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    Adobe Scan Jul 18, 2024

    Uploaded by

    Jigar Parmar

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Adobe Scan Jul 18, 2024

    Uploaded by

    Jigar Parmar
    1 views2 pages

    Copyright

    © © All Rights Reserved

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    Copyright:

    © All Rights Reserved
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    1 views2 pages

    Adobe Scan Jul 18, 2024

    Uploaded by

    Jigar Parmar

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    Form No.

    NIRMA
    UNIVERSITY
    NAAC ACCREDITED* GRADE
    To be filled-in by the EXAMINATION FORNM-B
    (RPR). student who is seeking
    permission for appearing in Semester End
    NB. (1) Forms Examination
    (2) Please submitted
    fill in all
    after the
    prescribed date will not be
    (3) details neatly. accepted.
    Incomplete formis liableto be rejected.
    Name of the Institute

    Name of the
    Programme
    Tntte Las, Niona Uniyeut
    Registration/Roll No. D
    2
    To, Lo8
    The Deputy Registrar
    Nina University, (Examination)
    Ahemdabad-382 481.
    Irequest for the permission to present
    University as per the details given on Page2. myself the ensuing Examination to be held at Nirma
    at

    Name in full in capital letters:


    (As per SGR of last
    exam passed) PARMAR
    Address for corresponden ce:

    Phone No. (P):29S9%5

    Email:
    thraadaad
    Pin Code:
    38

    Nirma University
    91027172A191617
    Gilve the details of the courses of Repest legistrsion (5440 invhih yoshwefled to nhe e s
    ond want o study the entire courses) ard/or sppeanng in splcie r d i s n tej
    course/s under FPR category,
    S, Course Code (Course Nams
    No. Errineon
    vhicheve is
    aplicakle
    123t Jsisgucleu
    2
    20L4 52ini had Citigotin RES
    3

    NOTE: Photocopy of the Sernester Grade Report of corncern sernesters) rust be attached
    CANDIDATESDECLARATION

    (1) Iaccept to abide by all the rules and regulations of the Instiítute / Uriversity pertaining to
    examination which are in force fron tirme to time.
    (2) Infonation given by me is true.
    (3) 1know that simply because lan allowed to fillin this forrn ill nt confe right to appear in the
    exarnination. If the term is not grarted due to non-completion of any requirerment shown in the
    relevant regulation will result into not alloving me to appear in the
    xarnathY

    Date: Name &Signature of the Candidate


    The above inforrnation gven by the student is checked by me and found correct

    Date: Signature of the Head Exam

    Received Rs. vide Receipt No. dated

    Signature of Accountant

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