Dipanshu 5th Exm
Dipanshu 5th Exm
Dipanshu 5th Exm
Student Copy
Student's Signature
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University Copy
PERSONAL DETAILS
1. Full Name Of The Applicant: DIPANSHU BANSOD
2. Father's/Husband's Name: MUKUND BANSOD
3. Mother's Name: GOPIKA BANSOD
4. Address For Communication: KADAMBRI NAGAR,,, DURG,DURG,491001
(With Pin Code)
5. Permanent Address: KADAMBRI NAGAR,, ,DURG,DURG,491001
(With Pin Code)
6. E-mail-ID : dipanshubansod4@gmail.com
7. Contact No. : 6261425625
8. Date of Birth: 26/5/2003
9. Gender: MALE
10.Category: SC
11.Religion: HINDU
12.Medium of Instruction: ENGLISH
13.Differently Abled/Divyang: NO
14.Nationality: INDIAN
15. Have you submitted Migration Certificate: YES
16. Last Year Passout From: HEMCHAND YADAV VISHWAVIDYALAYA, DURG
17. User Id: Lokeshjatwar7855@gmail.com
18. Password: ******@123
19. Previous Exam Roll No: 21338017017
SUBJECTS OFFERED:
SUBJECT CODE SUBJECT NAME
122 MARKETING RESEARCH
123 QUANTITATIVE TECHNIQUES
124 SALES AND ADVERTISEMENT MANAGEMENT
125 INVESTMENT MANAGEMENT
126 MATERIAL MANAGEMENT
Payment ID & Date of payment of exam fees: HU423307654e0a95176e2/ 10-11-2023 16:20:55/ 1330
Payment Done
Declaration
I, hereby certify that the above given information is correct to the best of my knowledge. If any of the information is found
forged, I will be liable for punishment as per university norms.
Student's Signature
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CERTIFICATE OF PRINCIPAL
a. Certified that all details filled up by student is correct and true. There is no objection regarding his/her
character which could be a disqualification for appearing in the examination.
b. Original certificates/Marksheets/Degree/Diploma as an eligibility qualification issued by the
Board/University to this student are verified and he/she is eligible for admitting in this examination.
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