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ROLL NUMBER

STUDENT ID

ENROLLMENT NUMBER

EXAMINATION SESSION

STUDENT TYPE

MEDIUM

FACULTY

Course

Class

SEMESTER

NAME OF EXAMINATION

FIRST NAME

MIDDLE NAME

LAST NAME

Gender

MOTHER'S NAME

Write subject/s, paper's Practicals, Sessional As per current syllabus in which to appear at the examination(Mention Name Of Optional Paper, If Any)

SUBJECT NAME



















































































WHETHER ADMITTED TO HIGHERCLASS UNDER A.T.K.T RULES ? * YES/NO (STRIKE OUT WHICH IS NOT APPLICABL) **WHTHER THE APPLICATION WANTS TO ACCEPT EXEMPION? * YES/NO ( IF YES, GIVE DETAILS IN THE FORMAT)ATTACH ATTESTED COPIES OF MARKLISTS
Sr.No Subjct/Papers/Practicals/Sessionals Marks Obtained Roll No Summer / Winter Year College Code No
1
2
3
4
5
6
7
8
9
PARTICULARS OF EXAMINATION TO BE FILLED IN BY THE EX-STUDENTS(I.E. FAILURE STUDENTS INCLUDING STUDENTS REMAINED ABSENT AT THE EXAMINATION)
Name of Exam
Summer/Winter
Roll No
Name of Collage
DETAILS OF QUALIFYING EXAMINATON PASSED(FOR EXTERNAL AND REGULAR COLLAEGIATE STUDENTS)
Name of The Examination
SUMMER/WINTER
ROLL NO.
ENROLMENT/REGISTRATION NO.
COLLEGE
BOARD OR UNIVERSITY
SUBJECTS OFFERED
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