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Dhiraj Form

The document is an examination form for UG (Ayurveda) at Mahayogi Guru Gorakhnath AYUSH University for the session 2023-24, submitted by a student named Dhiraj. It includes personal details, transaction information, college and course details, and subject codes for various subjects. The form also contains a declaration by the student and a certificate from the principal confirming eligibility for the examination.

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0% found this document useful (0 votes)
61 views4 pages

Dhiraj Form

The document is an examination form for UG (Ayurveda) at Mahayogi Guru Gorakhnath AYUSH University for the session 2023-24, submitted by a student named Dhiraj. It includes personal details, transaction information, college and course details, and subject codes for various subjects. The form also contains a declaration by the student and a certificate from the principal confirming eligibility for the examination.

Uploaded by

nabhi0812
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Mahayogi Guru Gorakhnath AYUSH

University - Examination Form For UG


(AYURVEDA) Session (2023-24)

Applicants Photograph & Signature

Transaction Details

Application Number: 22082015123 Enrollment Number: MA0852324053

Examination Fee + GST : 7500.0 Transaction Amount : 7500.0

Transaction ID : 881600303250530688 Transaction Mode : UPI

Transaction Date : Mar 3 2025 5:16PM

College & Course Details

Admission Receipt
20284 Admission Receipt Date: 2024-04-27
Number:

DOON AYURVEDIC
College Name: MEDICAL COLLEGE AND Course Name: UG (AYURVEDA)
HOSPITAL

Admission Type
Course Type (UG/PG): UG NEET
(NEET/Other):

College City: SAHARANPUR

Personal Details

First Name DHIRAJ Middle Name:

Last Name Date of Birth: 2000-06-18

Father's Name: RAJ KUMAR Gender: Male

Mother's Name: RAJNI Marital Status: Unmarried

Husband Name: Nationality: Indian

Category: General

Religion: Hinduism Domicile: Other

Local Address

WARD NO 11
Address: ,LOHARU,BHIWANI, District: BHIWANI
HARYANA

City: LOHARU State: HARYANA

Pin: 127201
Permanent Address

WARD NO 11
Address: ,LOHARU,BHIWANI, District: BHIWANI
HARYANA

City: LOHARU State: HARYANA

Pin: 127201

Other Details:

Phone number: 8950426257 Mobile Number: 8950426257

Email: dhirajds550@gmail.com

Highschool Details:

Roll Number: 2215350031 Board: HBSE

Obtained Marks: 386 Passing Year: 2016

VIVEKANAND SR SEC
Percentage: 77.2 College Name: SCHOOL, LOHARU
BHIWANI

Intermediate Details:

Roll Number: 3018124263 Board: HBSE

Obtained Marks: 360 Passing Year: 2018

VIVEKANAND SR SEC
Percentage: 72 College Name: SCHOOL, LOHARU
BHIWANI

Under Graduate Details:

BABA MASTNATH
Last Exam passed: 2020 Board:
UNIVERSITY ROHTAK

Appearing Year: 2018 Migration: 2438

Percentage: 57.9 NEET Roll Number: 2001770175

Subject Details:
Subject Code Subject Name Subject Type
AyUGKS Kriya Sharira-Practical Practical

AyUGKS01 Kriya Sharira-I Theory

AyUGKS02 Kriya Sharira-II Theory

AyUGPV Padartha Vigyan-Practical Practical

AyUGPV01 Padartha Vigyan-I Theory

AyUGPV02 Padartha Vigyan-II Theory

AyUGRS Rachana Sharira-Practical Practical

AyUGRS01 Rachana Sharira-I Theory

AyUGRS02 Rachana Sharira-II Theory

AyUGSA01 Samhita Adhyayan-I Theory

AyUGSA1 Samhita Adhyayan-Practical Practical

Samskritam Evam Ayurved


AyUGSNAI Practical
Ithihas-Practical

Samskritam Evam Ayurved


AyUGSNAI01 Theory
Ithihas-I

Samskritam Evam Ayurved


AyUGSNAI02 Theory
Ithihas-II

DECLARATION BY STUDENT

I DHIRAJ S/o or D/o RAJ KUMAR hereby declare that information given in the application
form is true to the best of my knowledge and behalf. In case any information is found
false /untrue, cancel my admission /exam form for which no claim of refund of fee would
be raised by me, in future also, if any particular submitted are found to be untrue/ false,
the university can cancel my degree.

Student Signature.....................

CERTIFICATE OF THE PRINCIPAL

DHIRAJ S/o or D/o RAJ KUMAR has been registered for regular examination. All the entries in
the exam form , mark sheet and other certificate attached have been duly checked and
this is certified that he/ she is eligible for examination as per university rule and his/her
examination form is being forwarded..

Principal Signature.....................
These details are fetched from the system and they are correct as per MGGAU. Any alteration in this information may
cause loss of application
Transaction Charge is not paid to the university

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