Personal Details

Student's Enrollment No.: BF6955

Student's Roll No.: 005503718018
Student's Name: SATYA PRAKASH PATLE
Social Category: UR
Gender: Male
Mobile Number: 9993817687
Email Id: bunnypatel456@gmail.com
Academic Details

College Name: UDAY PRASAD UDAY Govt. College code: 055

Polytechnic Durg
Program Name: PT Diploma Year/Semester SEMESTER 1
Course Name: PT Dip. (Mechanical Engg.) Course Code: 0037
Exam Type: Regular
Subject Details

S No. Subject Name Subject Code

1 Applied Chemistry 000113(11)
2 Applied Maths-I 000112(14)
3 Communication Skill-I 000111(46)
4 Workshop Practice (Practical) 000122(37)
5 Applied Chemistry (Lab) 000121(11)
6
7
8
9
10
11
12
Fee Details

Total Fee(in Rupees): 750/-

Payment Transaction Number: PHMP7022282163
Payment Date: 21/Dec/2018
Declaration By Student
I hereby declare that:
1.) I certify that this application has been filled by me and the information given therein is correct.
2.) I also certify that I am enrolled only in above program/course of Chhattisgarh swami Vivekanand Technical University, Bhilai(C.G.).
3.) I further declare that I am neither enrolled as a regular student in any other educational institute nor appearing in any other
examination as a regular candidate.
4.) I understand that if it is found that the information furnished above is false then my result of examination will be cancelled.
5.) I assure you that I complete the required attendance and sessional work prescribed for the course of my registration as regular student.
If I am detained due to not fulfilling this condition it will be my responsibility and in that case exam fee will neither be refunded nor
adjusted against any other examination.
6.) I accept to abide by all the rules and regulation of study and examination as prescribed by Chhattisgarh Swami Vivekanand
Technical University, Bhilai (C.G.).

Signature of Applicant
Declaration By Principal
Certified that:
1.) The entries in the application form have been examined and verified properly and found correct.
2.) The candidate is eligible to appear in the examination as per rules of Chhattisgarh Swami Vivekanand Technical University, Bhilai(C.G.).
3.) The aforesaid candidate is not debarred from appearing at the above examination.

Signature of Principal