mahatma gandhi chitrakoot gramodaya vishwavidyalaya, … tamiya.pdf · 2017. 5. 25. · mahatma...

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/TRI/32351196

Name : ARVIND

Hus./Father’s Name : LALSHA

District : CHHINDWARA

Block : 32 TAMIYA

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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Affix photograph

of the student and certify with

seal and signature of Examination Superintendent

PROVISIONAL ADMIT CARD





Roll No. : 16/TRI/32351196

Name : ARVIND

Hus./Father’s Name : LALSHA


Block : 32 TAMIYA

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

4.

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/TRI/32351197

Name : BHAGWAN DAS

Hus./Father’s Name : MADAN SHA


Block : 32 TAMIYA

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 16/TRI/32351197

Name : BHAGWAN DAS

Hus./Father’s Name : MADAN SHA


Block : 32 TAMIYA

Study Centre /



with Date & Seal




Signature of the

student

Signature of the

Invigilator


WORK 01 June 2017




4.


COMMUNICATION &

DEVELOPMENT

08 June 2017





With Date & Seal




VERIFICATION FORM





Roll No. : 16/TRI/32351198

Name : DASHRATH SHAH

Hus./Father’s Name : DAYALAL


Block : 32 TAMIYA

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 16/TRI/32351198

Name : DASHRATH SHAH

Hus./Father’s Name : DAYALAL


Block : 32 TAMIYA

Study Centre /



with Date & Seal




Signature of the

student

Signature of the

Invigilator


WORK 01 June 2017




4.


COMMUNICATION &

DEVELOPMENT

08 June 2017





With Date & Seal




VERIFICATION FORM





Roll No. : 16/TRI/32351199

Name : DEEPSHIKHA

Hus./Father’s Name : MAHESH


Block : 32 TAMIYA

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 16/TRI/32351199

Name : DEEPSHIKHA

Hus./Father’s Name : MAHESH


Block : 32 TAMIYA

Study Centre /



with Date & Seal




Signature of the

student

Signature of the

Invigilator


WORK 01 June 2017




4.


COMMUNICATION &

DEVELOPMENT

08 June 2017





With Date & Seal




VERIFICATION FORM





Roll No. : 16/TRI/32351200

Name : DHANPAL DHURVEY

Hus./Father’s Name : ANTRAM DHURVEY


Block : 32 TAMIYA

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 16/TRI/32351200

Name : DHANPAL DHURVEY

Hus./Father’s Name : ANTRAM DHURVEY


Block : 32 TAMIYA

Study Centre /



with Date & Seal




Signature of the

student

Signature of the

Invigilator


WORK 01 June 2017




4.


COMMUNICATION &

DEVELOPMENT

08 June 2017





With Date & Seal




VERIFICATION FORM





Roll No. : 16/TRI/32351201

Name : ENDAR PAL MARKAM

Hus./Father’s Name : KISHNA MARKAM


Block : 32 TAMIYA

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 16/TRI/32351201

Name : ENDAR PAL MARKAM

Hus./Father’s Name : KISHNA MARKAM


Block : 32 TAMIYA

Study Centre /



with Date & Seal




Signature of the

student

Signature of the

Invigilator


WORK 01 June 2017




4.


COMMUNICATION &

DEVELOPMENT

08 June 2017





With Date & Seal




VERIFICATION FORM





Roll No. : 16/TRI/32351202

Name : GEETA

Hus./Father’s Name : JAMAN SING


Block : 32 TAMIYA

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 16/TRI/32351202

Name : GEETA

Hus./Father’s Name : JAMAN SING


Block : 32 TAMIYA

Study Centre /



with Date & Seal




Signature of the

student

Signature of the

Invigilator


WORK 01 June 2017




4.


COMMUNICATION &

DEVELOPMENT

08 June 2017





With Date & Seal




VERIFICATION FORM





Roll No. : 16/TRI/32351203

Name : GULSHAN

Hus./Father’s Name : PHOOLBHANSHA


Block : 32 TAMIYA

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 16/TRI/32351203

Name : GULSHAN

Hus./Father’s Name : PHOOLBHANSHA


Block : 32 TAMIYA

Study Centre /



with Date & Seal




Signature of the

student

Signature of the

Invigilator


WORK 01 June 2017




4.


COMMUNICATION &

DEVELOPMENT

08 June 2017





With Date & Seal




VERIFICATION FORM





Roll No. : 16/TRI/32351204

Name : HARISH CHAND

Hus./Father’s Name : BALAMSHAH


Block : 32 TAMIYA

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 16/TRI/32351204

Name : HARISH CHAND

Hus./Father’s Name : BALAMSHAH


Block : 32 TAMIYA

Study Centre /



with Date & Seal




Signature of the

student

Signature of the

Invigilator


WORK 01 June 2017




4.


COMMUNICATION &

DEVELOPMENT

08 June 2017





With Date & Seal




VERIFICATION FORM





Roll No. : 16/TRI/32351205

Name : INDRA WADIWA

Hus./Father’s Name : RAM SINGH


Block : 32 TAMIYA

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 16/TRI/32351205

Name : INDRA WADIWA

Hus./Father’s Name : RAM SINGH


Block : 32 TAMIYA

Study Centre /



with Date & Seal




Signature of the

student

Signature of the

Invigilator


WORK 01 June 2017




4.


COMMUNICATION &

DEVELOPMENT

08 June 2017





With Date & Seal




VERIFICATION FORM





Roll No. : 16/TRI/32351206

Name : JYOTI DHURVE

Hus./Father’s Name : BISANLAL DHURVE


Block : 32 TAMIYA

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 16/TRI/32351206

Name : JYOTI DHURVE

Hus./Father’s Name : BISANLAL DHURVE


Block : 32 TAMIYA

Study Centre /



with Date & Seal




Signature of the

student

Signature of the

Invigilator


WORK 01 June 2017




4.


COMMUNICATION &

DEVELOPMENT

08 June 2017





With Date & Seal




VERIFICATION FORM





Roll No. : 16/TRI/32351207

Name : KAILASH KUMAR MAIGAM

Hus./Father’s Name : MAHU MAIGAM


Block : 32 TAMIYA

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 16/TRI/32351207

Name : KAILASH KUMAR MAIGAM

Hus./Father’s Name : MAHU MAIGAM


Block : 32 TAMIYA

Study Centre /



with Date & Seal




Signature of the

student

Signature of the

Invigilator


WORK 01 June 2017




4.


COMMUNICATION &

DEVELOPMENT

08 June 2017





With Date & Seal




VERIFICATION FORM





Roll No. : 16/TRI/32351208

Name : KAMALWATI

Hus./Father’s Name : PORULAL


Block : 32 TAMIYA

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 16/TRI/32351208

Name : KAMALWATI

Hus./Father’s Name : PORULAL


Block : 32 TAMIYA

Study Centre /



with Date & Seal




Signature of the

student

Signature of the

Invigilator


WORK 01 June 2017




4.


COMMUNICATION &

DEVELOPMENT

08 June 2017





With Date & Seal




VERIFICATION FORM





Roll No. : 16/TRI/32351209

Name : LAXMI

Hus./Father’s Name : RATIRAM


Block : 32 TAMIYA

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 16/TRI/32351209

Name : LAXMI

Hus./Father’s Name : RATIRAM


Block : 32 TAMIYA

Study Centre /



with Date & Seal




Signature of the

student

Signature of the

Invigilator


WORK 01 June 2017




4.


COMMUNICATION &

DEVELOPMENT

08 June 2017





With Date & Seal




VERIFICATION FORM





Roll No. : 16/TRI/32351210

Name : LAXMI

Hus./Father’s Name : RAJBA


Block : 32 TAMIYA

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 16/TRI/32351210

Name : LAXMI

Hus./Father’s Name : RAJBA


Block : 32 TAMIYA

Study Centre /



with Date & Seal




Signature of the

student

Signature of the

Invigilator


WORK 01 June 2017




4.


COMMUNICATION &

DEVELOPMENT

08 June 2017





With Date & Seal




VERIFICATION FORM





Roll No. : 16/TRI/32351211

Name : MAMTA JAVRAY

Hus./Father’s Name : LAXMAN JAVRAY


Block : 32 TAMIYA

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 16/TRI/32351211

Name : MAMTA JAVRAY

Hus./Father’s Name : LAXMAN JAVRAY


Block : 32 TAMIYA

Study Centre /



with Date & Seal




Signature of the

student

Signature of the

Invigilator


WORK 01 June 2017




4.


COMMUNICATION &

DEVELOPMENT

08 June 2017





With Date & Seal




VERIFICATION FORM





Roll No. : 16/TRI/32351212

Name : MEENA

Hus./Father’s Name : VINOD


Block : 32 TAMIYA

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 16/TRI/32351212

Name : MEENA

Hus./Father’s Name : VINOD


Block : 32 TAMIYA

Study Centre /



with Date & Seal




Signature of the

student

Signature of the

Invigilator


WORK 01 June 2017




4.


COMMUNICATION &

DEVELOPMENT

08 June 2017





With Date & Seal




VERIFICATION FORM





Roll No. : 16/TRI/32351213

Name : MUKESH

Hus./Father’s Name : SANTLAL


Block : 32 TAMIYA

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 16/TRI/32351213

Name : MUKESH



Block : 32 TAMIYA

Study Centre /



with Date & Seal




Signature of the

student

Signature of the

Invigilator


WORK 01 June 2017




4.


COMMUNICATION &

DEVELOPMENT

08 June 2017





With Date & Seal




VERIFICATION FORM





Roll No. : 16/TRI/32351214

Name : PRAHLAD PANDRE

Hus./Father’s Name : SIDDHU SHAH PANDRE


Block : 32 TAMIYA

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 16/TRI/32351214

Name : PRAHLAD PANDRE

Hus./Father’s Name : SIDDHU SHAH PANDRE


Block : 32 TAMIYA

Study Centre /



with Date & Seal




Signature of the

student

Signature of the

Invigilator


WORK 01 June 2017




4.


COMMUNICATION &

DEVELOPMENT

08 June 2017





With Date & Seal




VERIFICATION FORM





Roll No. : 16/TRI/32351215

Name : PRAMILA NAGWANSHI

Hus./Father’s Name : SAKAR LAL


Block : 32 TAMIYA

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 16/TRI/32351215

Name : PRAMILA NAGWANSHI

Hus./Father’s Name : SAKAR LAL


Block : 32 TAMIYA

Study Centre /



with Date & Seal




Signature of the

student

Signature of the

Invigilator


WORK 01 June 2017




4.


COMMUNICATION &

DEVELOPMENT

08 June 2017





With Date & Seal




VERIFICATION FORM





Roll No. : 16/TRI/32351216

Name : RAGHWATI

Hus./Father’s Name : AGMANSA


Block : 32 TAMIYA

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 16/TRI/32351216

Name : RAGHWATI

Hus./Father’s Name : AGMANSA


Block : 32 TAMIYA

Study Centre /



with Date & Seal




Signature of the

student

Signature of the

Invigilator


WORK 01 June 2017




4.


COMMUNICATION &

DEVELOPMENT

08 June 2017





With Date & Seal




VERIFICATION FORM





Roll No. : 16/TRI/32351217

Name : RAJESH

Hus./Father’s Name : SOVIND


Block : 32 TAMIYA

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 16/TRI/32351217

Name : RAJESH

Hus./Father’s Name : SOVIND


Block : 32 TAMIYA

Study Centre /



with Date & Seal




Signature of the

student

Signature of the

Invigilator


WORK 01 June 2017




4.


COMMUNICATION &

DEVELOPMENT

08 June 2017





With Date & Seal




VERIFICATION FORM





Roll No. : 16/TRI/32351218

Name : RAMESH DHURVE

Hus./Father’s Name : SHASHILAL


Block : 32 TAMIYA

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 16/TRI/32351218

Name : RAMESH DHURVE

Hus./Father’s Name : SHASHILAL


Block : 32 TAMIYA

Study Centre /



with Date & Seal




Signature of the

student

Signature of the

Invigilator


WORK 01 June 2017




4.


COMMUNICATION &

DEVELOPMENT

08 June 2017





With Date & Seal




VERIFICATION FORM





Roll No. : 16/TRI/32351219

Name : SAGAR SAHU

Hus./Father’s Name : RAMESH SAHU


Block : 32 TAMIYA

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 16/TRI/32351219

Name : SAGAR SAHU

Hus./Father’s Name : RAMESH SAHU


Block : 32 TAMIYA

Study Centre /



with Date & Seal




Signature of the

student

Signature of the

Invigilator


WORK 01 June 2017




4.


COMMUNICATION &

DEVELOPMENT

08 June 2017





With Date & Seal




VERIFICATION FORM





Roll No. : 16/TRI/32351220

Name : SAVITA

Hus./Father’s Name : GOURU


Block : 32 TAMIYA

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 16/TRI/32351220

Name : SAVITA

Hus./Father’s Name : GOURU


Block : 32 TAMIYA

Study Centre /



with Date & Seal




Signature of the

student

Signature of the

Invigilator


WORK 01 June 2017




4.


COMMUNICATION &

DEVELOPMENT

08 June 2017





With Date & Seal




VERIFICATION FORM





Roll No. : 16/TRI/32351221

Name : SAVITA BHARTI

Hus./Father’s Name : SUMARLAL BHARTI


Block : 32 TAMIYA

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 16/TRI/32351221

Name : SAVITA BHARTI

Hus./Father’s Name : SUMARLAL BHARTI


Block : 32 TAMIYA

Study Centre /



with Date & Seal




Signature of the

student

Signature of the

Invigilator


WORK 01 June 2017




4.


COMMUNICATION &

DEVELOPMENT

08 June 2017





With Date & Seal




VERIFICATION FORM





Roll No. : 16/TRI/32351222

Name : SAWAN KUMAR



Block : 32 TAMIYA

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 16/TRI/32351222

Name : SAWAN KUMAR



Block : 32 TAMIYA

Study Centre /



with Date & Seal




Signature of the

student

Signature of the

Invigilator


WORK 01 June 2017




4.


COMMUNICATION &

DEVELOPMENT

08 June 2017





With Date & Seal




VERIFICATION FORM





Roll No. : 16/TRI/32351223

Name : SEVANSA KAVRETI

Hus./Father’s Name : DUDHANLAL KAVRETI


Block : 32 TAMIYA

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 16/TRI/32351223

Name : SEVANSA KAVRETI

Hus./Father’s Name : DUDHANLAL KAVRETI


Block : 32 TAMIYA

Study Centre /



with Date & Seal




Signature of the

student

Signature of the

Invigilator


WORK 01 June 2017




4.


COMMUNICATION &

DEVELOPMENT

08 June 2017





With Date & Seal




VERIFICATION FORM





Roll No. : 16/TRI/32351224

Name : SHANTI

Hus./Father’s Name : JAGAN LAL


Block : 32 TAMIYA

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 16/TRI/32351224

Name : SHANTI

Hus./Father’s Name : JAGAN LAL


Block : 32 TAMIYA

Study Centre /



with Date & Seal




Signature of the

student

Signature of the

Invigilator


WORK 01 June 2017




4.


COMMUNICATION &

DEVELOPMENT

08 June 2017





With Date & Seal




VERIFICATION FORM





Roll No. : 16/TRI/32351225

Name : SHASHIKALA

Hus./Father’s Name : SHREE LAL


Block : 32 TAMIYA

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 16/TRI/32351225

Name : SHASHIKALA

Hus./Father’s Name : SHREE LAL


Block : 32 TAMIYA

Study Centre /



with Date & Seal




Signature of the

student

Signature of the

Invigilator


WORK 01 June 2017




4.


COMMUNICATION &

DEVELOPMENT

08 June 2017





With Date & Seal




VERIFICATION FORM





Roll No. : 16/TRI/32351226

Name : SIRASLAL BHARTI

Hus./Father’s Name : SUMAR LAL


Block : 32 TAMIYA

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 16/TRI/32351226

Name : SIRASLAL BHARTI

Hus./Father’s Name : SUMAR LAL


Block : 32 TAMIYA

Study Centre /



with Date & Seal




Signature of the

student

Signature of the

Invigilator


WORK 01 June 2017




4.


COMMUNICATION &

DEVELOPMENT

08 June 2017





With Date & Seal




VERIFICATION FORM





Roll No. : 16/TRI/32351227

Name : SUMANTRA

Hus./Father’s Name : JANGLESI


Block : 32 TAMIYA

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 16/TRI/32351227

Name : SUMANTRA

Hus./Father’s Name : JANGLESI


Block : 32 TAMIYA

Study Centre /



with Date & Seal




Signature of the

student

Signature of the

Invigilator


WORK 01 June 2017




4.


COMMUNICATION &

DEVELOPMENT

08 June 2017





With Date & Seal




VERIFICATION FORM





Roll No. : 16/TRI/32351228

Name : SUSHILA

Hus./Father’s Name : MANNU LAL


Block : 32 TAMIYA

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 16/TRI/32351228

Name : SUSHILA

Hus./Father’s Name : MANNU LAL


Block : 32 TAMIYA

Study Centre /



with Date & Seal




Signature of the

student

Signature of the

Invigilator


WORK 01 June 2017




4.


COMMUNICATION &

DEVELOPMENT

08 June 2017





With Date & Seal




VERIFICATION FORM





Roll No. : 16/TRI/32351229

Name : TANUJA UIKEY

Hus./Father’s Name : GOUTAM UIKEY


Block : 32 TAMIYA

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 16/TRI/32351229

Name : TANUJA UIKEY

Hus./Father’s Name : GOUTAM UIKEY


Block : 32 TAMIYA

Study Centre /



with Date & Seal




Signature of the

student

Signature of the

Invigilator


WORK 01 June 2017




4.


COMMUNICATION &

DEVELOPMENT

08 June 2017





With Date & Seal




VERIFICATION FORM





Roll No. : 16/TRI/32351230

Name : TEERAK SHAH DHURWE

Hus./Father’s Name : KISAN DHURWE


Block : 32 TAMIYA

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 16/TRI/32351230

Name : TEERAK SHAH DHURWE

Hus./Father’s Name : KISAN DHURWE


Block : 32 TAMIYA

Study Centre /



with Date & Seal




Signature of the

student

Signature of the

Invigilator


WORK 01 June 2017




4.


COMMUNICATION &

DEVELOPMENT

08 June 2017





With Date & Seal




VERIFICATION FORM





Roll No. : 16/TRI/32351231

Name : VIJAY SINGH DHURWEY

Hus./Father’s Name : HARIRAM DHURWEY


Block : 32 TAMIYA

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 16/TRI/32351231

Name : VIJAY SINGH DHURWEY

Hus./Father’s Name : HARIRAM DHURWEY


Block : 32 TAMIYA

Study Centre /



with Date & Seal




Signature of the

student

Signature of the

Invigilator


WORK 01 June 2017




4.


COMMUNICATION &

DEVELOPMENT

08 June 2017





With Date & Seal




VERIFICATION FORM





Roll No. : 16/TRI/32351232

Name : VISHNU NARRE

Hus./Father’s Name : RAMBHAROS NARRE


Block : 32 TAMIYA

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 16/TRI/32351232

Name : VISHNU NARRE

Hus./Father’s Name : RAMBHAROS NARRE


Block : 32 TAMIYA

Study Centre /



with Date & Seal




Signature of the

student

Signature of the

Invigilator


WORK 01 June 2017




4.


COMMUNICATION &

DEVELOPMENT

08 June 2017





With Date & Seal




VERIFICATION FORM

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