Centre for Community Leadership Development Studies PATHA(1).pdfBlock : CHAWAR PATHA Study Centre /...

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

Centre for Community Leadership Development Studies

BSW (Community Leadership) Second Year (Diploma Level)

Main Examination 2016-17

Roll No. : 15/N-TRI115354473

Name : ASHISH SHARMA

Hus./Father’s Name : AKHILESH SHARMA

District : NARSINGHPUR

Block : CHAWAR PATHA

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. : 15/N-TRI115354473

Name : ASHISH SHARMA

Hus./Father’s Name : AKHILESH SHARMA

Study Centre /

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. HISTORY AND METHODS OF

SOCIAL WORK

2. COMMUNITY ORGANIZATION &

MOBILIZATION

3. PANCHAYATIRAJ AND RURAL

DEVELOPMENT

4. WOMEN DEVELOPMENT AND

EMPOWERMENT

5. LEGAL LITERACY

6. COMPUTER SKILL

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. : 15/N-TRI115354474

Name : ASHOK MEHRA

Hus./Father’s Name : DHANIRAM MEHRA

Study Centre /

with Date & Seal

i)fr;k¡

dkS'ky f'k{kk

Affix photograph

Roll No. : 15/N-TRI115354474

Name : ASHOK MEHRA

Hus./Father’s Name : DHANIRAM MEHRA

Study Centre /

with Date & Seal

Signature of the

student

Signature of the

Invigilator

SOCIAL WORK

MOBILIZATION

DEVELOPMENT

EMPOWERMENT

5. LEGAL LITERACY

6. COMPUTER SKILL

With Date & Seal

VERIFICATION FORM

Roll No. : 15/N-TRI115354476

Name : BHAGCHAND MEHRA

Hus./Father’s Name : HARI GOVIND MEHRA

Study Centre /

with Date & Seal

i)fr;k¡

dkS'ky f'k{kk

Affix photograph

Roll No. : 15/N-TRI115354476

Name : BHAGCHAND MEHRA

Hus./Father’s Name : HARI GOVIND MEHRA

Study Centre /

with Date & Seal

Signature of the

student

Signature of the

Invigilator

SOCIAL WORK

MOBILIZATION

DEVELOPMENT

EMPOWERMENT

5. LEGAL LITERACY

6. COMPUTER SKILL

With Date & Seal

VERIFICATION FORM

Roll No. : 15/N-TRI115354477

Name : BHOOPENDRA KUMAR LODHI

Hus./Father’s Name : BHAGWAT SINGH LODHI

Study Centre /

with Date & Seal

i)fr;k¡

dkS'ky f'k{kk

Affix photograph

Roll No. : 15/N-TRI115354477

Name : BHOOPENDRA KUMAR LODHI

Hus./Father’s Name : BHAGWAT SINGH LODHI

Study Centre /

with Date & Seal

Signature of the

student

Signature of the

Invigilator

SOCIAL WORK

MOBILIZATION

DEVELOPMENT

EMPOWERMENT

5. LEGAL LITERACY

6. COMPUTER SKILL

With Date & Seal

VERIFICATION FORM

Roll No. : 15/N-TRI115354480

Name : CHHATTAR SINGH PATEL

Hus./Father’s Name : IMARAT LAL PATEL

Study Centre /

with Date & Seal

i)fr;k¡

dkS'ky f'k{kk

Affix photograph

Roll No. : 15/N-TRI115354480

Name : CHHATTAR SINGH PATEL

Hus./Father’s Name : IMARAT LAL PATEL

Study Centre /

with Date & Seal

Signature of the

student

Signature of the

Invigilator

SOCIAL WORK

MOBILIZATION

DEVELOPMENT

EMPOWERMENT

5. LEGAL LITERACY

6. COMPUTER SKILL

With Date & Seal

VERIFICATION FORM

Roll No. : 15/N-TRI115354481

Name : DEEPAK CHOURASIYA

Hus./Father’s Name : JAGDEESH

Study Centre /

with Date & Seal

i)fr;k¡

dkS'ky f'k{kk

Affix photograph

Roll No. : 15/N-TRI115354481

Name : DEEPAK CHOURASIYA

Hus./Father’s Name : JAGDEESH

Study Centre /

with Date & Seal

Signature of the

student

Signature of the

Invigilator

SOCIAL WORK

MOBILIZATION

DEVELOPMENT

EMPOWERMENT

5. LEGAL LITERACY

6. COMPUTER SKILL

With Date & Seal

VERIFICATION FORM

Roll No. : 15/N-TRI115354482

Name : DEVIRAM

Hus./Father’s Name : MOHAN LAL

Study Centre /

with Date & Seal

i)fr;k¡

dkS'ky f'k{kk

Affix photograph

Roll No. : 15/N-TRI115354482

Name : DEVIRAM

Hus./Father’s Name : MOHAN LAL

Study Centre /

with Date & Seal

Signature of the

student

Signature of the

Invigilator

SOCIAL WORK

MOBILIZATION

DEVELOPMENT

EMPOWERMENT

5. LEGAL LITERACY

6. COMPUTER SKILL

With Date & Seal

VERIFICATION FORM

Roll No. : 15/N-TRI115354483

Name : DURGESH RAWAT

Hus./Father’s Name : RAJENDRA RAWAT

Study Centre /

with Date & Seal

i)fr;k¡

dkS'ky f'k{kk

Affix photograph

Roll No. : 15/N-TRI115354483

Name : DURGESH RAWAT

Hus./Father’s Name : RAJENDRA RAWAT

Study Centre /

with Date & Seal

Signature of the

student

Signature of the

Invigilator

SOCIAL WORK

MOBILIZATION

DEVELOPMENT

EMPOWERMENT

5. LEGAL LITERACY

6. COMPUTER SKILL

With Date & Seal

VERIFICATION FORM

Roll No. : 15/N-TRI115354484

Name : GOVIND KUMAR KEWAT

Hus./Father’s Name : RADHELAL KEWAT

Study Centre /

with Date & Seal

i)fr;k¡

dkS'ky f'k{kk

Affix photograph

Roll No. : 15/N-TRI115354484

Name : GOVIND KUMAR KEWAT

Hus./Father’s Name : RADHELAL KEWAT

Study Centre /

with Date & Seal

Signature of the

student

Signature of the

Invigilator

SOCIAL WORK

MOBILIZATION

DEVELOPMENT

EMPOWERMENT

5. LEGAL LITERACY

6. COMPUTER SKILL

With Date & Seal

VERIFICATION FORM

Roll No. : 15/N-TRI115354485

Name : HAKAM SINGH PATEL

Hus./Father’s Name : TODAL SINGH PATEL

Study Centre /

with Date & Seal

i)fr;k¡

dkS'ky f'k{kk

Affix photograph

Roll No. : 15/N-TRI115354485

Name : HAKAM SINGH PATEL

Hus./Father’s Name : TODAL SINGH PATEL

Study Centre /

with Date & Seal

Signature of the

student

Signature of the

Invigilator

SOCIAL WORK

MOBILIZATION

DEVELOPMENT

EMPOWERMENT

5. LEGAL LITERACY

6. COMPUTER SKILL

With Date & Seal

VERIFICATION FORM

Roll No. : 15/N-TRI115354489

Name : KAMAL SWAROOP SHARMA

Hus./Father’s Name : SUNDAR LAL SHARMA

Study Centre /

with Date & Seal

i)fr;k¡

dkS'ky f'k{kk

Affix photograph

Roll No. : 15/N-TRI115354489

Name : KAMAL SWAROOP SHARMA

Hus./Father’s Name : SUNDAR LAL SHARMA

Study Centre /

with Date & Seal

Signature of the

student

Signature of the

Invigilator

SOCIAL WORK

MOBILIZATION

DEVELOPMENT

EMPOWERMENT

5. LEGAL LITERACY

6. COMPUTER SKILL

With Date & Seal

VERIFICATION FORM

Roll No. : 15/N-TRI115354491

Name : KISHOR KUMAR GHOSI

Hus./Father’s Name : KALU RAM GHOSI

Study Centre /

with Date & Seal

i)fr;k¡

dkS'ky f'k{kk

Affix photograph

Roll No. : 15/N-TRI115354491

Name : KISHOR KUMAR GHOSI

Hus./Father’s Name : KALU RAM GHOSI

Study Centre /

with Date & Seal

Signature of the

student

Signature of the

Invigilator

SOCIAL WORK

MOBILIZATION

DEVELOPMENT

EMPOWERMENT

5. LEGAL LITERACY

6. COMPUTER SKILL

With Date & Seal

VERIFICATION FORM

Roll No. : 15/N-TRI115354492

Name : MAHESH KUMAR

Hus./Father’s Name : FOOL SINGH

Study Centre /

with Date & Seal

i)fr;k¡

dkS'ky f'k{kk

Affix photograph

Roll No. : 15/N-TRI115354492

Name : MAHESH KUMAR

Hus./Father’s Name : FOOL SINGH

Study Centre /

with Date & Seal

Signature of the

student

Signature of the

Invigilator

SOCIAL WORK

MOBILIZATION

DEVELOPMENT

EMPOWERMENT

5. LEGAL LITERACY

6. COMPUTER SKILL

With Date & Seal

VERIFICATION FORM

Roll No. : 15/N-TRI115354493

Name : MAHESH KUMAR SEN

Hus./Father’s Name : MOHAN LAL SEN

Study Centre /

with Date & Seal

i)fr;k¡

dkS'ky f'k{kk

Affix photograph

Roll No. : 15/N-TRI115354493

Name : MAHESH KUMAR SEN

Hus./Father’s Name : MOHAN LAL SEN

Study Centre /

with Date & Seal

Signature of the

student

Signature of the

Invigilator

SOCIAL WORK

MOBILIZATION

DEVELOPMENT

EMPOWERMENT

5. LEGAL LITERACY

6. COMPUTER SKILL

With Date & Seal

VERIFICATION FORM

Roll No. : 15/N-TRI115354496

Name : MONA DUBEY

Hus./Father’s Name : RAMGOPAL

Study Centre /

with Date & Seal

i)fr;k¡

dkS'ky f'k{kk

Affix photograph

Roll No. : 15/N-TRI115354496

Name : MONA DUBEY

Hus./Father’s Name : RAMGOPAL

Study Centre /

with Date & Seal

Signature of the

student

Signature of the

Invigilator

SOCIAL WORK

MOBILIZATION

DEVELOPMENT

EMPOWERMENT

5. LEGAL LITERACY

6. COMPUTER SKILL

With Date & Seal

VERIFICATION FORM

Roll No. : 15/N-TRI115354499

Name : POONAM SEN

Hus./Father’s Name : RAJENDRA

Study Centre /

with Date & Seal

i)fr;k¡

dkS'ky f'k{kk

Affix photograph

Roll No. : 15/N-TRI115354499

Name : POONAM SEN

Hus./Father’s Name : RAJENDRA

Study Centre /

with Date & Seal

Signature of the

student

Signature of the

Invigilator

SOCIAL WORK

MOBILIZATION

DEVELOPMENT

EMPOWERMENT

5. LEGAL LITERACY

6. COMPUTER SKILL

With Date & Seal

VERIFICATION FORM

Roll No. : 15/N-TRI115354502

Name : RAJ DUBEY

Hus./Father’s Name : RAM GOPAL DUBEY

Study Centre /

with Date & Seal

i)fr;k¡

dkS'ky f'k{kk

Affix photograph

Roll No. : 15/N-TRI115354502

Name : RAJ DUBEY

Hus./Father’s Name : RAM GOPAL DUBEY

Study Centre /

with Date & Seal

Signature of the

student

Signature of the

Invigilator

SOCIAL WORK

MOBILIZATION

DEVELOPMENT

EMPOWERMENT

5. LEGAL LITERACY

6. COMPUTER SKILL

With Date & Seal

VERIFICATION FORM

Roll No. : 15/N-TRI115354506

Name : SANTOSH LODHI

Hus./Father’s Name : SEVAKRAM LODHI

Study Centre /

with Date & Seal

i)fr;k¡

dkS'ky f'k{kk

Affix photograph

Roll No. : 15/N-TRI115354506

Name : SANTOSH LODHI

Hus./Father’s Name : SEVAKRAM LODHI

Study Centre /

with Date & Seal

Signature of the

student

Signature of the

Invigilator

SOCIAL WORK

MOBILIZATION

DEVELOPMENT

EMPOWERMENT

5. LEGAL LITERACY

6. COMPUTER SKILL

With Date & Seal

VERIFICATION FORM

Roll No. : 15/N-TRI115354508

Name : SHEETAL SHARMA

Hus./Father’s Name : RAM SEWAK

Study Centre /

with Date & Seal

i)fr;k¡

dkS'ky f'k{kk

Affix photograph

Roll No. : 15/N-TRI115354508

Name : SHEETAL SHARMA

Hus./Father’s Name : RAM SEWAK

Study Centre /

with Date & Seal

Signature of the

student

Signature of the

Invigilator

SOCIAL WORK

MOBILIZATION

DEVELOPMENT

EMPOWERMENT

5. LEGAL LITERACY

6. COMPUTER SKILL

With Date & Seal

VERIFICATION FORM

Roll No. : 15/N-TRI115354510

Name : TEJ RAM NORIYA

Hus./Father’s Name : PREM LAL NORIYA

Study Centre /

with Date & Seal

i)fr;k¡

dkS'ky f'k{kk

Affix photograph

Roll No. : 15/N-TRI115354510

Name : TEJ RAM NORIYA

Hus./Father’s Name : PREM LAL NORIYA

Study Centre /

with Date & Seal

Signature of the

student

Signature of the

Invigilator

SOCIAL WORK

MOBILIZATION

DEVELOPMENT

EMPOWERMENT

5. LEGAL LITERACY

6. COMPUTER SKILL

With Date & Seal

VERIFICATION FORM

Roll No. : 15/N-TRI115354512

Name : UTTAM SINGH PATEL

Hus./Father’s Name : HARI GOVIND PATEL

Study Centre /

with Date & Seal

i)fr;k¡

dkS'ky f'k{kk

Affix photograph

Roll No. : 15/N-TRI115354512

Name : UTTAM SINGH PATEL

Hus./Father’s Name : HARI GOVIND PATEL

Study Centre /

with Date & Seal

Signature of the

student

Signature of the

Invigilator

SOCIAL WORK

MOBILIZATION

DEVELOPMENT

EMPOWERMENT

5. LEGAL LITERACY

6. COMPUTER SKILL

With Date & Seal

VERIFICATION FORM

Roll No. : 15/N-TRI115354513

Name : VINEET KUMAR SHUKLA

Hus./Father’s Name : BAIJNATH PRASAD SHUKLA

Study Centre /

with Date & Seal

i)fr;k¡

dkS'ky f'k{kk

Affix photograph

Roll No. : 15/N-TRI115354513

Name : VINEET KUMAR SHUKLA

Hus./Father’s Name : BAIJNATH PRASAD SHUKLA

Study Centre /

with Date & Seal

Signature of the

student

Signature of the

Invigilator

SOCIAL WORK

MOBILIZATION

DEVELOPMENT

EMPOWERMENT

5. LEGAL LITERACY

6. COMPUTER SKILL

With Date & Seal

VERIFICATION FORM

Centre for Community Leadership Development Studies PATHA(1).pdfBlock : CHAWAR PATHA Study Centre /...

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