GOVERNMENT OF BIHAR

DEPARTMENT OF SCIENCE & TECHNOLOGY

STATE BOARD OF TECHNICAL EDUCATION, BIHAR

EXAMINATION FORM - SEM V

Registration Number : 1422016010
Name of Institution : Govt. Polytechnic, Kaimur Institute Code : 142
Name of Branch : Electrical Engineering Branch Code : 20
Roll Number : 511422016010 Aadhaar No. : 572192448506
Student Name : APOORV Date of Birth : 08-Nov-2001
Father Name : KAMLESH PANDEY Contact No. : 8873301881
Email : gpkee010@gmail.com Submission Date : 18-Nov-2018
.
Subject Type Subject Code Subject Title
Theory 1620501 Switchgear and Protection
Theory 1620502 A.C. Machines
Theory 1620503 Utilization of Electrical Energy
Theory 1620504 Electric Traction-I
Theory 1620505 Industrial Automation
Practical 1620506 Switchgear and Protection Lab
Practical 1620507 A.C. Machines Lab
Practical 1620508 Electric Traction Lab-I
Practical 1620509 Industrial Automation Lab
Sessional 1620510 Industrial Project & Entrepreneurship Development (TW)
Sessional 1620511 Professional Practices-V (TW)

Declaration
I hereby declare that the above information is true to the best of my knowledge and I am filling the examiantion form for backlog(Carry) papers
of Semester I and II (if any), other wise my chance shall be lapsed as per Exam Rule 3 and 6.

Signature of Candidate
Verification

1. This is to certify that the above information filled by the student has been verified and found correct. The requisite examination fee has
been deposited by the student.
2. This is to certify that this candidate APOORV has maintained a good conduct, attended 75% of Lectures, Sessional and Practical classes of
each subject, satisfactory and completed all Sessional, Terminal and Practical work and marks has been upload/ sent to the board; has
satisfied the condition laid down by the Regulation of Board for appearing at the Board Examination as Regular/Ex-student.

Date :
Principal Signature & Seal

1. This examination form is valid for Sem V only. You have to fill sepreate examination form for other semester.
2. Please submit, Your Exam form till 21-Nov-2018 to Principal of concerned institute, other wise your Exam form will be
NOTE
cancelled.
3. Please submit, Exam Fee Rs 750 for SC, ST, Physically Handicapped, Female (all category) and Rs 1000 for others.