Promotion Form Nims University Page 3

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N I M S U N I V E R S I T Y
Full empowered & incorporated as a regular & full-fledged University vide NIMS UNIVERSITY ACT, 2008
duly recognized by Government of India under the provisions of Section 2f & Section 22 of UGC Act, 1956.
DIRECTORATE OF DISTANCE EDUCATION
DEGLSC Code: …………………….
Place: ………………….
Date: …………………..
Signature & Seal of
Co-Ordinator –
DEGLRC
Annual Examination Form
(To be filled by the Candidate, with the admission form)
DIRECTORATE OF DISTANCE EDUCATION
ROLL NO
NIMS UNIVERSITY, JAIPUR
(Recognized by Joint Committee of UGC-AICTE-DEC, Govt. of India)
(All entries except Roll Number to be filled in by the candidate)
Paste Recent
Photograph
Name of Candidate: ………………………………………………………………...……...…...
(Do not
staple or Pin)
Name of Father / Guardian: ………………………………………………………...……...…...
Full Postal Address: ………………………………………………………………...……...…...
……………………………………………………………………………………....……..…....…
……………………………………………………………………………………....……...…...…
……………………………………………………………………………………....……...…...…
Signature Attested
Sign. Of the candidate in full
Coordinator of the Exam. Centre
Signature of
Candidate in full
(To be taken in the Exam. Hall)
Continuation Sheet
Page 3 of 4

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