University of Kashmir

Pre-Filled Examination Form

Form No EXM-602492
Verified

For B.A./B.Sc./B.Com/BBA/BCA/MCMP 2nd Year Backlog Examination 2011 BACKLOG Registration No : Name : Parentage : Tel. No/Mobile No: 2077-spw-2008 KULSOOMA BANO

Roll No

FAROOQ AHMAD DAR 9858840850 BARAMULLA

Affix Self Attested Photograph

District to which the candidate belongs to: Nearest college within district

GOVT DEGREE COLLEGE SOPORE FOR WOMEN

Previous Examination Details (on the basis of which the student is eligible to appear)
Examination Roll No. Session Year Max Marks Obt. Marks Result

BA Ist Year BA 2nd Year Course:

BA

40523 36031

ANNUAL ANNUAL

2010 2010

600

242

PASS RE-APPEAR

Subject/s in which to appear:

1.HISTORY(HS)

Please mention Deficiency/Variation (if any) in Particulars / Result give above.If information is correct mention "NO"

Certified that the particulars and result position given above are correct. Signature of the Student Deficiency,if any, to be completed by the student :
(To be filled by the office)

Additional Information :
(To be filled by the office)

Form Will Be Accepted Subject to Verification of Records

Fee Details : For one subject : Rs. 300, Rs. 100 (EMF) ,Rs. 25 (Hot & Cold /Service Charges) Total Rs.425 For more than one subject :Rs. 1000, Rs. 100 (EMF) ,Rs. 25 (Hot & Cold /Service Charges) Total Rs.1125 For Full Subjects :Rs. 1000, Rs. 100 (EMF) ,Rs. 25 (Hot & Cold /Service Charges) Total Rs.1125

University Fee Receipt No :

(For office use only)

Dated :

Amount :

Note(s): (1) Attach Self Attested Photocopies of Marks Certificates (Last Attempt) of Previous Exams Passed (2) Additional Rs. 10 to be paid as Bank Charges for all Categories.

Receipt
Recieved from Form No KULSOOMA BANO Reg. No form along with fee receipt of Rs. 2077-spw-2008 Date: Signature of Dealing Assistant.

EXM-602492

The Jammu and Kashmir Bank Limited Bank Copy

Pay-in slip for University of Kashmir, Hazratbal, Srinagar Dated: Name : Address:

14-June-2011 KULSOOMA BANO SHAHGUND SONAWARI

0007010100002609
Amount in words:

Form No Parentage: Contact No: Purpose:

EXM-602492
FAROOQ AHMAD DAR 9858840850 Examination Fee

Account No: Amount :

Sign. of Depositer

Bank Seal & Signature

The Jammu and Kashmir Bank Limited University Copy

Pay-in slip for University of Kashmir, Hazratbal, Srinagar Dated: Name : Address: Account No: Amount :

14-June-2011 KULSOOMA BANO SHAHGUND SONAWARI

0007010100002609
Amount in words:

Form No Parentage: Contact No: Purpose:

EXM-602492
FAROOQ AHMAD DAR 9858840850 Examination Fee

Sign. of Depositer

Bank Seal & Signature

The Jammu and Kashmir Bank Limited Depositor's Copy

Pay-in slip for University of Kashmir, Hazratbal, Srinagar Dated: Name : Address:

14-June-2011 KULSOOMA BANO SHAHGUND SONAWARI

0007010100002609
Amount in words:

Form No Parentage: Contact No: Purpose:

EXM-602492
FAROOQ AHMAD DAR 9858840850 Examination Fee

Account No: Amount :

Sign. of Depositer

Bank Seal & Signature

Instructions 1.The Fee can be deposited at any FINACLE Branch of The J&K Bank Ltd. 2.University copy is to be attached to the ExaminationForm and Depositor's copy to be retained by the candidate. 3.Additional Rs. 10 is to be deposited as Bank Service Charges.