Kavayitri Bahinabai Chaudhari North Maharashtra University, Jalgaon
Fill All Details Carefully with help of Hall tickets of Students
Student Name (Last Name, First Name, Middle Name) *
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Student PRN (As per Hall ticket Fill and Confirm accurately) *
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Student Exam Seat No (As per Hall ticket Fill and Confirm accurately) *
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Student College Code - Home/Admitted College (example 100001, 100002) *
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Student College Name -Home/Admitted College (in Short e.g. M J College Jalgaon/ G D Bendale College, Jalgaon, G T P College Nandurbar ) *
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Student Exam Center College Name with Code (in Short e.g.100001 M J College Jalgaon/ 100003 G D Bendale College, Jalgaon, 220053 G T P College Nandurbar ) *
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Student Address with Pin code compulsory *
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Student Mobile Number (It will used to send SMS for hearing before the unfairmeans committee. No letter is to be send to student) *
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Student email Id
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Course Name *
Year *
Sem *
Branch/Specialization (Marathi, Computer, E&TC etc) (NA for no branch) *
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Course Pattern *(Entry Course Pattern Hall-Ticket For Example(2010,60+40, 2017,CGPA,CBCS) *
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Subject / Paper Name (with subject code and computer Code) (e.g. MT 101 Algebra(12111) *
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Question Paper Code (as per Code List) *
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Paper Date *
MM
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DD
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YYYY
Paper Time *
Time
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Reported By (Squad/Sr Supervisor/ Jr Supervisor/ Internal Squad) *
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Evidence in Copy Case Material - POSSESSION OF COPY IN THE FORM OF PAGES/WROTE ON PAD/ TICK MARK ON Q.P. (As per Ordinance No 9 give the category) *
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