centre for community leadership development studiescmcldp.org/userfiles/shahpura(1).pdf · 2017. 5....

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/TRI51352014

Name : ANAND SINGH

Hus./Father’s Name : KUNVAR SINGH

District : DINDORI

Block : SHAHPURA

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 - [email protected]

Affix photograph

of the student and certify with

seal and signature of Examination Superintendent

PROVISIONAL ADMIT CARD





Roll No. : 15/TRI51352014

Name : ANAND SINGH

Hus./Father’s Name : KUNVAR SINGH

District : DINDORI

Block : SHAHPURA

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/TRI51352016

Name : BEBI URAITI

Hus./Father’s Name : GOL SINGH URAITI

District : DINDORI

Block : SHAHPURA

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 15/TRI51352016

Name : BEBI URAITI

Hus./Father’s Name : GOL SINGH URAITI

District : DINDORI

Block : SHAHPURA

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/TRI51352017

Name : BELA

Hus./Father’s Name : PANKU SINGH

District : DINDORI

Block : SHAHPURA

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 15/TRI51352017

Name : BELA

Hus./Father’s Name : PANKU SINGH

District : DINDORI

Block : SHAHPURA

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/TRI51352018

Name : BHANA URETI

Hus./Father’s Name : BASORI SINGH URETI

District : DINDORI

Block : SHAHPURA

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 15/TRI51352018

Name : BHANA URETI

Hus./Father’s Name : BASORI SINGH URETI

District : DINDORI

Block : SHAHPURA

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/TRI51352019

Name : BHANMATI MADHVI

Hus./Father’s Name : CHHATRA SINGH MADHVI

District : DINDORI

Block : SHAHPURA

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 15/TRI51352019

Name : BHANMATI MADHVI

Hus./Father’s Name : CHHATRA SINGH MADHVI

District : DINDORI

Block : SHAHPURA

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/TRI51352021

Name : BHNOO PRASAD JHARIYA

Hus./Father’s Name : GANESH PRASAD JHARIYA

District : DINDORI

Block : SHAHPURA

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 15/TRI51352021

Name : BHNOO PRASAD JHARIYA

Hus./Father’s Name : GANESH PRASAD JHARIYA

District : DINDORI

Block : SHAHPURA

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/TRI51352022

Name : CHANDRIKA SHASHI

Hus./Father’s Name : CHETRAM SINGH

District : DINDORI

Block : SHAHPURA

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 15/TRI51352022

Name : CHANDRIKA SHASHI

Hus./Father’s Name : CHETRAM SINGH

District : DINDORI

Block : SHAHPURA

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/TRI51352023

Name : DEV SINGH MARAVI

Hus./Father’s Name : MADHAV SINGH MARAVI

District : DINDORI

Block : SHAHPURA

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 15/TRI51352023

Name : DEV SINGH MARAVI

Hus./Father’s Name : MADHAV SINGH MARAVI

District : DINDORI

Block : SHAHPURA

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/TRI51352025

Name : DEVKEE SAIYAM

Hus./Father’s Name : GOPAL SAIYAM

District : DINDORI

Block : SHAHPURA

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 15/TRI51352025

Name : DEVKEE SAIYAM

Hus./Father’s Name : GOPAL SAIYAM

District : DINDORI

Block : SHAHPURA

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/TRI51352026

Name : DILEEP SINGH UDDE

Hus./Father’s Name : SUHAGIL SINGH UDDE

District : DINDORI

Block : SHAHPURA

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 15/TRI51352026

Name : DILEEP SINGH UDDE

Hus./Father’s Name : SUHAGIL SINGH UDDE

District : DINDORI

Block : SHAHPURA

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/TRI51352027

Name : GOMTI KULSTE

Hus./Father’s Name : SONSHAY KULSTE

District : DINDORI

Block : SHAHPURA

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 15/TRI51352027

Name : GOMTI KULSTE

Hus./Father’s Name : SONSHAY KULSTE

District : DINDORI

Block : SHAHPURA

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/TRI51352028

Name : GULAB SINGH MARKO

Hus./Father’s Name : MOHAN SINGH

District : DINDORI

Block : SHAHPURA

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 15/TRI51352028

Name : GULAB SINGH MARKO

Hus./Father’s Name : MOHAN SINGH

District : DINDORI

Block : SHAHPURA

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/TRI51352029

Name : JAY SINGH

Hus./Father’s Name : NANHA SINGH

District : DINDORI

Block : SHAHPURA

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 15/TRI51352029

Name : JAY SINGH

Hus./Father’s Name : NANHA SINGH

District : DINDORI

Block : SHAHPURA

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/TRI51352030

Name : MAHA SINGH URAITI

Hus./Father’s Name : LALMEN SINGH URAITI

District : DINDORI

Block : SHAHPURA

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 15/TRI51352030

Name : MAHA SINGH URAITI

Hus./Father’s Name : LALMEN SINGH URAITI

District : DINDORI

Block : SHAHPURA

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/TRI51352031

Name : MALLIKARJUN MARAVI

Hus./Father’s Name : MANOJ SINGH MARAVI

District : DINDORI

Block : SHAHPURA

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 15/TRI51352031

Name : MALLIKARJUN MARAVI

Hus./Father’s Name : MANOJ SINGH MARAVI

District : DINDORI

Block : SHAHPURA

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/TRI51352032

Name : MAMTA PARASTE

Hus./Father’s Name : KANDHEE SINGH

District : DINDORI

Block : SHAHPURA

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 15/TRI51352032

Name : MAMTA PARASTE

Hus./Father’s Name : KANDHEE SINGH

District : DINDORI

Block : SHAHPURA

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/TRI51352034

Name : NAME LAL DHURWEY

Hus./Father’s Name : SHOMNATH DHURWEY

District : DINDORI

Block : SHAHPURA

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 15/TRI51352034

Name : NAME LAL DHURWEY

Hus./Father’s Name : SHOMNATH DHURWEY

District : DINDORI

Block : SHAHPURA

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/TRI51352035

Name : NARMADA PRASAD BANWASI

Hus./Father’s Name : NANHE LAL BANWASI

District : DINDORI

Block : SHAHPURA

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 15/TRI51352035

Name : NARMADA PRASAD BANWASI

Hus./Father’s Name : NANHE LAL BANWASI

District : DINDORI

Block : SHAHPURA

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/TRI51352036

Name : PARWATI MARKO

Hus./Father’s Name : BUDDHU SINGH

District : DINDORI

Block : SHAHPURA

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 15/TRI51352036

Name : PARWATI MARKO

Hus./Father’s Name : BUDDHU SINGH

District : DINDORI

Block : SHAHPURA

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/TRI51352037

Name : PRAHLAD SINGH PARASTE

Hus./Father’s Name : SUKHDEV SINGH PARASTE

District : DINDORI

Block : SHAHPURA

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 15/TRI51352037

Name : PRAHLAD SINGH PARASTE

Hus./Father’s Name : SUKHDEV SINGH PARASTE

District : DINDORI

Block : SHAHPURA

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/TRI51352038

Name : PREM BAI MASRAM

Hus./Father’s Name : MULIYA MASRAM

District : DINDORI

Block : SHAHPURA

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 15/TRI51352038

Name : PREM BAI MASRAM

Hus./Father’s Name : MULIYA MASRAM

District : DINDORI

Block : SHAHPURA

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/TRI51352040

Name : RAJESH KUMAR

Hus./Father’s Name : CHHOTE LAL

District : DINDORI

Block : SHAHPURA

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 15/TRI51352040

Name : RAJESH KUMAR

Hus./Father’s Name : CHHOTE LAL

District : DINDORI

Block : SHAHPURA

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/TRI51352042

Name : RAMPYARI MARKO

Hus./Father’s Name : MAHU SINGH MARKO

District : DINDORI

Block : SHAHPURA

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 15/TRI51352042

Name : RAMPYARI MARKO

Hus./Father’s Name : MAHU SINGH MARKO

District : DINDORI

Block : SHAHPURA

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/TRI51352043

Name : RAVI KUMAR BANWASI

Hus./Father’s Name : GULLOO LAL BANWASI

District : DINDORI

Block : SHAHPURA

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 15/TRI51352043

Name : RAVI KUMAR BANWASI

Hus./Father’s Name : GULLOO LAL BANWASI

District : DINDORI

Block : SHAHPURA

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/TRI51352044

Name : REKHA JHARIYA

Hus./Father’s Name : KELASH CHAND JHARIYA

District : DINDORI

Block : SHAHPURA

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 15/TRI51352044

Name : REKHA JHARIYA

Hus./Father’s Name : KELASH CHAND JHARIYA

District : DINDORI

Block : SHAHPURA

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/TRI51352045

Name : ROSHNI MARKO

Hus./Father’s Name : KUSHKEE LAL MARKO

District : DINDORI

Block : SHAHPURA

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 15/TRI51352045

Name : ROSHNI MARKO

Hus./Father’s Name : KUSHKEE LAL MARKO

District : DINDORI

Block : SHAHPURA

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/TRI51352046

Name : RUKMANI RAIDAS

Hus./Father’s Name : GORE LAL RAIDAS

District : DINDORI

Block : SHAHPURA

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 15/TRI51352046

Name : RUKMANI RAIDAS

Hus./Father’s Name : GORE LAL RAIDAS

District : DINDORI

Block : SHAHPURA

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/TRI51352047

Name : SADAN KUMAR

Hus./Father’s Name : HARI LAL DHURVE

District : DINDORI

Block : SHAHPURA

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 15/TRI51352047

Name : SADAN KUMAR

Hus./Father’s Name : HARI LAL DHURVE

District : DINDORI

Block : SHAHPURA

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/TRI51352049

Name : SAVITA WARKADE

Hus./Father’s Name : KOMAL SINGH WARKADE

District : DINDORI

Block : SHAHPURA

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 15/TRI51352049

Name : SAVITA WARKADE

Hus./Father’s Name : KOMAL SINGH WARKADE

District : DINDORI

Block : SHAHPURA

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/TRI51352050

Name : SHASHIKALA KARAVEE

Hus./Father’s Name : GOPAL SINGH MARAVEE

District : DINDORI

Block : SHAHPURA

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 15/TRI51352050

Name : SHASHIKALA KARAVEE

Hus./Father’s Name : GOPAL SINGH MARAVEE

District : DINDORI

Block : SHAHPURA

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/TRI51352051

Name : URMILA MARAVI

Hus./Father’s Name : TRILOK SINGH MARAVI

District : DINDORI

Block : SHAHPURA

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 15/TRI51352051


Hus./Father’s Name : TRILOK SINGH MARAVI

District : DINDORI

Block : SHAHPURA

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/TRI51352052


Hus./Father’s Name : BUDDHASEN MARAVI

District : DINDORI

Block : SHAHPURA

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 15/TRI51352052


Hus./Father’s Name : BUDDHASEN MARAVI

District : DINDORI

Block : SHAHPURA

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/TRI51352053

Name : URMILA MARKO

Hus./Father’s Name : LAMU SINGH MARKO

District : DINDORI

Block : SHAHPURA

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 15/TRI51352053

Name : URMILA MARKO

Hus./Father’s Name : LAMU SINGH MARKO

District : DINDORI

Block : SHAHPURA

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

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