mahatma gandhi chitrakoot gramodaya … betul.pdf, e-mail - [email protected] affix photograph...

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/22350807

Name : ANGURI SALAM

Hus./Father’s Name : BHAIYALAL SALAM

District : BETUL

Block : 22 BETUL

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. : 16/TRI/22350807

Name : ANGURI SALAM

Hus./Father’s Name : BHAIYALAL SALAM

District : BETUL

Block : 22 BETUL

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/22350808

Name : ANIL WARKADE

Hus./Father’s Name : BISSA WARKADE

District : BETUL

Block : 22 BETUL

Study Centre /



with Date & Seal











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dkS'ky f'k{kk





Affix photograph








Roll No. : 16/TRI/22350808

Name : ANIL WARKADE

Hus./Father’s Name : BISSA WARKADE

District : BETUL

Block : 22 BETUL

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/22350809

Name : ARCHANA

Hus./Father’s Name : SHESHRAO

District : BETUL

Block : 22 BETUL

Study Centre /



with Date & Seal











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dkS'ky f'k{kk





Affix photograph








Roll No. : 16/TRI/22350809

Name : ARCHANA

Hus./Father’s Name : SHESHRAO

District : BETUL

Block : 22 BETUL

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/22350810

Name : ARUNA KAVDE

Hus./Father’s Name : RUPSA KAVDE

District : BETUL

Block : 22 BETUL

Study Centre /



with Date & Seal











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dkS'ky f'k{kk





Affix photograph








Roll No. : 16/TRI/22350810

Name : ARUNA KAVDE

Hus./Father’s Name : RUPSA KAVDE

District : BETUL

Block : 22 BETUL

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/22350811

Name : BHAGWANTI UIKEY

Hus./Father’s Name : RAMESH UIKEY

District : BETUL

Block : 22 BETUL

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 16/TRI/22350811

Name : BHAGWANTI UIKEY

Hus./Father’s Name : RAMESH UIKEY

District : BETUL

Block : 22 BETUL

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/22350812

Name : DHANNULAL UIKEY

Hus./Father’s Name : CHUNNILAL UIKEY

District : BETUL

Block : 22 BETUL

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 16/TRI/22350812

Name : DHANNULAL UIKEY


District : BETUL

Block : 22 BETUL

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/22350813

Name : DILIP KUMAR AHAKE

Hus./Father’s Name : AMAR AHAKE

District : BETUL

Block : 22 BETUL

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 16/TRI/22350813

Name : DILIP KUMAR AHAKE

Hus./Father’s Name : AMAR AHAKE

District : BETUL

Block : 22 BETUL

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/22350814

Name : FULESINGH DHURVE

Hus./Father’s Name : RAM KISHOR DHURVE

District : BETUL

Block : 22 BETUL

Study Centre /



with Date & Seal











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dkS'ky f'k{kk





Affix photograph








Roll No. : 16/TRI/22350814

Name : FULESINGH DHURVE

Hus./Father’s Name : RAM KISHOR DHURVE

District : BETUL

Block : 22 BETUL

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/22350815

Name : GANESHI

Hus./Father’s Name : SURAKA

District : BETUL

Block : 22 BETUL

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 16/TRI/22350815

Name : GANESHI

Hus./Father’s Name : SURAKA

District : BETUL

Block : 22 BETUL

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/22350816

Name : HEMRAJ UIKEY

Hus./Father’s Name : NANDU UIKEY

District : BETUL

Block : 22 BETUL

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 16/TRI/22350816

Name : HEMRAJ UIKEY

Hus./Father’s Name : NANDU UIKEY

District : BETUL

Block : 22 BETUL

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/22350817

Name : JITESH

Hus./Father’s Name : MUNNA LAL

District : BETUL

Block : 22 BETUL

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 16/TRI/22350817

Name : JITESH

Hus./Father’s Name : MUNNA LAL

District : BETUL

Block : 22 BETUL

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/22350818

Name : KSHITIJ SHUKLA

Hus./Father’s Name : MANOJ SHUKLA

District : BETUL

Block : 22 BETUL

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 16/TRI/22350818

Name : KSHITIJ SHUKLA

Hus./Father’s Name : MANOJ SHUKLA

District : BETUL

Block : 22 BETUL

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/22350819

Name : LAXMI SAHU

Hus./Father’s Name : KRISHNA SAHU

District : BETUL

Block : 22 BETUL

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 16/TRI/22350819

Name : LAXMI SAHU

Hus./Father’s Name : KRISHNA SAHU

District : BETUL

Block : 22 BETUL

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/22350820

Name : MAMTA DHURVE

Hus./Father’s Name : BIRJU DHURVE

District : BETUL

Block : 22 BETUL

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 16/TRI/22350820

Name : MAMTA DHURVE

Hus./Father’s Name : BIRJU DHURVE

District : BETUL

Block : 22 BETUL

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/22350821

Name : MANISH KUMAR DHURVE

Hus./Father’s Name : CHHANNU LAL DHURVE

District : BETUL

Block : 22 BETUL

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 16/TRI/22350821

Name : MANISH KUMAR DHURVE

Hus./Father’s Name : CHHANNU LAL DHURVE

District : BETUL

Block : 22 BETUL

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/22350822

Name : MEENA DHURVE

Hus./Father’s Name : PYARE DHURVE

District : BETUL

Block : 22 BETUL

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 16/TRI/22350822

Name : MEENA DHURVE


District : BETUL

Block : 22 BETUL

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/22350823

Name : NIKHIL

Hus./Father’s Name : SEVARAM

District : BETUL

Block : 22 BETUL

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 16/TRI/22350823

Name : NIKHIL

Hus./Father’s Name : SEVARAM

District : BETUL

Block : 22 BETUL

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/22350824

Name : NIKLESH

Hus./Father’s Name : GYANI DHURVE

District : BETUL

Block : 22 BETUL

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 16/TRI/22350824

Name : NIKLESH

Hus./Father’s Name : GYANI DHURVE

District : BETUL

Block : 22 BETUL

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/22350825

Name : NIRMLA SURYAVANSHI

Hus./Father’s Name : SANTOSH SURYAVANSHI

District : BETUL

Block : 22 BETUL

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 16/TRI/22350825

Name : NIRMLA SURYAVANSHI

Hus./Father’s Name : SANTOSH SURYAVANSHI

District : BETUL

Block : 22 BETUL

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/22350826

Name : NITESH DARAWAI

Hus./Father’s Name : RAMESH DARAWAI

District : BETUL

Block : 22 BETUL

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 16/TRI/22350826

Name : NITESH DARAWAI

Hus./Father’s Name : RAMESH DARAWAI

District : BETUL

Block : 22 BETUL

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/22350827

Name : RADHIKA DHURVE

Hus./Father’s Name : MUNNA DHURVE

District : BETUL

Block : 22 BETUL

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 16/TRI/22350827

Name : RADHIKA DHURVE

Hus./Father’s Name : MUNNA DHURVE

District : BETUL

Block : 22 BETUL

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/22350828

Name : RAMSHING UIKEY

Hus./Father’s Name : JHOHARSINGH UIKEY

District : BETUL

Block : 22 BETUL

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 16/TRI/22350828

Name : RAMSHING UIKEY

Hus./Father’s Name : JHOHARSINGH UIKEY

District : BETUL

Block : 22 BETUL

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/22350829

Name : RAVISHANKAR SALAME

Hus./Father’s Name : SALIKRAM SALAME

District : BETUL

Block : 22 BETUL

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 16/TRI/22350829

Name : RAVISHANKAR SALAME

Hus./Father’s Name : SALIKRAM SALAME

District : BETUL

Block : 22 BETUL

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/22350830

Name : REETA UIKEY

Hus./Father’s Name : BAJILAL UIKEY

District : BETUL

Block : 22 BETUL

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 16/TRI/22350830

Name : REETA UIKEY

Hus./Father’s Name : BAJILAL UIKEY

District : BETUL

Block : 22 BETUL

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/22350831

Name : REKHA UIKEY


District : BETUL

Block : 22 BETUL

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 16/TRI/22350831

Name : REKHA UIKEY


District : BETUL

Block : 22 BETUL

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/22350832

Name : RENUKA DHURVEY

Hus./Father’s Name : SHANKAR LAL DHURVEY

District : BETUL

Block : 22 BETUL

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 16/TRI/22350832

Name : RENUKA DHURVEY

Hus./Father’s Name : SHANKAR LAL DHURVEY

District : BETUL

Block : 22 BETUL

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/22350833

Name : ROBIN MAKLIN

Hus./Father’s Name : RAVIKANT

District : BETUL

Block : 22 BETUL

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 16/TRI/22350833

Name : ROBIN MAKLIN

Hus./Father’s Name : RAVIKANT

District : BETUL

Block : 22 BETUL

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/22350834

Name : SAIVANTI DHURVE

Hus./Father’s Name : MOHAN SINGH DHURVE

District : BETUL

Block : 22 BETUL

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 16/TRI/22350834

Name : SAIVANTI DHURVE

Hus./Father’s Name : MOHAN SINGH DHURVE

District : BETUL

Block : 22 BETUL

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/22350835

Name : SANTOSH KUMAR DHURVE


District : BETUL

Block : 22 BETUL

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 16/TRI/22350835

Name : SANTOSH KUMAR DHURVE


District : BETUL

Block : 22 BETUL

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/22350836

Name : SANTRI AAHKE

Hus./Father’s Name : FAGNU

District : BETUL

Block : 22 BETUL

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 16/TRI/22350836

Name : SANTRI AAHKE

Hus./Father’s Name : FAGNU

District : BETUL

Block : 22 BETUL

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/22350837

Name : SHIKHA DIXIT

Hus./Father’s Name : SUSHIL

District : BETUL

Block : 22 BETUL

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 16/TRI/22350837

Name : SHIKHA DIXIT

Hus./Father’s Name : SUSHIL

District : BETUL

Block : 22 BETUL

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/22350838

Name : SHIV KUMAR MARSKOLE

Hus./Father’s Name : SHIV DIN

District : BETUL

Block : 22 BETUL

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 16/TRI/22350838

Name : SHIV KUMAR MARSKOLE

Hus./Father’s Name : SHIV DIN

District : BETUL

Block : 22 BETUL

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/22350839

Name : SHOBHA CHAVDE

Hus./Father’s Name : NANDU

District : BETUL

Block : 22 BETUL

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 16/TRI/22350839

Name : SHOBHA CHAVDE

Hus./Father’s Name : NANDU

District : BETUL

Block : 22 BETUL

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/22350840

Name : SUKHMANI DHURVE

Hus./Father’s Name : SUGAN DHURVE

District : BETUL

Block : 22 BETUL

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 16/TRI/22350840

Name : SUKHMANI DHURVE

Hus./Father’s Name : SUGAN DHURVE

District : BETUL

Block : 22 BETUL

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/22350841

Name : SULANTA AAHAKE

Hus./Father’s Name : JAGANU AAHAKE

District : BETUL

Block : 22 BETUL

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 16/TRI/22350841

Name : SULANTA AAHAKE

Hus./Father’s Name : JAGANU AAHAKE

District : BETUL

Block : 22 BETUL

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/22350842

Name : SURENDRA DHURVE

Hus./Father’s Name : SHYAMU DHURVE

District : BETUL

Block : 22 BETUL

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 16/TRI/22350842

Name : SURENDRA DHURVE

Hus./Father’s Name : SHYAMU DHURVE

District : BETUL

Block : 22 BETUL

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/22350843

Name : SUSHEELA UIKEY

Hus./Father’s Name : SUKKAN UIKEY

District : BETUL

Block : 22 BETUL

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 16/TRI/22350843

Name : SUSHEELA UIKEY

Hus./Father’s Name : SUKKAN UIKEY

District : BETUL

Block : 22 BETUL

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/22350844

Name : TARA SARIYAM

Hus./Father’s Name : FUSIYA SARIYAM

District : BETUL

Block : 22 BETUL

Study Centre /



with Date & Seal

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










i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 16/TRI/22350844

Name : TARA SARIYAM

Hus./Father’s Name : FUSIYA SARIYAM

District : BETUL

Block : 22 BETUL

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/22350845

Name : VANDNA LIKHITKAR

Hus./Father’s Name : CHANDRBHAN LIKHITKAR

District : BETUL

Block : 22 BETUL

Study Centre /



with Date & Seal











i)fr;k¡




dkS'ky f'k{kk





Affix photograph








Roll No. : 16/TRI/22350845

Name : VANDNA LIKHITKAR

Hus./Father’s Name : CHANDRBHAN LIKHITKAR

District : BETUL

Block : 22 BETUL

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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