The document is an examination application form submitted by Preiti Nayak, a third year private student at Kurukshetra University, for the May 2022 full paper examination. The form provides her personal details like name, father's name, date of birth, address, contact details, selected courses for examination, fees payment details, and declaration signed by her. It instructs the applicant to submit the system generated hard copy of the online form along with required supporting documents to the Examination Enquiry department within 10 days.
The document is an examination application form submitted by Preiti Nayak, a third year private student at Kurukshetra University, for the May 2022 full paper examination. The form provides her personal details like name, father's name, date of birth, address, contact details, selected courses for examination, fees payment details, and declaration signed by her. It instructs the applicant to submit the system generated hard copy of the online form along with required supporting documents to the Examination Enquiry department within 10 days.
The document is an examination application form submitted by Preiti Nayak, a third year private student at Kurukshetra University, for the May 2022 full paper examination. The form provides her personal details like name, father's name, date of birth, address, contact details, selected courses for examination, fees payment details, and declaration signed by her. It instructs the applicant to submit the system generated hard copy of the online form along with required supporting documents to the Examination Enquiry department within 10 days.
The document is an examination application form submitted by Preiti Nayak, a third year private student at Kurukshetra University, for the May 2022 full paper examination. The form provides her personal details like name, father's name, date of birth, address, contact details, selected courses for examination, fees payment details, and declaration signed by her. It instructs the applicant to submit the system generated hard copy of the online form along with required supporting documents to the Examination Enquiry department within 10 days.
(Established by the State Legislature Act XII of 1956)
(A+ Grade, NAAC Accredited)
EXAMINATION APPLICATION FORM
(Session - MAY_2022_Full Paper)
Application No : KUP-2022/006111 Student Type PRIVATE STUDENT
Exam District Kaithal Exam Station I KAITHAL Class Name Bachelor of Arts (Annual) Annual / Semester Annual Year Third Session MAY_2022_Full Paper Exam Type Full Paper Blind/Deaf No KU. Reg. No. 18-PCD-28546 Capacity Appearing Woman Domicile No. HR/2016/900 Domicile Date Sep 30,2016 Student Name PREETI Father Name NARENDER KUMAR Mother Name GUDDIA Mobile No 7357520549 Email Id amarnayak127@gmail.com Gender Female Correspondence Address NAYAK MOHALLA VPO SAJUMA State HARYANA District Kaithal Area Type Rural Caste Category BC-B Date of Birth Aug 10,2000 Aadhaar No 720624974553 Religion Hinduism Student Photo Student Signature
Selected Course for Examination
Sr. No. Course Code Course Name 1 EN42-1 ENGLISH-1 2 HI41-1 HINDI COMP.-1 3 PS41-1 POLITICAL SCIENCE-1 4 HR41-1 HISTORY-1
Page 1 Kurukshetra University, Kurukshetra (Established by the State Legislature Act XII of 1956) (A+ Grade, NAAC Accredited)
Fees Details of Examination Form
Transaction ID Payment Date Fee Amount QR Code TEAAPUMTLEV0RAV 30-May-2022 2,000.00
DECLARATION OF APPLICATION FORM
I solemnly declare and affirm that the particulars given above are correct and true to the best of my knowledge and nothing has been concealed there in.I am eligible for the Examination as per rules and regulations of the University. I have consulted Syllabus, Scheme, Eligibility conditions etc. and have gone through general rules/instructions of Kurukshetra University, Kurukshetra,
Submission Date : 30-May-2022 Signature____________________________
Please Tick Enclosures :
1. DMC of Previous qualification ( 10th /12th /Graduation /Post Graduation). 2. Haryana Domicile Certificate. 3. Certificate for Physically Handicapped. 4. Certificate for SC/ST. 5. NOC Certificate for Defense personnel and KUK Employees. 6. Original Migration Certificate. Note: Kindly submit the system generated hard copy (.PDF) of the Online Examination Application form duly signed by the candidate along with the attested/self attested supporting documents as mentioned in the enclosures above to the following address by hand or by registered post within 10 days from the date of submission of the Online Examination Application Form. In-charge, Examination Enquiry Kurukshetra University, Kurukshetra - 136119
