Last Date : 14th February, 2015 Yashwantrao Chavan Maharashtra Open University Dnyangangotri, Near Gangapur Dam, Nashik - 422222 Diploma in Pharma Manufacturing and Packaging - P49 Repeater Examination May 2015 1. Permanent Registration Number : 2. Student’s Full Name : (Last Name) 3. Address (First Name) (Middle Name) : Pin : . Contact No. : Email : 3. Name of the Study Center : 4. I wish to appear for the Examination in May 2015 of following selected courses marked as (3). Sr.No. 1. 2. 3. 4. 5. Course Name Course Code English Introduction to Pharma Operation Computer Applications Pharmaceutical Manufacturing & Packaging Pharmaceutical Quality Control / Quality Assurance / Regulatory Affairs 5. Examination Fee 6. Marksheet and Postage Date : Code : / : Theory Practical HSC 281 HSC 282 HSC 283 HSC 284 HSC 285 Rs. 350/- per Theory and Rs. 450/- per Practical Paper : Rs. 100/- /2015 Signature of the applicant Signature and Stamp Center in Charge / Centre Co-ordinator Examination Form Receipt for Dip. in Pharma Manufacturing & Packaging - P49 Received form of ________________________________________ PRN __________________ Challan No. _____________________ Date : Badhan/T15_025 / /2015. Signature