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Panjab University, Chandigarh

Online Examination Form for Post Graduate Examination May 2019

Reappear students need not to submit this form to Panjab University .

Candidate Type College Candidate (Full Subjects)


College/Deptt. MTS Memorial College for Women, Ludhiana
College Roll No: 4813
Application No. 5871

Regd./PUPIN NO. 14514000502

Category General

Gender Female

Name of Candidate CHETNA MALIK

Father's Name HANS RAJ MALIK


Mother's Name REENA
Date of Birth 19-09-1997
Aadhar NO. 866988892299
Nationality Indian
Working in Government/Public
Sector
No
Mobile 8427431231
Email ID gstindia104@gmail.com
Correspondence Address HOUSE NO B-1/932, CHHAUNI MOHALLA ,LUDHIANA-141008
Permanent Address HOUSE NO B-1/932, CHHAUNI MOHALLA ,LUDHIANA-141008
Course Information:
Course Master of Commerce
Semester 4
Current Subject(s) 1. MC401: Project Planning and Control
2. MC402: Knowledge Management
3. MC403: Business Ethics and Corporate Governance
4. MC404: Advertising and Sales Management
5. MC405: Services Marketing
6. MC406: Consumer Behaviour
7. MC422: Comprehensive Viva -Voce
Previous Semester Information:
Course Master of Commerce
Semester/Year 3
Result Result Awaited
Roll No. 72487
Passing Year 2018
University Panjab University, Chandigarh
Subject(s) MC301,MC302,MC303,MC304,MC313,MC314,MC315
Other Details:
Applied for Re-Evaluation No
Blind/Permanently disabled from
writing
No
Is UMC No
Place:
Date: 04-02-2019 Full Signature of Candidate
Panjab University, Chandigarh
Certificates
(For College/ Department of Evening Studies/University school of Open Learning Candidates)
(Strike out which is not applicable).

Certified That :
1. The candidate has remained on the rolls of this College/Department for the full academic year preceding the examination.
2. The candidate has passed, at least one academic year previously (except in compartment cases, appearing
simultaneously), the lower examination with the required subjects and % age of marks on the basis of which
he/she is eligible to appear in the exam.
3. The candidate has attended not less than 75% of the full course of lectures delivered to his/her class in each
of the paper being offered for examination.
4. The candidate has attended not less than 75% of periods assigned to practical work in each science subject or
Psychology, Home Science or in the case of Geography, Map work and Practical and 80% each in the subjects of
Physical Education and Defence and Strategic Studies.
5. The candidate has obtained at least 25% marks in the aggregate of all the combined results of (a) the house
examination held in November/December and (b) the internal assessment based on three monthly class tests
held in August, September and October respectively.
6. This college has duly been granted affiliation by the Panjab University which is valid upto date in the Course(s) being offered by the
candidate in his/her examination form and the number of candidates admitted and being sent for examination is within the strength
sanctioned by the University for the Course/Session.
7. The candidate bears a good moral character, that he/she has filled in and signed this examination form in my presence and has further
satisfied by production of authentic documents, that the statements made by him/her in the form are correct.

Place:_________________
(Full Signatures of the Principal/Chairperson Deptt. of
Evening Studies/University School of Open Learning with
official stamp)

Dated:_________________

Full Name of the Principal of the College/Chairperson


(Name of the College/Department with official Stamp)
__________________

Certificate for Late College Students (Colleges/University School of Open Learning/Evening Studies)
I certify that the applicant :
(a) has completed the prescribed course of lectures/practicals etc in the college or has been on the rolls of the Department of
Correspondence/Evening Studies from July 20__ to April, 20__ in the subject/s offered by him/her and has paid requisite continuation fee
of Rs. 40 vide Receipt No. Dated.
(b) has previously appeared in the examination under Roll No. in Session Year.
(c) bears a good moral character. (d) has signed this form in my presence and satisfied me by production of authentic documents, that the
statements made by him/her are correct.

Full Signature of the Principal of the College/Chairperson


Date:_________________
U.S.O.L./D.E.S. (Last Attended) (With Official Stamp)
Certificate for Private Candidates (other than late college students)
(Items not applicable may be struck off)
Certified that :
(i) I know the applicant personally. He/she bears a good moral character. His/her attested photograph is affixed. He/she has signed this
examination form in my presence and has satisfied me by production of authentic documents that the statements made by Him/her in the
form are correct.
(ii) The applicant has been in continuous service since ______________________________ and will continue to
be as such till the commencement of the examination. He/she has completed at least 3 year service on 30th
November preceding the year of examination
(a) Name of Institution/Organisation/Deptt.
(b) Date of Joining (c) Rank/Designation
(iii) He/she has not been a regular student of an affiliated college during the academic year preceding the
examination.
(iv) There is no Evening College/Evening Classes in any college at the place where the applicant is employed
OR he was not granted departmental permission to join the Evening College/Evening Classes by the employer
due to the nature of his duties )Attach certificate) OR that the applicant was not granted admission in the Evening
College/Evening Classes by the Principal. In case there are more than one Evening College/Classes, this
certificate may be obtained from all of them.
(v) For Defence Personnel Only: (a) He is a bonafied (permanent ) resident of District in the State of
Punjab/Haryana/Himachal Pradesh/Chandigarh (U.T.) (b) He has been working in the State since (Month) (Year)
and will continue till the commencement of Examination.

Note : Teacher of Govt. Primary/Middle/High School should get their


forms attested by the Distt. Education Officer/Circle Education Officer.

(Signatures & Stamp of the Head of


Institution/Organisation/Deptt. where candidate is
employed or any other attesting authority)
Name of the Attesting Authority(in Capitals)
Designation:_________________
Dated: _________________
Full Name of the Principal of the College/Chairperson (Name of the College/Department with official
__________________ Stamp)

CHECK LIST OF DOCUMENTS/INFORMATION (To be supplied by the Private Candidate Only)


1. Have you passed the qualifying exam. from the University? If yes, do not attach the original Detailed Marks Card.
2. If you have passed the qualifying exam. from the University/Council other than Panjab University attach the Original DMC & Migration
Certificates from the University/Council.
3. Have you got your examination form attested by a competent authority as prescribed by the Panjab University?
4. Have you filled in all the columns of the Exam. Form properly and that no column has been left blank?
5. Have you attached three copies of your latest passport size photograph from one and the same negative?
6. Have you attached the SC/ST/BC certificate issued by the competent authority (if applicable).

Full Signature
Dated _________________
of Candidate

(For Office Use only)

Not
Eligible _________________
Eligible_________________

Eligible Subject to_________________ Reasons_________________

Dealing Official A.S.O. O.S.E. Dealing Official A.S.O. O.S.E. A.R.E

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