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Examination Form 2018-19 for REGULAR Students

Last Date Of submission of form to the respective institutes by the students : 27th April, 2019
Application Form
: Second Semester Examination 2018-2019
for
For The Degree of : Bachelor of Technology in Mechanical Engineering
Name : Balram Rajak
REG. NO. : 181550110089 OF 2018-2019
Roll. NO. : 15500718111
Institute : DURGAPUR INSTITUTE OF ADVANCED TECHNOLOGY &
Name(Code) MANAGEMENT-155

PAPER CODE PAPER NAME PAPER TYPE

BSCH201 Chemistry-I (Gr-A) Theory Paper
BSM202 Mathematics - IIB Theory Paper
ESCS201 Programming for Problem Solving Theory Paper
HMHU201 English Theory Paper
BSCH291 Chemistry-I Laboratory (Gr-A) Practical Paper
ESCS291 Programming for Problem Solving Practical Paper
ESME291 Engineering Graphics & Design(Gr-A) Practical Paper
HMHU291 Language Laboratory Practical Paper
I Declare that I have fulfilled the criteria for attempting the above Examinations as a Regular
Candidate

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Full Signature of the applicant with Date.
I certify that
1. The Statements made by the applicant are correct.
2. He/She was admitted to the Institute as per University regulations.
3. He/She has deligently and regularly pursued his/her studies and
4. He/She has attended.....................%(in word ........................................) of lectures.

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Signature of the Principal / Director of the Institute/ College with date and seal.
N.B.
1. Examination Fees Rs. 1200/- (Not refundable)
2. Students are required to submit the form to their Institution only.
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3. If any of the Statements mentioned above is incorrect, the Examination of the Candidate is liable to be
cancelled by the University.

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