hus./father’s name : laxman makode : betul : …1).pdfname : chetan parihar hus./father’s name:...

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-TRI017350647

Name : ARCHANA MAKODE

Hus./Father’s Name : LAXMAN MAKODE

District : BETUL

Block : MULTAI

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

funsZ’k %

bl ikB~;Øe ds leLr iathd`r Nk=ksa ds izos'k&i= ,oa tk¡p i= fo'ofo|ky; dh osclkbV &

http://www.cmcldp.org ,oa lEcfU/kr leUo;dksa@uksMy vf/kdkfj;ksa ds bZ&esy ij miyC/k gSaA d`i;k

bUgsa ftysokj@fodkl[k.Mokj@iathdr̀ Nk=okj@vuqqØekadokj Mkmu yksM dj ysaA

viuk uohure ikliksVZ lkbTk dh QksVks ¼Nk;kfp=½ izos'k&i= ,oa tk¡p i= ij fu/kkZfjr LFkku ij

fpidk,aA izos'k&i= ,oa tk¡p i= dks vius fdlh ,d esaVlZ ls izekf.kr djkdj ijh{kk dsUnz v/kh{kd ds

ikl ys tk;saA os izos'k&i= ij lhy ,oa gLrk{kj dj vkidks izos'k&i= lkSai nsaxs vkSj tk¡p i= dk;kZy;hu

mi;ksx ds fy;s j[ksxsaA

izos'k&i= vgLrkUrj.kh; gS] Nk= izos'k&i= ds fcuk ijh{kk dsUnz esa izos'k ugha dj ldsaxsA ijh{kk

vf/kdkfj;ksa }kjk ekaxs tkus ij Nk= dks izos'k&i= fn[kkuk gksxkA

le; lkj.kh % okf"kZd ijh{kk

izFke o"kZ ¼le; izkr% 11%30 ls 2%30½ f}rh; o"kZ ¼le; izkr% 11%30 ls 2%30½

fnukad fo"k; fnukad fo"k;

01 twu] 2017 lekt dk;Z ifjp; 02 twu] 2017 lekt dk;Z dk bfrgkl ,oa

i)fr;k¡

03 twu] 2017 fodkl dh leL;k,¡ ,oa eqís 05 twu] 2017 lkeqnkf;d laxBu ,oa xfr'khyrk

06 twu] 2017 usr`Ùo fodkl 07 twu] 2017 iapk;rhjkt ,oa xzkeh.k fodkl

08 twu] 2017 lapkj vkSj fodkl ds fy, thou

dkS'ky f'k{kk

09 twu] 2017 efgyk fodkl ,oa l'kfDrdj.k

10 twu] 2017 iks"k.k ,oa LokLF; ns[kHkky 12 twu] 2017 fof/kd lk{kjrk

13 twu] 2017 cky fodkl] lqj{kk ,oa f'k{kk 14 twu] 2017 dEI;wVj dkS'ky

lEidZ lw=%& osclkbV& http://www.cmcldp.org, e-mail - [email protected]

nwjHkk"k uEcj%& 07670&265622] eksckby uEcj%& 9424356841] 9424361268] 7869621504

Affix photograph

of the student and certify with

seal and signature of Examination Superintendent

PROVISIONAL ADMIT CARD





Roll No. : 15/N-TRI017350647

Name : ARCHANA MAKODE

Hus./Father’s Name : LAXMAN MAKODE

District : BETUL

Block : MULTAI

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-TRI017350648

Name : ARCHANA PANDAGRE

Hus./Father’s Name : NATHU RAM PANDAGRE

District : BETUL

Block : MULTAI

Study Centre /



with Date & Seal

funsZ’k %














i)fr;k¡




dkS'ky f'k{kk






Affix photograph








Roll No. : 15/N-TRI017350648

Name : ARCHANA PANDAGRE

Hus./Father’s Name : NATHU RAM PANDAGRE

District : BETUL

Block : MULTAI

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-TRI017350650

Name : BHOORA

Hus./Father’s Name : KISAN

District : BETUL

Block : MULTAI

Study Centre /



with Date & Seal

funsZ’k %














i)fr;k¡




dkS'ky f'k{kk






Affix photograph








Roll No. : 15/N-TRI017350650

Name : BHOORA

Hus./Father’s Name : KISAN

District : BETUL

Block : MULTAI

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-TRI017350651

Name : CHETAN PARIHAR

Hus./Father’s Name : MUNNALAL PARIHAR

District : BETUL

Block : MULTAI

Study Centre /



with Date & Seal

funsZ’k %














i)fr;k¡




dkS'ky f'k{kk






Affix photograph








Roll No. : 15/N-TRI017350651

Name : CHETAN PARIHAR

Hus./Father’s Name : MUNNALAL PARIHAR

District : BETUL

Block : MULTAI

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-TRI017350652

Name : DHANRAJ

Hus./Father’s Name : RATAN LAL

District : BETUL

Block : MULTAI

Study Centre /



with Date & Seal

funsZ’k %














i)fr;k¡




dkS'ky f'k{kk






Affix photograph








Roll No. : 15/N-TRI017350652

Name : DHANRAJ

Hus./Father’s Name : RATAN LAL

District : BETUL

Block : MULTAI

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-TRI017350653

Name : GEETA

Hus./Father’s Name : DULICHAND

District : BETUL

Block : MULTAI

Study Centre /



with Date & Seal

funsZ’k %














i)fr;k¡




dkS'ky f'k{kk






Affix photograph








Roll No. : 15/N-TRI017350653

Name : GEETA

Hus./Father’s Name : DULICHAND

District : BETUL

Block : MULTAI

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-TRI017350654

Name : HARSHLATA

Hus./Father’s Name : NATTHOO

District : BETUL

Block : MULTAI

Study Centre /



with Date & Seal

funsZ’k %














i)fr;k¡




dkS'ky f'k{kk






Affix photograph








Roll No. : 15/N-TRI017350654

Name : HARSHLATA

Hus./Father’s Name : NATTHOO

District : BETUL

Block : MULTAI

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-TRI017350655

Name : HEMLATA BARDE

Hus./Father’s Name : VAMAN BARDE

District : BETUL

Block : MULTAI

Study Centre /



with Date & Seal

funsZ’k %














i)fr;k¡




dkS'ky f'k{kk






Affix photograph








Roll No. : 15/N-TRI017350655

Name : HEMLATA BARDE

Hus./Father’s Name : VAMAN BARDE

District : BETUL

Block : MULTAI

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-TRI017350656

Name : HEMRAJ KHATARKER

Hus./Father’s Name : JHUMMAKLAL KHATARKER

District : BETUL

Block : MULTAI

Study Centre /



with Date & Seal

funsZ’k %














i)fr;k¡




dkS'ky f'k{kk






Affix photograph








Roll No. : 15/N-TRI017350656

Name : HEMRAJ KHATARKER

Hus./Father’s Name : JHUMMAKLAL KHATARKER

District : BETUL

Block : MULTAI

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-TRI017350658

Name : KALE PRIYANKA DIVAKAR

Hus./Father’s Name : DIVAKAR KALE

District : BETUL

Block : MULTAI

Study Centre /



with Date & Seal

funsZ’k %














i)fr;k¡




dkS'ky f'k{kk






Affix photograph








Roll No. : 15/N-TRI017350658

Name : KALE PRIYANKA DIVAKAR

Hus./Father’s Name : DIVAKAR KALE

District : BETUL

Block : MULTAI

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-TRI017350660

Name : KAVITA

Hus./Father’s Name : MUNNA

District : BETUL

Block : MULTAI

Study Centre /



with Date & Seal

funsZ’k %














i)fr;k¡




dkS'ky f'k{kk






Affix photograph








Roll No. : 15/N-TRI017350660

Name : KAVITA

Hus./Father’s Name : MUNNA

District : BETUL

Block : MULTAI

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-TRI017350662

Name : KHUSHRAJ CHADOKAR

Hus./Father’s Name : MADHORAO CHADOKAR

District : BETUL

Block : MULTAI

Study Centre /



with Date & Seal

funsZ’k %














i)fr;k¡




dkS'ky f'k{kk






Affix photograph








Roll No. : 15/N-TRI017350662

Name : KHUSHRAJ CHADOKAR

Hus./Father’s Name : MADHORAO CHADOKAR

District : BETUL

Block : MULTAI

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-TRI017350663

Name : KIRTEE CHOPDE

Hus./Father’s Name : PARSNATH CHOPDE

District : BETUL

Block : MULTAI

Study Centre /



with Date & Seal

funsZ’k %














i)fr;k¡




dkS'ky f'k{kk






Affix photograph








Roll No. : 15/N-TRI017350663

Name : KIRTEE CHOPDE

Hus./Father’s Name : PARSNATH CHOPDE

District : BETUL

Block : MULTAI

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-TRI017350664

Name : LAKHAN SINGH SOLANKI

Hus./Father’s Name : LAL SINGH SOLANKI

District : BETUL

Block : MULTAI

Study Centre /



with Date & Seal

funsZ’k %














i)fr;k¡




dkS'ky f'k{kk






Affix photograph








Roll No. : 15/N-TRI017350664

Name : LAKHAN SINGH SOLANKI

Hus./Father’s Name : LAL SINGH SOLANKI

District : BETUL

Block : MULTAI

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-TRI017350665

Name : LATA

Hus./Father’s Name : HEMRAJ

District : BETUL

Block : MULTAI

Study Centre /



with Date & Seal

funsZ’k %














i)fr;k¡




dkS'ky f'k{kk






Affix photograph








Roll No. : 15/N-TRI017350665

Name : LATA

Hus./Father’s Name : HEMRAJ

District : BETUL

Block : MULTAI

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-TRI017350666

Name : MAHESH BIHARE

Hus./Father’s Name : NATTHYA BIHARE

District : BETUL

Block : MULTAI

Study Centre /



with Date & Seal

funsZ’k %














i)fr;k¡




dkS'ky f'k{kk






Affix photograph








Roll No. : 15/N-TRI017350666

Name : MAHESH BIHARE

Hus./Father’s Name : NATTHYA BIHARE

District : BETUL

Block : MULTAI

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-TRI017350667

Name : MATHREE GAKRE

Hus./Father’s Name : KESHO GAKRE

District : BETUL

Block : MULTAI

Study Centre /



with Date & Seal

funsZ’k %














i)fr;k¡




dkS'ky f'k{kk






Affix photograph








Roll No. : 15/N-TRI017350667

Name : MATHREE GAKRE

Hus./Father’s Name : KESHO GAKRE

District : BETUL

Block : MULTAI

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-TRI017350668

Name : MUKESH KUMAR PATHADE

Hus./Father’s Name : SURESH PATHADE

District : BETUL

Block : MULTAI

Study Centre /



with Date & Seal

funsZ’k %














i)fr;k¡




dkS'ky f'k{kk






Affix photograph








Roll No. : 15/N-TRI017350668

Name : MUKESH KUMAR PATHADE

Hus./Father’s Name : SURESH PATHADE

District : BETUL

Block : MULTAI

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-TRI017350669

Name : NIRMALA JHARE

Hus./Father’s Name : MAKHAN LAL JHARE

District : BETUL

Block : MULTAI

Study Centre /



with Date & Seal

funsZ’k %














i)fr;k¡




dkS'ky f'k{kk






Affix photograph








Roll No. : 15/N-TRI017350669

Name : NIRMALA JHARE

Hus./Father’s Name : MAKHAN LAL JHARE

District : BETUL

Block : MULTAI

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-TRI017350671

Name : POOJA

Hus./Father’s Name : RAMESH

District : BETUL

Block : MULTAI

Study Centre /



with Date & Seal

funsZ’k %














i)fr;k¡




dkS'ky f'k{kk






Affix photograph








Roll No. : 15/N-TRI017350671

Name : POOJA

Hus./Father’s Name : RAMESH

District : BETUL

Block : MULTAI

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-TRI017350672

Name : POOJA DESHMUKH

Hus./Father’s Name : MUNNA DESHMUKH

District : BETUL

Block : MULTAI

Study Centre /



with Date & Seal

funsZ’k %














i)fr;k¡




dkS'ky f'k{kk






Affix photograph








Roll No. : 15/N-TRI017350672

Name : POOJA DESHMUKH

Hus./Father’s Name : MUNNA DESHMUKH

District : BETUL

Block : MULTAI

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-TRI017350673

Name : PREETIBALA SOLANKI

Hus./Father’s Name : SUKHADEV SOLANKI

District : BETUL

Block : MULTAI

Study Centre /



with Date & Seal

funsZ’k %














i)fr;k¡




dkS'ky f'k{kk






Affix photograph








Roll No. : 15/N-TRI017350673

Name : PREETIBALA SOLANKI

Hus./Father’s Name : SUKHADEV SOLANKI

District : BETUL

Block : MULTAI

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-TRI017350674

Name : RAHUL BARNGE

Hus./Father’s Name : SHANKAR BARNGE

District : BETUL

Block : MULTAI

Study Centre /



with Date & Seal

funsZ’k %














i)fr;k¡




dkS'ky f'k{kk






Affix photograph








Roll No. : 15/N-TRI017350674

Name : RAHUL BARNGE

Hus./Father’s Name : SHANKAR BARNGE

District : BETUL

Block : MULTAI

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-TRI017350675

Name : RAJENDRA KUMAR AMRUTE

Hus./Father’s Name : ARJUN AMRUTE

District : BETUL

Block : MULTAI

Study Centre /



with Date & Seal

funsZ’k %














i)fr;k¡




dkS'ky f'k{kk






Affix photograph








Roll No. : 15/N-TRI017350675

Name : RAJENDRA KUMAR AMRUTE

Hus./Father’s Name : ARJUN AMRUTE

District : BETUL

Block : MULTAI

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-TRI017350676

Name : RAJU

Hus./Father’s Name : GULAB

District : BETUL

Block : MULTAI

Study Centre /



with Date & Seal

funsZ’k %














i)fr;k¡




dkS'ky f'k{kk






Affix photograph








Roll No. : 15/N-TRI017350676

Name : RAJU

Hus./Father’s Name : GULAB

District : BETUL

Block : MULTAI

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-TRI017350677

Name : RAMDYAL HARODE

Hus./Father’s Name : DHUDALYA HARODE

District : BETUL

Block : MULTAI

Study Centre /



with Date & Seal

funsZ’k %














i)fr;k¡




dkS'ky f'k{kk






Affix photograph








Roll No. : 15/N-TRI017350677

Name : RAMDYAL HARODE

Hus./Father’s Name : DHUDALYA HARODE

District : BETUL

Block : MULTAI

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-TRI017350678

Name : REENA

Hus./Father’s Name : VASUDEO

District : BETUL

Block : MULTAI

Study Centre /



with Date & Seal

funsZ’k %














i)fr;k¡




dkS'ky f'k{kk






Affix photograph








Roll No. : 15/N-TRI017350678

Name : REENA

Hus./Father’s Name : VASUDEO

District : BETUL

Block : MULTAI

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-TRI017350679

Name : SANDIP KUMAR

Hus./Father’s Name : CHIRONJI

District : BETUL

Block : MULTAI

Study Centre /



with Date & Seal

funsZ’k %














i)fr;k¡




dkS'ky f'k{kk






Affix photograph








Roll No. : 15/N-TRI017350679

Name : SANDIP KUMAR

Hus./Father’s Name : CHIRONJI

District : BETUL

Block : MULTAI

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-TRI017350680

Name : SANGEETA PATHE

Hus./Father’s Name : HIRAJI

District : BETUL

Block : MULTAI

Study Centre /



with Date & Seal

funsZ’k %














i)fr;k¡




dkS'ky f'k{kk






Affix photograph








Roll No. : 15/N-TRI017350680

Name : SANGEETA PATHE

Hus./Father’s Name : HIRAJI

District : BETUL

Block : MULTAI

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-TRI017350681

Name : SANJAY KUMAR

Hus./Father’s Name : JANAK LAL

District : BETUL

Block : MULTAI

Study Centre /



with Date & Seal

funsZ’k %














i)fr;k¡




dkS'ky f'k{kk






Affix photograph








Roll No. : 15/N-TRI017350681

Name : SANJAY KUMAR

Hus./Father’s Name : JANAK LAL

District : BETUL

Block : MULTAI

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-TRI017350682

Name : SHANKAR LAL VISHVKARMA

Hus./Father’s Name : GANESH VISHVKARMA

District : BETUL

Block : MULTAI

Study Centre /



with Date & Seal

funsZ’k %














i)fr;k¡




dkS'ky f'k{kk






Affix photograph








Roll No. : 15/N-TRI017350682

Name : SHANKAR LAL VISHVKARMA

Hus./Father’s Name : GANESH VISHVKARMA

District : BETUL

Block : MULTAI

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-TRI017350683

Name : SUBHASH PAWAR

Hus./Father’s Name : PANDHRI PAWAR

District : BETUL

Block : MULTAI

Study Centre /



with Date & Seal

funsZ’k %














i)fr;k¡




dkS'ky f'k{kk






Affix photograph








Roll No. : 15/N-TRI017350683

Name : SUBHASH PAWAR

Hus./Father’s Name : PANDHRI PAWAR

District : BETUL

Block : MULTAI

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-TRI017350684

Name : UMESH KUMAR CHOUHAN

Hus./Father’s Name : BALRAM CHOUHAN

District : BETUL

Block : MULTAI

Study Centre /



with Date & Seal

funsZ’k %














i)fr;k¡




dkS'ky f'k{kk






Affix photograph








Roll No. : 15/N-TRI017350684

Name : UMESH KUMAR CHOUHAN

Hus./Father’s Name : BALRAM CHOUHAN

District : BETUL

Block : MULTAI

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-TRI017350685

Name : VANDANA

Hus./Father’s Name : BUDHRAO

District : BETUL

Block : MULTAI

Study Centre /



with Date & Seal

funsZ’k %














i)fr;k¡




dkS'ky f'k{kk






Affix photograph








Roll No. : 15/N-TRI017350685

Name : VANDANA

Hus./Father’s Name : BUDHRAO

District : BETUL

Block : MULTAI

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

hus./father’s name : laxman makode : betul : …1).pdfname : chetan parihar hus./father’s name:...

Documents