Mahatma Gandhi Chitrakoot Gramodaya … BEOHARI.pdfMahatma Gandhi Chitrakoot Gramodaya...

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Mahatma Gandhi Chitrakoot Gramodaya Vishwavidyalaya, Chitrakoot, Satna (MP)

Centre for Community Leadership Development Studies

BSW (Community Leadership) First Year (Certificate Level)

Main Examination 2016-17

Roll No. : 16/N-TRI/182355796

Name : ADARSH PRATAP SINGH BAGHEL

Hus./Father’s Name : NAREDRA SINGH BAGHEL

District : SHAHDOL

Block : 182 BEOHARI

Study Centre /

Examination Centre : GOVERNMENT HIGHER SECONDARY SCHOOL / GOVERNMENT EXCELLENCE HIGHER SECONDARY SCHOOL

Signature of the Mentor/ DC JAP/ BC JAP Signature of the Examination Superintendent

with Date & Seal

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http://www.cmcldp.org, e-mail - cmcldpcourse@gmail.com

Affix photograph

of the student and certify with

seal and signature of Examination Superintendent

PROVISIONAL ADMIT CARD

Roll No. : 16/N-TRI/182355796

Name : ADARSH PRATAP SINGH BAGHEL

Hus./Father’s Name : NAREDRA SINGH BAGHEL

District : SHAHDOL

Block : 182 BEOHARI

Study Centre /

Signature of the Mentor's/ D.C. / B.C. Signature of the Examination Superintendent

with Date & Seal

ATTENDANCE SHEET (Attendance of the student during the examination)

S.No. Name of the Subject / Paper Date of

examination Answer-Book No.

Signature of the

student

Signature of the

Invigilator

1. INTRODUCTION TO SOCIAL

WORK 01 June 2017

2. ISSUES AND PROBLEMS OF

DEVELOPMENT 03 June 2017

3. LEADERSHIP DEVELOPMENT 06 June 2017

LIFE SKILL EDUCATION FOR

COMMUNICATION &

DEVELOPMENT

08 June 2017

5. NUTRITION AND HEALTH CARE 10 June 2017

6. CHILD DEVELOPMENT,

PROTECTION AND EDUCATION 13 June 2017

Signature of the Examination Superintendent

With Date & Seal

Affix photograph of the student

and certify with seal and signature

of Examination Superintendent

VERIFICATION FORM

Roll No. : 16/N-TRI/182355797

Name : ANKIT KUMAR SHARMA

Hus./Father’s Name : RAJESH KUMAR SHARMA

District : SHAHDOL

Block : 182 BEOHARI

Study Centre /

with Date & Seal

i)fr;k¡

dkS'ky f'k{kk

Affix photograph

Roll No. : 16/N-TRI/182355797

Name : ANKIT KUMAR SHARMA

Hus./Father’s Name : RAJESH KUMAR SHARMA

District : SHAHDOL

Block : 182 BEOHARI

Study Centre /

with Date & Seal

Signature of the

student

Signature of the

Invigilator

WORK 01 June 2017

COMMUNICATION &

DEVELOPMENT

08 June 2017

With Date & Seal

VERIFICATION FORM

Roll No. : 16/N-TRI/182355798

Name : BALENDRA KUMAR

Hus./Father’s Name : M.P. DWIVEDI

District : SHAHDOL

Block : 182 BEOHARI

Study Centre /

with Date & Seal

i)fr;k¡

dkS'ky f'k{kk

Affix photograph

Roll No. : 16/N-TRI/182355798

Name : BALENDRA KUMAR

Hus./Father’s Name : M.P. DWIVEDI

District : SHAHDOL

Block : 182 BEOHARI

Study Centre /

with Date & Seal

Signature of the

student

Signature of the

Invigilator

WORK 01 June 2017

COMMUNICATION &

DEVELOPMENT

08 June 2017

With Date & Seal

VERIFICATION FORM

Roll No. : 16/N-TRI/182355799

Name : CHANDRA PRATAP KUSHWAHA

Hus./Father’s Name : GANESH PRASAD

District : SHAHDOL

Block : 182 BEOHARI

Study Centre /

with Date & Seal

i)fr;k¡

dkS'ky f'k{kk

Affix photograph

Roll No. : 16/N-TRI/182355799

Name : CHANDRA PRATAP KUSHWAHA

Hus./Father’s Name : GANESH PRASAD

District : SHAHDOL

Block : 182 BEOHARI

Study Centre /

with Date & Seal

Signature of the

student

Signature of the

Invigilator

WORK 01 June 2017

COMMUNICATION &

DEVELOPMENT

08 June 2017

With Date & Seal

VERIFICATION FORM

Roll No. : 16/N-TRI/182355800

Name : DEEPAK CHATURVEDI

Hus./Father’s Name : SATRUGHAN CHATURVEDI

District : SHAHDOL

Block : 182 BEOHARI

Study Centre /

with Date & Seal

i)fr;k¡

dkS'ky f'k{kk

Affix photograph

Roll No. : 16/N-TRI/182355800

Name : DEEPAK CHATURVEDI

Hus./Father’s Name : SATRUGHAN CHATURVEDI

District : SHAHDOL

Block : 182 BEOHARI

Study Centre /

with Date & Seal

Signature of the

student

Signature of the

Invigilator

WORK 01 June 2017

COMMUNICATION &

DEVELOPMENT

08 June 2017

With Date & Seal

VERIFICATION FORM

Roll No. : 16/N-TRI/182355801

Name : DILWAR PATEL

Hus./Father’s Name : RAMKESH PATEL

District : SHAHDOL

Block : 182 BEOHARI

Study Centre /

with Date & Seal

i)fr;k¡

dkS'ky f'k{kk

Affix photograph

Roll No. : 16/N-TRI/182355801

Name : DILWAR PATEL

Hus./Father’s Name : RAMKESH PATEL

District : SHAHDOL

Block : 182 BEOHARI

Study Centre /

with Date & Seal

Signature of the

student

Signature of the

Invigilator

WORK 01 June 2017

COMMUNICATION &

DEVELOPMENT

08 June 2017

With Date & Seal

VERIFICATION FORM

Roll No. : 16/N-TRI/182355802

Name : DURGESH SINGH GOND

Hus./Father’s Name : ROHANI SINGH

District : SHAHDOL

Block : 182 BEOHARI

Study Centre /

with Date & Seal

i)fr;k¡

dkS'ky f'k{kk

Affix photograph

Roll No. : 16/N-TRI/182355802

Name : DURGESH SINGH GOND

Hus./Father’s Name : ROHANI SINGH

District : SHAHDOL

Block : 182 BEOHARI

Study Centre /

with Date & Seal

Signature of the

student

Signature of the

Invigilator

WORK 01 June 2017

COMMUNICATION &

DEVELOPMENT

08 June 2017

With Date & Seal

VERIFICATION FORM

Roll No. : 16/N-TRI/182355803

Name : DURVENDRA RATHOUR

Hus./Father’s Name : SIYASARAN RATHOUR

District : SHAHDOL

Block : 182 BEOHARI

Study Centre /

with Date & Seal

i)fr;k¡

dkS'ky f'k{kk

Affix photograph

Roll No. : 16/N-TRI/182355803

Name : DURVENDRA RATHOUR

Hus./Father’s Name : SIYASARAN RATHOUR

District : SHAHDOL

Block : 182 BEOHARI

Study Centre /

with Date & Seal

Signature of the

student

Signature of the

Invigilator

WORK 01 June 2017

COMMUNICATION &

DEVELOPMENT

08 June 2017

With Date & Seal

VERIFICATION FORM

Roll No. : 16/N-TRI/182355804

Name : MEERA SINGH GOND

Hus./Father’s Name : DALPRATAP SINGH

District : SHAHDOL

Block : 182 BEOHARI

Study Centre /

with Date & Seal

i)fr;k¡

dkS'ky f'k{kk

Affix photograph

Roll No. : 16/N-TRI/182355804

Name : MEERA SINGH GOND

Hus./Father’s Name : DALPRATAP SINGH

District : SHAHDOL

Block : 182 BEOHARI

Study Centre /

with Date & Seal

Signature of the

student

Signature of the

Invigilator

WORK 01 June 2017

COMMUNICATION &

DEVELOPMENT

08 June 2017

With Date & Seal

VERIFICATION FORM

Roll No. : 16/N-TRI/182355805

Name : NEELAM SHUKLA

Hus./Father’s Name : DINESH PRASAD SHUKLA

District : SHAHDOL

Block : 182 BEOHARI

Study Centre /

with Date & Seal

i)fr;k¡

dkS'ky f'k{kk

Affix photograph

Roll No. : 16/N-TRI/182355805

Name : NEELAM SHUKLA

Hus./Father’s Name : DINESH PRASAD SHUKLA

District : SHAHDOL

Block : 182 BEOHARI

Study Centre /

with Date & Seal

Signature of the

student

Signature of the

Invigilator

WORK 01 June 2017

COMMUNICATION &

DEVELOPMENT

08 June 2017

With Date & Seal

VERIFICATION FORM

Roll No. : 16/N-TRI/182355806

Name : POOJA SINGH GOND

Hus./Father’s Name : SANTOSH SINGH GOND

District : SHAHDOL

Block : 182 BEOHARI

Study Centre /

with Date & Seal

i)fr;k¡

dkS'ky f'k{kk

Affix photograph

Roll No. : 16/N-TRI/182355806

Name : POOJA SINGH GOND

Hus./Father’s Name : SANTOSH SINGH GOND

District : SHAHDOL

Block : 182 BEOHARI

Study Centre /

with Date & Seal

Signature of the

student

Signature of the

Invigilator

WORK 01 June 2017

COMMUNICATION &

DEVELOPMENT

08 June 2017

With Date & Seal

VERIFICATION FORM

Roll No. : 16/N-TRI/182355807

Name : PREETI GUPTA

Hus./Father’s Name : SIYA SHARAN GUPTA

District : SHAHDOL

Block : 182 BEOHARI

Study Centre /

with Date & Seal

i)fr;k¡

dkS'ky f'k{kk

Affix photograph

Roll No. : 16/N-TRI/182355807

Name : PREETI GUPTA

Hus./Father’s Name : SIYA SHARAN GUPTA

District : SHAHDOL

Block : 182 BEOHARI

Study Centre /

with Date & Seal

Signature of the

student

Signature of the

Invigilator

WORK 01 June 2017

COMMUNICATION &

DEVELOPMENT

08 June 2017

With Date & Seal

VERIFICATION FORM

Roll No. : 16/N-TRI/182355808

Name : PRIYA VISHWAKARMA

Hus./Father’s Name : ANIL KUMAR VISHWAKARMA

District : SHAHDOL

Block : 182 BEOHARI

Study Centre /

with Date & Seal

i)fr;k¡

dkS'ky f'k{kk

Affix photograph

Roll No. : 16/N-TRI/182355808

Name : PRIYA VISHWAKARMA

Hus./Father’s Name : ANIL KUMAR VISHWAKARMA

District : SHAHDOL

Block : 182 BEOHARI

Study Centre /

with Date & Seal

Signature of the

student

Signature of the

Invigilator

WORK 01 June 2017

COMMUNICATION &

DEVELOPMENT

08 June 2017

With Date & Seal

VERIFICATION FORM

Roll No. : 16/N-TRI/182355809

Name : PRIYANKA TRIPATHI

Hus./Father’s Name : SANJEEV KUMAR TRIPATHI

District : SHAHDOL

Block : 182 BEOHARI

Study Centre /

with Date & Seal

i)fr;k¡

dkS'ky f'k{kk

Affix photograph

Roll No. : 16/N-TRI/182355809

Name : PRIYANKA TRIPATHI

Hus./Father’s Name : SANJEEV KUMAR TRIPATHI

District : SHAHDOL

Block : 182 BEOHARI

Study Centre /

with Date & Seal

Signature of the

student

Signature of the

Invigilator

WORK 01 June 2017

COMMUNICATION &

DEVELOPMENT

08 June 2017

With Date & Seal

VERIFICATION FORM

Roll No. : 16/N-TRI/182355810

Name : PUSHPA SAHU

Hus./Father’s Name : BHAGIRATHI

District : SHAHDOL

Block : 182 BEOHARI

Study Centre /

with Date & Seal

i)fr;k¡

dkS'ky f'k{kk

Affix photograph

Roll No. : 16/N-TRI/182355810

Name : PUSHPA SAHU

Hus./Father’s Name : BHAGIRATHI

District : SHAHDOL

Block : 182 BEOHARI

Study Centre /

with Date & Seal

Signature of the

student

Signature of the

Invigilator

WORK 01 June 2017

COMMUNICATION &

DEVELOPMENT

08 June 2017

With Date & Seal

VERIFICATION FORM

Roll No. : 16/N-TRI/182355811

Name : RAJ KALI SAHU

Hus./Father’s Name : MOALE PRASAD SAHU

District : SHAHDOL

Block : 182 BEOHARI

Study Centre /

with Date & Seal

i)fr;k¡

dkS'ky f'k{kk

Affix photograph

Roll No. : 16/N-TRI/182355811

Name : RAJ KALI SAHU

Hus./Father’s Name : MOALE PRASAD SAHU

District : SHAHDOL

Block : 182 BEOHARI

Study Centre /

with Date & Seal

Signature of the

student

Signature of the

Invigilator

WORK 01 June 2017

COMMUNICATION &

DEVELOPMENT

08 June 2017

With Date & Seal

VERIFICATION FORM

Roll No. : 16/N-TRI/182355812

Name : RAJMANI PRAJAPATI

Hus./Father’s Name : RAMDEV PRAJAPATI

District : SHAHDOL

Block : 182 BEOHARI

Study Centre /

with Date & Seal

i)fr;k¡

dkS'ky f'k{kk

Affix photograph

Roll No. : 16/N-TRI/182355812

Name : RAJMANI PRAJAPATI

Hus./Father’s Name : RAMDEV PRAJAPATI

District : SHAHDOL

Block : 182 BEOHARI

Study Centre /

with Date & Seal

Signature of the

student

Signature of the

Invigilator

WORK 01 June 2017

COMMUNICATION &

DEVELOPMENT

08 June 2017

With Date & Seal

VERIFICATION FORM

Roll No. : 16/N-TRI/182355813

Name : RAM JI TIWARI

Hus./Father’s Name : HETRAM TIWARI

District : SHAHDOL

Block : 182 BEOHARI

Study Centre /

with Date & Seal

i)fr;k¡

dkS'ky f'k{kk

Affix photograph

Roll No. : 16/N-TRI/182355813

Name : RAM JI TIWARI

Hus./Father’s Name : HETRAM TIWARI

District : SHAHDOL

Block : 182 BEOHARI

Study Centre /

with Date & Seal

Signature of the

student

Signature of the

Invigilator

WORK 01 June 2017

COMMUNICATION &

DEVELOPMENT

08 June 2017

With Date & Seal

VERIFICATION FORM

Roll No. : 16/N-TRI/182355814

Name : RAMAYAN PRASAD BAIS

Hus./Father’s Name : RAM CHARIT BAIS

District : SHAHDOL

Block : 182 BEOHARI

Study Centre /

with Date & Seal

i)fr;k¡

dkS'ky f'k{kk

Affix photograph

Roll No. : 16/N-TRI/182355814

Name : RAMAYAN PRASAD BAIS

Hus./Father’s Name : RAM CHARIT BAIS

District : SHAHDOL

Block : 182 BEOHARI

Study Centre /

with Date & Seal

Signature of the

student

Signature of the

Invigilator

WORK 01 June 2017

COMMUNICATION &

DEVELOPMENT

08 June 2017

With Date & Seal

VERIFICATION FORM

Roll No. : 16/N-TRI/182355815

Name : ROSHANI PAL

Hus./Father’s Name : SHIV PRASAD

District : SHAHDOL

Block : 182 BEOHARI

Study Centre /

with Date & Seal

i)fr;k¡

dkS'ky f'k{kk

Affix photograph

Roll No. : 16/N-TRI/182355815

Name : ROSHANI PAL

Hus./Father’s Name : SHIV PRASAD

District : SHAHDOL

Block : 182 BEOHARI

Study Centre /

with Date & Seal

Signature of the

student

Signature of the

Invigilator

WORK 01 June 2017

COMMUNICATION &

DEVELOPMENT

08 June 2017

With Date & Seal

VERIFICATION FORM

Roll No. : 16/N-TRI/182355816

Name : SADHANA PANDEY

Hus./Father’s Name : RAM GOPAL PANDEY

District : SHAHDOL

Block : 182 BEOHARI

Study Centre /

with Date & Seal

i)fr;k¡

dkS'ky f'k{kk

Affix photograph

Roll No. : 16/N-TRI/182355816

Name : SADHANA PANDEY

Hus./Father’s Name : RAM GOPAL PANDEY

District : SHAHDOL

Block : 182 BEOHARI

Study Centre /

with Date & Seal

Signature of the

student

Signature of the

Invigilator

WORK 01 June 2017

COMMUNICATION &

DEVELOPMENT

08 June 2017

With Date & Seal

VERIFICATION FORM

Roll No. : 16/N-TRI/182355817

Name : SANTOSHI BOHROLIYA

Hus./Father’s Name : GIRIJA PRASAD BAHROLIYA

District : SHAHDOL

Block : 182 BEOHARI

Study Centre /

with Date & Seal

i)fr;k¡

dkS'ky f'k{kk

Affix photograph

Roll No. : 16/N-TRI/182355817

Name : SANTOSHI BOHROLIYA

Hus./Father’s Name : GIRIJA PRASAD BAHROLIYA

District : SHAHDOL

Block : 182 BEOHARI

Study Centre /

with Date & Seal

Signature of the

student

Signature of the

Invigilator

WORK 01 June 2017

COMMUNICATION &

DEVELOPMENT

08 June 2017

With Date & Seal

VERIFICATION FORM

Roll No. : 16/N-TRI/182355818

Name : SANTOSHI PANDEY

Hus./Father’s Name : UMESH PANDEY

District : SHAHDOL

Block : 182 BEOHARI

Study Centre /

with Date & Seal

i)fr;k¡

dkS'ky f'k{kk

Affix photograph

Roll No. : 16/N-TRI/182355818

Name : SANTOSHI PANDEY

Hus./Father’s Name : UMESH PANDEY

District : SHAHDOL

Block : 182 BEOHARI

Study Centre /

with Date & Seal

Signature of the

student

Signature of the

Invigilator

WORK 01 June 2017

COMMUNICATION &

DEVELOPMENT

08 June 2017

With Date & Seal

VERIFICATION FORM

Roll No. : 16/N-TRI/182355819

Name : SAURBH PANDEY

Hus./Father’s Name : DHARMENDRA PANDEY

District : SHAHDOL

Block : 182 BEOHARI

Study Centre /

with Date & Seal

i)fr;k¡

dkS'ky f'k{kk

Affix photograph

Roll No. : 16/N-TRI/182355819

Name : SAURBH PANDEY

Hus./Father’s Name : DHARMENDRA PANDEY

District : SHAHDOL

Block : 182 BEOHARI

Study Centre /

with Date & Seal

Signature of the

student

Signature of the

Invigilator

WORK 01 June 2017

COMMUNICATION &

DEVELOPMENT

08 June 2017

With Date & Seal

VERIFICATION FORM

Roll No. : 16/N-TRI/182355820

Name : SHALINI GUPTA

Hus./Father’s Name : VIJAY GUPTA

District : SHAHDOL

Block : 182 BEOHARI

Study Centre /

with Date & Seal

i)fr;k¡

dkS'ky f'k{kk

Affix photograph

Roll No. : 16/N-TRI/182355820

Name : SHALINI GUPTA

Hus./Father’s Name : VIJAY GUPTA

District : SHAHDOL

Block : 182 BEOHARI

Study Centre /

with Date & Seal

Signature of the

student

Signature of the

Invigilator

WORK 01 June 2017

COMMUNICATION &

DEVELOPMENT

08 June 2017

With Date & Seal

VERIFICATION FORM

Roll No. : 16/N-TRI/182355821

Name : SHEELA GUPTA

Hus./Father’s Name : ATULGUPTA

District : SHAHDOL

Block : 182 BEOHARI

Study Centre /

with Date & Seal

i)fr;k¡

dkS'ky f'k{kk

Affix photograph

Roll No. : 16/N-TRI/182355821

Name : SHEELA GUPTA

Hus./Father’s Name : ATULGUPTA

District : SHAHDOL

Block : 182 BEOHARI

Study Centre /

with Date & Seal

Signature of the

student

Signature of the

Invigilator

WORK 01 June 2017

COMMUNICATION &

DEVELOPMENT

08 June 2017

With Date & Seal

VERIFICATION FORM

Roll No. : 16/N-TRI/182355822

Name : SHEELA SINGH BAIS

Hus./Father’s Name : ARUN KUMAR SINGH BAIS

District : SHAHDOL

Block : 182 BEOHARI

Study Centre /

with Date & Seal

i)fr;k¡

dkS'ky f'k{kk

Affix photograph

Roll No. : 16/N-TRI/182355822

Name : SHEELA SINGH BAIS

Hus./Father’s Name : ARUN KUMAR SINGH BAIS

District : SHAHDOL

Block : 182 BEOHARI

Study Centre /

with Date & Seal

Signature of the

student

Signature of the

Invigilator

WORK 01 June 2017

COMMUNICATION &

DEVELOPMENT

08 June 2017

With Date & Seal

VERIFICATION FORM

Roll No. : 16/N-TRI/182355823

Name : SHIV NARAYAN GADAR

Hus./Father’s Name : RAM NARAYAN GADAR

District : SHAHDOL

Block : 182 BEOHARI

Study Centre /

with Date & Seal

i)fr;k¡

dkS'ky f'k{kk

Affix photograph

Roll No. : 16/N-TRI/182355823

Name : SHIV NARAYAN GADAR

Hus./Father’s Name : RAM NARAYAN GADAR

District : SHAHDOL

Block : 182 BEOHARI

Study Centre /

with Date & Seal

Signature of the

student

Signature of the

Invigilator

WORK 01 June 2017

COMMUNICATION &

DEVELOPMENT

08 June 2017

With Date & Seal

VERIFICATION FORM

Roll No. : 16/N-TRI/182355824

Name : SOORYA PAL KUMHAR

Hus./Father’s Name : SOHAN LAL KUMHAR

District : SHAHDOL

Block : 182 BEOHARI

Study Centre /

with Date & Seal

i)fr;k¡

dkS'ky f'k{kk

Affix photograph

Roll No. : 16/N-TRI/182355824

Name : SOORYA PAL KUMHAR

Hus./Father’s Name : SOHAN LAL KUMHAR

District : SHAHDOL

Block : 182 BEOHARI

Study Centre /

with Date & Seal

Signature of the

student

Signature of the

Invigilator

WORK 01 June 2017

COMMUNICATION &

DEVELOPMENT

08 June 2017

With Date & Seal

VERIFICATION FORM

Roll No. : 16/N-TRI/182355825

Name : SUDHAKAR TRIPATHI

Hus./Father’s Name : DIWAKAR PRASAD TRIPATHI

District : SHAHDOL

Block : 182 BEOHARI

Study Centre /

with Date & Seal

i)fr;k¡

dkS'ky f'k{kk

Affix photograph

Roll No. : 16/N-TRI/182355825

Name : SUDHAKAR TRIPATHI

Hus./Father’s Name : DIWAKAR PRASAD TRIPATHI

District : SHAHDOL

Block : 182 BEOHARI

Study Centre /

with Date & Seal

Signature of the

student

Signature of the

Invigilator

WORK 01 June 2017

COMMUNICATION &

DEVELOPMENT

08 June 2017

With Date & Seal

VERIFICATION FORM

Roll No. : 16/N-TRI/182355826

Name : SUNANDA SHUKLA

Hus./Father’s Name : AJEET KUMAR

District : SHAHDOL

Block : 182 BEOHARI

Study Centre /

with Date & Seal

i)fr;k¡

dkS'ky f'k{kk

Affix photograph

Roll No. : 16/N-TRI/182355826

Name : SUNANDA SHUKLA

Hus./Father’s Name : AJEET KUMAR

District : SHAHDOL

Block : 182 BEOHARI

Study Centre /

with Date & Seal

Signature of the

student

Signature of the

Invigilator

WORK 01 June 2017

COMMUNICATION &

DEVELOPMENT

08 June 2017

With Date & Seal

VERIFICATION FORM

Roll No. : 16/N-TRI/182355827

Name : SUNEETA SINGH GOND

Hus./Father’s Name : BHAGWAT SINGH GOND

District : SHAHDOL

Block : 182 BEOHARI

Study Centre /

with Date & Seal

i)fr;k¡

dkS'ky f'k{kk

Affix photograph

Roll No. : 16/N-TRI/182355827

Name : SUNEETA SINGH GOND

Hus./Father’s Name : BHAGWAT SINGH GOND

District : SHAHDOL

Block : 182 BEOHARI

Study Centre /

with Date & Seal

Signature of the

student

Signature of the

Invigilator

WORK 01 June 2017

COMMUNICATION &

DEVELOPMENT

08 June 2017

With Date & Seal

VERIFICATION FORM

Roll No. : 16/N-TRI/182355828

Name : SUSHMA SINGH

Hus./Father’s Name : ANANT DEV SINGH

District : SHAHDOL

Block : 182 BEOHARI

Study Centre /

with Date & Seal

i)fr;k¡

dkS'ky f'k{kk

Affix photograph

Roll No. : 16/N-TRI/182355828

Name : SUSHMA SINGH

Hus./Father’s Name : ANANT DEV SINGH

District : SHAHDOL

Block : 182 BEOHARI

Study Centre /

with Date & Seal

Signature of the

student

Signature of the

Invigilator

WORK 01 June 2017

COMMUNICATION &

DEVELOPMENT

08 June 2017

With Date & Seal

VERIFICATION FORM

Roll No. : 16/N-TRI/182355829

Name : SWETA KHAIRWAR

Hus./Father’s Name : PRAHLAD KUMAR KHAIRWAR

District : SHAHDOL

Block : 182 BEOHARI

Study Centre /

with Date & Seal

i)fr;k¡

dkS'ky f'k{kk

Affix photograph

Roll No. : 16/N-TRI/182355829

Name : SWETA KHAIRWAR

Hus./Father’s Name : PRAHLAD KUMAR KHAIRWAR

District : SHAHDOL

Block : 182 BEOHARI

Study Centre /

with Date & Seal

Signature of the

student

Signature of the

Invigilator

WORK 01 June 2017

COMMUNICATION &

DEVELOPMENT

08 June 2017

With Date & Seal

VERIFICATION FORM

Roll No. : 16/N-TRI/182355830

Name : UMESH KUMAR KOL

Hus./Father’s Name : SAMALI KOL

District : SHAHDOL

Block : 182 BEOHARI

Study Centre /

with Date & Seal

i)fr;k¡

dkS'ky f'k{kk

Affix photograph

Roll No. : 16/N-TRI/182355830

Name : UMESH KUMAR KOL

Hus./Father’s Name : SAMALI KOL

District : SHAHDOL

Block : 182 BEOHARI

Study Centre /

with Date & Seal

Signature of the

student

Signature of the

Invigilator

WORK 01 June 2017

COMMUNICATION &

DEVELOPMENT

08 June 2017

With Date & Seal

VERIFICATION FORM

Roll No. : 16/N-TRI/182355831

Name : VARSHA SAHU

Hus./Father’s Name : NAGESHWAR PRASAD SAHU

District : SHAHDOL

Block : 182 BEOHARI

Study Centre /

with Date & Seal

i)fr;k¡

dkS'ky f'k{kk

Affix photograph

Roll No. : 16/N-TRI/182355831

Name : VARSHA SAHU

Hus./Father’s Name : NAGESHWAR PRASAD SAHU

District : SHAHDOL

Block : 182 BEOHARI

Study Centre /

with Date & Seal

Signature of the

student

Signature of the

Invigilator

WORK 01 June 2017

COMMUNICATION &

DEVELOPMENT

08 June 2017

With Date & Seal

VERIFICATION FORM

Roll No. : 16/N-TRI/182355832

Name : VIBHA KORI

Hus./Father’s Name : RAM GOPAL KORI

District : SHAHDOL

Block : 182 BEOHARI

Study Centre /

with Date & Seal

i)fr;k¡

dkS'ky f'k{kk

Affix photograph

Roll No. : 16/N-TRI/182355832

Name : VIBHA KORI

Hus./Father’s Name : RAM GOPAL KORI

District : SHAHDOL

Block : 182 BEOHARI

Study Centre /

with Date & Seal

Signature of the

student

Signature of the

Invigilator

WORK 01 June 2017

COMMUNICATION &

DEVELOPMENT

08 June 2017

With Date & Seal

VERIFICATION FORM

Roll No. : 16/N-TRI/182355833

Name : VIKASH KUMAR SONI

Hus./Father’s Name : MEWALAL SONI

District : SHAHDOL

Block : 182 BEOHARI

Study Centre /

with Date & Seal

i)fr;k¡

dkS'ky f'k{kk

Affix photograph

Roll No. : 16/N-TRI/182355833

Name : VIKASH KUMAR SONI

Hus./Father’s Name : MEWALAL SONI

District : SHAHDOL

Block : 182 BEOHARI

Study Centre /

with Date & Seal

Signature of the

student

Signature of the

Invigilator

WORK 01 June 2017

COMMUNICATION &

DEVELOPMENT

08 June 2017

With Date & Seal

VERIFICATION FORM

Roll No. : 16/N-TRI/182355834

Name : YASHASWANI PANDEY

Hus./Father’s Name : RAM ASHRAY

District : SHAHDOL

Block : 182 BEOHARI

Study Centre /

with Date & Seal

i)fr;k¡

dkS'ky f'k{kk

Affix photograph

Roll No. : 16/N-TRI/182355834

Name : YASHASWANI PANDEY

Hus./Father’s Name : RAM ASHRAY

District : SHAHDOL

Block : 182 BEOHARI

Study Centre /

with Date & Seal

Signature of the

student

Signature of the

Invigilator

WORK 01 June 2017

COMMUNICATION &

DEVELOPMENT

08 June 2017

With Date & Seal

VERIFICATION FORM

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