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MAULANA ABUL KALAM AZAD UNIVERSITY OF TECHNOLOGY, WEST BENGAL

(FORMERLY KNOWN AS WEST BENGAL UNIVERSITY OF TECHNOLOGY)
BF-142, SALTLAKE, SECTOR-I, KOLKATA-700 064, INDIA
Examination Form 2017-18 for BACKLOG Students

Last Date Of submission of form to the respective institutes by the students : 19th April, 2018

Application Form for : Semester - II Examination 2018

For The Degree of : Bachelor of Technology in Civil Engineering

NAME : BIJOY KRISHNA DEBNATH

REG. NO. : 161300110519 OF 2016-2017

ROLL. NO. : 13001316123

INSTITUTE NAME(CODE) : TECHNO INDIA

PAPER CODE PAPER NAME PAPER TYPE

M201 MATHEMATICS-II Theory Paper
ME201 ENGINEERING THERMODYNAMICS & FLUID MECHANICS Theory Paper
ES201 BASIC ELECTRICAL & ELECTRONIC ENGINEERING - II Theory Paper
I Declare that I have fulfilled the criteria for attempting the above Examinations as a Backlog 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. 1000/- (Not refundable)
2. Students are required to submit the form to their Institution only.
3. If any of the statements mentioned above is incorrect, the Examination of the Candidate is liable to be canceled by the University.

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