Candidate Type College/Deptt. Dept Roll No: Application No. Regd./PUPIN NO. category Gender Name of Candidate Father's Name Mother's Name Date of Birth ‘Aadhar NO. Nationality Working in Government, Public Sector Mobile Email 1D Correspondence Address Permanent Address Course Semester /Year Current Subject(s) Course Semester/Year Result Roll No, Passing Year University Subject(s) Applied for Re-Evaluation Panjab University, Chandi: \e Examination Form for Post Graduate Examination Dec 2023 ‘No need to submit this form to Panjab University . University Department (Full Subjects) University Business School, PU Chandigarh 27 1823338044 8422005042 General Male UDBHAV SHRIVASTAV NIKHILESH SHRIVASTAV RAMA SHRIVASTAV 08-09-1998 243577336760 Indian No 8224944079 udbhavshrivastav.ubs@gmail.com 149,surbhi mohini homes 462022 149,surbhi mohini homes,462022 ‘PaymentType: Bank Txn No. __||_CPADCUQYU3 ‘Name UDBHAV SHRIVASTAV ‘Amount(Rs) 4710 Deposit Date |[26-09-2023 00:00:00) Branch Code 742, Master of Business Administration (INTERNATIONAL BUSINESS) SAI ADEwNo wD Global Strategic Management [MBAIB7101] Global Supply Chain Management [MBAIB7102] International Business Law [MBAIB7103] Workshop on Sectoral Strategies for Exports [MBAIB7104] . Seminar on International Marketing Research [MBAIB7105] Foreign Language-French [MBAIB7106] Seminar on Project Planning and Analysis [MBAIB7111] Seminar on Corporate Restructuring and Re-Engineering [MBAIB7112] Master of Business Administration INTERNATIONAL BUSINESS) 2 938/1400 31617 2023 Panjab University, Chandigarh 1B6201,1B6202,1B6203,1B6204,1B6205,1B6207,1B6208,1B6209,1B6210 NoBlind/Permanently disabled from writing ” No Is UMC No Thave filled the form after careful study of the University syllabi, structural outlines of the course,rules and regulations pertaining to the year and session of the examination, under reference, The statements made by me in the form are correct. I accept full liability for any action against me under the rules/regulations of the University for any mis-statement or concealment of facts made by me. Place: ae 26-09-2023 Full Signature of Candidate DatPanjab University, Chandigarh Certificates (For College/ Department of Evening Studies/University school of Open Learning Candidates)(Strike out which is not applicable). 1, The candidate has remained on the rolls ofthis College/Department for the full academic year preceding the examination. 2. The candidate has passed, atleast 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 oblained at least 25% marks in the aggregate of all the combined results of (a) the house examination held in Noveriber/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 land 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 (Name of the College/Department with official College/Chairperson Stamp) Certificate for Late College Students (Colleges/University School of Open Learning/Evening Studies) | certify that the applicant (a) has completed the prescribed course of lectures/practicals ete in the college or has been on the rolls of the Department of Corespondence/Evening Studies from July 20__to April, 20__ in the subjects 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.0.LID.ES, (Last Attended) (With Official Stamp)Certificate for Private Candidates (other than late coll (Items not applicable may be struck off) ge students) Cortfied that (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 thatthe statements made by Himiher in the form are correct. (i) The applicant has been in continuous service since and will continue to be as such til 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 Insitution/Organisation/Deptt (b) Date of Joining (c) Rank/Designation (ii) Hetshe has not been a regular student of an affliated college during the academic year preceding the examination. {iv) There is no Evening Collego/Evening Classes in any college atthe 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. (¥) 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 til the commencement of Examination Note : Teacher of Govt. Primary/Middle/High School should get thei 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 Authorty(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/Couneil. 3, Have you got your examination form attested by a competent authority as presoribed 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/STIBC certificate issued by the competent authority if applicable) Dated Full Signature of Candidate (For Office Use only) Eigible Not Eligible, et ble Subject to Reasons ASO. OSE. Dealing of g Official == AS.0. OSE. ARE