centre for community leadership development studies

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-TRI153356051

Name : ABHITABH SINGH

Hus./Father’s Name : SHIV RANJAN SINGH

District : REWA

Block : SIRMOUR

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

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

i)fr;k¡

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dkS'ky f'k{kk

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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/N-TRI153356051

Name : ABHITABH SINGH

Hus./Father’s Name : SHIV RANJAN SINGH

District : REWA

Block : SIRMOUR

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-TRI153356052

Name : AJAY KUMAR KUSHWAHA

Hus./Father’s Name : RAMBAHOR KUSHWAHA

District : REWA

Block : SIRMOUR

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 15/N-TRI153356052

Name : AJAY KUMAR KUSHWAHA

Hus./Father’s Name : RAMBAHOR KUSHWAHA

District : REWA

Block : SIRMOUR

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-TRI153356054

Name : ARTI LONIA

Hus./Father’s Name : RAM SUJAN LONIYA

District : REWA

Block : SIRMOUR

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 15/N-TRI153356054

Name : ARTI LONIA

Hus./Father’s Name : RAM SUJAN LONIYA

District : REWA

Block : SIRMOUR

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-TRI153356056

Name : BRIJENDRA KUMAR SAHU

Hus./Father’s Name : RAM KHELAWAN SAHU

District : REWA

Block : SIRMOUR

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 15/N-TRI153356056

Name : BRIJENDRA KUMAR SAHU

Hus./Father’s Name : RAM KHELAWAN SAHU

District : REWA

Block : SIRMOUR

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-TRI153356057

Name : DEEPAK KUMAR SHUKLA

Hus./Father’s Name : AYODHA PRASAD SHUKLA

District : REWA

Block : SIRMOUR

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 15/N-TRI153356057

Name : DEEPAK KUMAR SHUKLA

Hus./Father’s Name : AYODHA PRASAD SHUKLA

District : REWA

Block : SIRMOUR

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-TRI153356058

Name : DHIRENDRA KUMAR TIWARI

Hus./Father’s Name : DEVENDRA KUMAR TIWARI

District : REWA

Block : SIRMOUR

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 15/N-TRI153356058

Name : DHIRENDRA KUMAR TIWARI

Hus./Father’s Name : DEVENDRA KUMAR TIWARI

District : REWA

Block : SIRMOUR

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-TRI153356059

Name : DINESH PRASAD SAHU

Hus./Father’s Name : JAY KARAN PRASAD SAHU

District : REWA

Block : SIRMOUR

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 15/N-TRI153356059

Name : DINESH PRASAD SAHU

Hus./Father’s Name : JAY KARAN PRASAD SAHU

District : REWA

Block : SIRMOUR

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-TRI153356060

Name : DURGA SHARMA

Hus./Father’s Name : VIJAY SHANKAR SHARMA

District : REWA

Block : SIRMOUR

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 15/N-TRI153356060

Name : DURGA SHARMA

Hus./Father’s Name : VIJAY SHANKAR SHARMA

District : REWA

Block : SIRMOUR

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-TRI153356061

Name : EKTA DWIVEDI

Hus./Father’s Name : HIRAMANI DWIVEDI

District : REWA

Block : SIRMOUR

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 15/N-TRI153356061

Name : EKTA DWIVEDI

Hus./Father’s Name : HIRAMANI DWIVEDI

District : REWA

Block : SIRMOUR

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-TRI153356062

Name : EKTA TIWARI

Hus./Father’s Name : SANTOSH KUMAR TIWARI

District : REWA

Block : SIRMOUR

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 15/N-TRI153356062

Name : EKTA TIWARI

Hus./Father’s Name : SANTOSH KUMAR TIWARI

District : REWA

Block : SIRMOUR

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-TRI153356063

Name : GYAN JYOTI PADEY

Hus./Father’s Name : MADHUSUDAN PRASAD PANDEY

District : REWA

Block : SIRMOUR

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 15/N-TRI153356063

Name : GYAN JYOTI PADEY

Hus./Father’s Name : MADHUSUDAN PRASAD PANDEY

District : REWA

Block : SIRMOUR

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-TRI153356065

Name : GYATRI MISHRA

Hus./Father’s Name : AKHILESH KUMAR MISHRA

District : REWA

Block : SIRMOUR

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 15/N-TRI153356065

Name : GYATRI MISHRA


District : REWA

Block : SIRMOUR

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-TRI153356066

Name : HARSH NARAYAN KUSHWAHA

Hus./Father’s Name : RAMKISHORE KUSHWAHA

District : REWA

Block : SIRMOUR

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 15/N-TRI153356066

Name : HARSH NARAYAN KUSHWAHA

Hus./Father’s Name : RAMKISHORE KUSHWAHA

District : REWA

Block : SIRMOUR

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-TRI153356068

Name : JYOTI MISHRA


District : REWA

Block : SIRMOUR

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 15/N-TRI153356068

Name : JYOTI MISHRA


District : REWA

Block : SIRMOUR

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-TRI153356071

Name : KRISHN KANT KUSHWAHA

Hus./Father’s Name : KAMTA PRASAD KUSHWAHA

District : REWA

Block : SIRMOUR

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 15/N-TRI153356071

Name : KRISHN KANT KUSHWAHA

Hus./Father’s Name : KAMTA PRASAD KUSHWAHA

District : REWA

Block : SIRMOUR

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-TRI153356073

Name : MUKESH KUMAR PRAJAPATI

Hus./Father’s Name : RAMSAJIVAN PRAJAPATI

District : REWA

Block : SIRMOUR

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 15/N-TRI153356073

Name : MUKESH KUMAR PRAJAPATI

Hus./Father’s Name : RAMSAJIVAN PRAJAPATI

District : REWA

Block : SIRMOUR

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-TRI153356074

Name : NIVEDITA PANDEY

Hus./Father’s Name : MAHENDRA

District : REWA

Block : SIRMOUR

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 15/N-TRI153356074

Name : NIVEDITA PANDEY

Hus./Father’s Name : MAHENDRA

District : REWA

Block : SIRMOUR

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-TRI153356075

Name : OM PRAKASH SAKET

Hus./Father’s Name : SITARAM SAKET

District : REWA

Block : SIRMOUR

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 15/N-TRI153356075

Name : OM PRAKASH SAKET

Hus./Father’s Name : SITARAM SAKET

District : REWA

Block : SIRMOUR

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-TRI153356076

Name : OMPRAKASH DWIVEDI

Hus./Father’s Name : RAMLAKHAN DWIVEDI

District : REWA

Block : SIRMOUR

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 15/N-TRI153356076

Name : OMPRAKASH DWIVEDI

Hus./Father’s Name : RAMLAKHAN DWIVEDI

District : REWA

Block : SIRMOUR

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-TRI153356077

Name : PAVANDHAR DWIVEDI

Hus./Father’s Name : HEERAMANI DWIVEDI

District : REWA

Block : SIRMOUR

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 15/N-TRI153356077

Name : PAVANDHAR DWIVEDI

Hus./Father’s Name : HEERAMANI DWIVEDI

District : REWA

Block : SIRMOUR

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-TRI153356078

Name : PREETI SHUKLA

Hus./Father’s Name : BANSHPATI SHUKLA

District : REWA

Block : SIRMOUR

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 15/N-TRI153356078

Name : PREETI SHUKLA

Hus./Father’s Name : BANSHPATI SHUKLA

District : REWA

Block : SIRMOUR

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-TRI153356081

Name : PRIYANKA PANDEY

Hus./Father’s Name : DILIP KUMAR PANDEY

District : REWA

Block : SIRMOUR

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 15/N-TRI153356081

Name : PRIYANKA PANDEY

Hus./Father’s Name : DILIP KUMAR PANDEY

District : REWA

Block : SIRMOUR

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-TRI153356082

Name : PURNIMA PANDEY

Hus./Father’s Name : RAMASHRYA PANDEY

District : REWA

Block : SIRMOUR

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 15/N-TRI153356082

Name : PURNIMA PANDEY

Hus./Father’s Name : RAMASHRYA PANDEY

District : REWA

Block : SIRMOUR

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-TRI153356083

Name : PUSHPENDRA KUMAR KUSHWAHA

Hus./Father’s Name : KAMAL KISHOR KUSHWAHA

District : REWA

Block : SIRMOUR

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 15/N-TRI153356083

Name : PUSHPENDRA KUMAR KUSHWAHA

Hus./Father’s Name : KAMAL KISHOR KUSHWAHA

District : REWA

Block : SIRMOUR

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-TRI153356084

Name : RAJ KUMAR PANDEY

Hus./Father’s Name : PARAGI LAL PANDEY

District : REWA

Block : SIRMOUR

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 15/N-TRI153356084

Name : RAJ KUMAR PANDEY

Hus./Father’s Name : PARAGI LAL PANDEY

District : REWA

Block : SIRMOUR

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-TRI153356085

Name : RAJENDRA KUMAR DWIVEDI

Hus./Father’s Name : GADADHAR PRASAD DWIVEDI

District : REWA

Block : SIRMOUR

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 15/N-TRI153356085

Name : RAJENDRA KUMAR DWIVEDI

Hus./Father’s Name : GADADHAR PRASAD DWIVEDI

District : REWA

Block : SIRMOUR

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-TRI153356087

Name : RAMA KANT TIWARI

Hus./Father’s Name : BANSHPATI PRASAD TIWARI

District : REWA

Block : SIRMOUR

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 15/N-TRI153356087

Name : RAMA KANT TIWARI

Hus./Father’s Name : BANSHPATI PRASAD TIWARI

District : REWA

Block : SIRMOUR

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-TRI153356089

Name : SANCHIT KUMAR MISHRA

Hus./Father’s Name : RAMLAKHAN MISHRA

District : REWA

Block : SIRMOUR

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 15/N-TRI153356089

Name : SANCHIT KUMAR MISHRA

Hus./Father’s Name : RAMLAKHAN MISHRA

District : REWA

Block : SIRMOUR

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-TRI153356090

Name : SANTOSH KUMARI SHARMA

Hus./Father’s Name : JAGANNATH SHARMA

District : REWA

Block : SIRMOUR

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 15/N-TRI153356090

Name : SANTOSH KUMARI SHARMA


District : REWA

Block : SIRMOUR

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-TRI153356091

Name : SAURABH SHUKLA

Hus./Father’s Name : AVINISH KUMAR SHUKLA

District : REWA

Block : SIRMOUR

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 15/N-TRI153356091

Name : SAURABH SHUKLA

Hus./Father’s Name : AVINISH KUMAR SHUKLA

District : REWA

Block : SIRMOUR

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-TRI153356092

Name : SHARMA SANTOSH KUMAR JAGANNATH


District : REWA

Block : SIRMOUR

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 15/N-TRI153356092

Name : SHARMA SANTOSH KUMAR JAGANNATH


District : REWA

Block : SIRMOUR

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-TRI153356093

Name : SHIVAM KUMAR DWIVEDI

Hus./Father’s Name : SIDDHAMUNI PRASAD DWIVEDI

District : REWA

Block : SIRMOUR

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 15/N-TRI153356093

Name : SHIVAM KUMAR DWIVEDI

Hus./Father’s Name : SIDDHAMUNI PRASAD DWIVEDI

District : REWA

Block : SIRMOUR

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-TRI153356094

Name : SHIVARCHNA DWIVEDI

Hus./Father’s Name : RAM PRIYA DWIVEDI

District : REWA

Block : SIRMOUR

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 15/N-TRI153356094

Name : SHIVARCHNA DWIVEDI

Hus./Father’s Name : RAM PRIYA DWIVEDI

District : REWA

Block : SIRMOUR

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-TRI153356095

Name : SRISHTI SHARMA

Hus./Father’s Name : RAJESH PRASAD SHARMA

District : REWA

Block : SIRMOUR

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 15/N-TRI153356095

Name : SRISHTI SHARMA

Hus./Father’s Name : RAJESH PRASAD SHARMA

District : REWA

Block : SIRMOUR

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-TRI153356097

Name : SUSHIL KUMAR KUSHWAHA

Hus./Father’s Name : RAM PRASAD KUSHWAHA

District : REWA

Block : SIRMOUR

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 15/N-TRI153356097

Name : SUSHIL KUMAR KUSHWAHA

Hus./Father’s Name : RAM PRASAD KUSHWAHA

District : REWA

Block : SIRMOUR

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-TRI153356098

Name : SWAPNIL SHUKLA

Hus./Father’s Name : ANIRUDDH PRASAD SHUKLA

District : REWA

Block : SIRMOUR

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 15/N-TRI153356098

Name : SWAPNIL SHUKLA

Hus./Father’s Name : ANIRUDDH PRASAD SHUKLA

District : REWA

Block : SIRMOUR

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-TRI153356099

Name : VIJAY KUMAR SAHU

Hus./Father’s Name : CHOTELAL SAHU

District : REWA

Block : SIRMOUR

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 15/N-TRI153356099

Name : VIJAY KUMAR SAHU

Hus./Father’s Name : CHOTELAL SAHU

District : REWA

Block : SIRMOUR

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-TRI153356100

Name : VIKASH KUMAR SONI

Hus./Father’s Name : SHATRUGHAN PRASAD SONI

District : REWA

Block : SIRMOUR

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 15/N-TRI153356100

Name : VIKASH KUMAR SONI

Hus./Father’s Name : SHATRUGHAN PRASAD SONI

District : REWA

Block : SIRMOUR

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-TRI150355912

Name : INDRAMANI SHUKLA

Hus./Father’s Name : KISHORI SHARAN SHUKLA

District : REWA

Block : SIRMOUR

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 15/N-TRI150355912

Name : INDRAMANI SHUKLA

Hus./Father’s Name : KISHORI SHARAN SHUKLA

District : REWA

Block : SIRMOUR

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

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