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5/15/2017

Print Date: 15­05­2017 11:17:57


Student Copy
Rajsthan University of Health Sciences Jaipur, Rajasthan
Examination: D Pharm Part II (MAIN) EXAM MAY­JUNE­2017

4022­MAHATMA GANDHI COLLEGE OF PHARMACEUTICAL Form No. 10006492


College
SCIENCES , RIICO INSTITUTIONAL AREA SITAPURA TONK ROAD
Roll No.
Exam Centre
Student's Name MOHIT GUPTA
Father's Name SURESH GUPTA
Mother's Name LALITA GUPTA
Caste GEN
Minority NO
Sex MALE
Date of Birth 27­Oct­1996
Attempt II
Mobile No. 7023366598
Address sec.8,pratap nagar,jaipur Jaipur Rajasthan 302022
Already Enrolled YES
Enrollment No. 2014/0680
Nationality INDIAN
Signature of Candidate
Roll No. Class & Year of last Exam appeared in This University
Compilation of Marks (Last Examination Deatils)
Last
For College Use Examination Obt.
Exam Year Month Exam. Roll No. Out of Results
Examination Fee Rs. 1635.0 Name Marks
Attempt
Transaction No.
8fa589b70e4692276101 D­PHARM PART
SUPPEXAM 2016 Dec 1 608803 515 1000 FAIL
Transaction Date: 2017­05­15 2 (REMANDED)
11:17:56.000 D­PHARM PART
SUPPEXAM 2016 Dec 4 608803 75 200 FAIL
1 (REMANDED)
Details of Subject(s) Offered
S. No. Code Name
1 4230 PHARMACOLOGY & TOXICOLOGY
2 4240 PHARMACEUTICAL JURISPRUDENCE
3 4260 HOSPITAL & CLINICAL PHARMACY
UNFAIR­MEANS CASE IN LAST YEAR: NO
Applied for Provisional Certificate: YES
Certified that all above entries are correct to the best of my knowledge and belief. I am not appearing in any other university
examination and there is no UM case against me. I have deposited Examination fee through PayU payment gateway.

Signature of Student
Please check that transaction number and form number should be same in all copies. If your form is correctly printed
and fee is deposited in time, submit exam form in college. Fees once deposited will not be refunded.
Certifies that all above entries are checked & verified by All entries have been verified and checked through record and
college and student is eligible to appear in above mentioned documents provided by student. Student is qualified /not
examination. Examination Fee is deposited through PayU qualified to apear in D Pharm Part II (MAIN) EXAM
payment gateway. MAY­JUNE­2017. Query Pending ..................

Full Signature of Checker in University


Signature of Principal
Note:Fees receipt has been send to e­mail id provided by you. Please submit Exam form and enclose Original Marksheet of
Qualifying examination and MIgration certificate if you are not enrolled in RUHS Jaipur, otherwise Photo state copies of
1/4
5/15/2017

documents is to be enclosed with form. Examination form is valid from 15­05­2017 to 20­05­2017

2/4
5/15/2017

Print Date: 15­05­2017 11:17:57


College Copy
Rajsthan University of Health Sciences Jaipur, Rajasthan
Examination: D Pharm Part II (MAIN) EXAM MAY­JUNE­2017

4022­MAHATMA GANDHI COLLEGE OF PHARMACEUTICAL Form No. 10006492


College
SCIENCES , RIICO INSTITUTIONAL AREA SITAPURA TONK ROAD
Roll No.
Exam Centre
Student's Name MOHIT GUPTA
Father's Name SURESH GUPTA
Mother's Name LALITA GUPTA
Caste GEN
Minority NO
Sex MALE
Date of Birth 27­Oct­1996
Attempt II
Mobile No. 7023366598
Address sec.8,pratap nagar,jaipur Jaipur Rajasthan 302022
Already Enrolled YES
Enrollment No. 2014/0680
Nationality INDIAN
Signature of Candidate
Roll No. Class & Year of last Exam appeared in This University
Compilation of Marks (Last Examination Deatils)
Last
For College Use Examination Obt.
Exam Year Month Exam. Roll No. Out of Results
Examination Fee Rs. 1635.0 Name Marks
Attempt
Transaction No.
8fa589b70e4692276101 D­PHARM PART
SUPPEXAM 2016 Dec 1 608803 515 1000 FAIL
Transaction Date: 2017­05­15 2 (REMANDED)
11:17:56.000 D­PHARM PART
SUPPEXAM 2016 Dec 4 608803 75 200 FAIL
1 (REMANDED)
Details of Subject(s) Offered
S. No. Code Name
1 4230 PHARMACOLOGY & TOXICOLOGY
2 4240 PHARMACEUTICAL JURISPRUDENCE
3 4260 HOSPITAL & CLINICAL PHARMACY
UNFAIR­MEANS CASE IN LAST YEAR: NO
Applied for Provisional Certificate: YES
Certified that all above entries are correct to the best of my knowledge and belief. I am not appearing in any other university
examination and there is no UM case against me. I have deposited Examination fee through PayU payment gateway.

Signature of Student
Please check that transaction number and form number should be same in all copies. If your form is correctly printed
and fee is deposited in time, submit exam form in college. Fees once deposited will not be refunded.
Certifies that all above entries are checked & verified by All entries have been verified and checked through record and
college and student is eligible to appear in above mentioned documents provided by student. Student is qualified /not
examination. Examination Fee is deposited through PayU qualified to apear in D Pharm Part II (MAIN) EXAM
payment gateway. MAY­JUNE­2017. Query Pending ..................

Full Signature of Checker in University


Signature of Principal
Note:Fees receipt has been send to e­mail id provided by you. Please submit Exam form and enclose Original Marksheet of
Qualifying examination and MIgration certificate if you are not enrolled in RUHS Jaipur, otherwise Photo state copies of

3/4
5/15/2017

documents is to be enclosed with form. Examination form is valid from 15­05­2017 to 20­05­2017

4/4

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