
15. If Migration certificate of another University/board enclosed, mentioned it's number
16. Details of attached Document :
Sr. No.
1
2
3
Document
Class 10th Certificate
Class 12th Certificate
Payment Receipt
Declaration
I IMRAN S/o, D/o Sh. RAMJANI hereby declare that the information given in the application form is true to best of
my knowledge and belief. In case any information is found false/untrue, cancel my exam form, for which no claim
of refund of the fee would be raised by me, in future also, if any particular submitted are found to be untrue /
false, the university can cancel my degree.
Amount Deposited : 741.00

Date : 18/02/2015
(Signature of Applicant)
Certificate by the Principal

Shri/Smt./Km. IMRAN S/o / D/o RAMJANI has been registered for regular examination. All the entries in the exam
form, marksheets and other certificate attached have been duly checked and this is certified that he/she is eligible
for examination and his/her examination form being forwarded.
Signature of the Principal with Stamp

Enrollment Form for (Regular) Student Session 2014 - 2015
The Candidate who have already enrolled not need to fill the entries of this form
To,
The REGISTRAR,
CHAUDHARY CHARAN SINGH UNIVERSITY,
MEERUT
Enrollment No. 14DR8756512
Sir,
I Request you for permission to be enrolled as a member of the University.
Imp: Name of the Candidate, Father's and Mother's Name should be written strictly as per High School certificate.
1. Name of the Candidate (Female Candidate should write Km./Smt. after her Name) : IMRAN
2. Father's Name : RAMJANI
3. Mother's Name : MAHKUMNISHA
4. Date of Birth ( as recorded in High school certificate) : 15/07/1992
5. Category : OBC
6. Permanent Address: SAIN VIHAR DUNDEHRA IPEM COLLEGE GHAZIABAD
7. Length of residence in U.P. :
8. Year of Admission to Degree Class in the College : 2013
9. Name of Board or University conducting the Intermediate Examination :
10. Year of Intermediate Examination :
12. Details of exam passed :
Sr.No. Examination Passed
Year
11. If already Enrolled in CCSU, mention enrollment number :

14DR8756512
Max Marks Marks Obt. Exam Stream
Matriculation
2011
600
322
Intermediate
2013
500
234
Commerce
Subjects Taken
Board/University
HINDI, ENGLISH,
MATHEMATICS,
SCIENCE,
SOCIAL
SCIENCE,
DRAWING
COMMERCE
U.P. Board of High

U.P. Board of High

13. Whether doing Ph.D. or any other degree of any other University in India/Abroad, you may please state full
Particulars:
14. Examination for which studying / appearing at the time of filling the form : B.Com. IInd Year 2014 - 2015 (Commerce)
15. If enclosed Migration Certificate of another University / Board, mention following :
Migration No :
University & Board Name:
Date of Issue:
Your's faithfully.
Class :
Year :
(Signature of the Student)
I Certify that the above named candidate is not enrolled in Chaudhary Charan Singh University, Meerut earlier and has
filled the form himself / herself and I believe the above information is true. The Fee of Rs 120/- is forwarded herewith.
(College Seal)
Principal's Signature
TO BE FILLED VERY ACCURATELY & LEGIBLY BY THE UNIVERSITY OFFICE:

Enrollment No. 14DR8756512
Year
Examination
Roll No
Result
1 : Migration Certificate No.

Dated
2 : Duplicate Migration Certificate No.
Dated
3 : Migration Certificate No.
Dated
University Received and Enrollment number renewed
College/Center
Issued
Issued
of
Full Sign. of Clerk Who

Posted the entries
Signature of Clerk
Signature of Clerk
Signature of Clerk
Signature of the Clerk receiving the Migration certificate

ENROLLMENT CERTIFICATE
Examination :
B.Com. IInd Year 2014 - 2015 (Commerce)
Roll No. : C2296533
N.B. (All entries except that of Enrollment No. should be filled by the candidate)
Shri/Smt/Km. IMRAN S/o / D/o RAMJANI College INSTITUTE OF MGMT. AND INFORMATION TECH. 1, NEW CHUNGI,
BULANDSHAHR ROAD,HAPUR, (GHAZIABAD) has been enrolled as a student of University at
No. M --------------------- Date------------------------- resident of SAIN VIHAR DUNDEHRA IPEM COLLEGE GHAZIABAD .
Note: This form must be enclosed along with examination form of the candidate who are to be enrolled.
Registrar

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Wednesday,February, 18 2015 15:26:24
Wednesday,February, 18 2015 15:26:24
Student Copy
University Copy
CHAUDHARY CHARAN SINGH

UNIVERSITY, MEERUT
Payment Mode :
Date of Deposit :
College Code :
Student Name :
ID Ref No / App no.:
Date of Birth :
Class Sem/Year :
Cash Details
Denomination
Online Payment
18/02/2015
229
IMRAN
1481300
15/07/1992
B.Com. IInd Year 2014 - 2015

(Commerce)
FEE DETAILS
Amount
1000 X
500 X
100 X
50 X
10 X
5X
2X
Coins
Total
FEE HEAD
Examination Fee
Mark-Sheet Fee
Cultural Activity
Sports Fee
Rovers Rangers
Practical Fee
Viva Fee
AMOUNT
610.00
60.00
5.00
60.00
6.00
0.00
0.00
741.00
Total Amount
CHAUDHARY CHARAN SINGH

UNIVERSITY, MEERUT
Payment Mode :
Date of Deposit :
College Code :
Student Name :
ID Ref No / App no.:
Date of Birth :
Class Sem/Year :
Cash Details
Denomination
Submit Date : 18 Feb 2015 15:26:24
135277219
IMRAN
1481300
15/07/1992
B.Com. IInd Year 2014 - 2015

(Commerce)
FEE DETAILS
Amount
1000 X
500 X
100 X
50 X
10 X
5X
2X
Coins
FEE HEAD
Examination Fee
Mark-Sheet Fee
Cultural Activity
Sports Fee
Rovers Rangers
Practical Fee
Viva Fee
Total
Total Amount
Signature of Depositor
Journal/ Transaction
ID No.
Online Payment
18/02/2015
229
AMOUNT
610.00
60.00
5.00
60.00
6.00
0.00
0.00
741.00
Signature of Depositor
Journal/ Transaction
ID No.
Last Submit Date : 18 Feb 2015 15:26:24
135277219
Print Date : 18 Feb 2015 20:38:37

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CHAUDHARY CHARAN SINGH UNIVERSITY, MEERUT

Examination Form for Traditional U.G/P.G. Courses

Roll No. : C2296533

Submit Date : 18 Feb 2015 15:26:24

Form No. : 1481300

Last Submit Date : 18 Feb 2015 15:26:24

Print Date : 18 Feb 2015 20:38:37

Name of Examination : B.Com. IInd Year 2014 - 2015 (Commerce)

8. Address (IN BLOCK LETTERS)

Name of the Paper

10. Academic Record

Max Marks Marks Obt. Exam Stream

11. At Graduation/P.G. level, Give Details of marks obtained in previous semester :

U.P. Board of High

U.P. Board of High

Amount Deposited : 741.00

Certificate by the Principal

CHAUDHARY CHARAN SINGH UNIVERSITY, MEERUT

Enrollment No. 14DR8756512

11. If already Enrolled in CCSU, mention enrollment number :

U.P. Board of High

U.P. Board of High

(Signature of the Student)

TO BE FILLED VERY ACCURATELY & LEGIBLY BY THE UNIVERSITY OFFICE:

1 : Migration Certificate No.

Full Sign. of Clerk Who

Signature of the Clerk receiving the Migration certificate

CHAUDHARY CHARAN SINGH UNIVERSITY, MEERUT

B.Com. IInd Year 2014 - 2015 (Commerce)

Roll No. : C2296533

Wednesday,February, 18 2015 15:26:24

Wednesday,February, 18 2015 15:26:24

CHAUDHARY CHARAN SINGH

B.Com. IInd Year 2014 - 2015

CHAUDHARY CHARAN SINGH

Submit Date : 18 Feb 2015 15:26:24

B.Com. IInd Year 2014 - 2015

Last Submit Date : 18 Feb 2015 15:26:24

Print Date : 18 Feb 2015 20:38:37

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