You are on page 1of 1

Student Exam Application Report

College : NIT-NARULA INSTITUTE OF TECHNOLOGY


Programme /Course Name : B.Tech - Electrical Engineering
Exam Name : B.TECH FIFTH SEMESTER EXAMINATION NOVEMBER - 2018
Branch Name : Electrical Engineering
Category of the Examinee : 0 - Regular
Roll No. : 430316010113
University Details
Exam Cycle : Winter Medium : English
Exam Form No. : NIT/399
General Details
Full Name : SURJENDU BIKASH KAR
Father's Name : Debasish Kar
Mother's Name : Madhuri Kar
Gender : Male
Date of Birth(dd-mm-yyyy) : 01-01-1900
Caste Category : BC
Mobile No. : 7584083101
Adhaar No. : 221070079691 Email Address : surjendu105bikash@gmail.com
Correspondence Permanent : rasulpur, purunda, paschim medinipur PinCode: 721445
Address

Exam Fees :

Subjects Offered
Subject Code Subject Name
EE501 Electric Machine-II
EE502 Power Systems-I
EE503 Control Systems-I
EE504 Microprocessor & Microcontroller
EE581 ELECTRICAL SYSTEM DESIGN-I
EE591 Electric Machine-II Lab
EE592 Power Systems-I Lab
EE593 Control System-I Lab
EE594 Microprocessor and Microcontroller lab
HU501 Environmental Science
MC581 GROUP DISCUSSION & SEMINAR
DECLARATION BY THE CANDIDATE
1) I am aware that, I have to fulfil criteria of attendance by the University/ MCI, failing which I shall be held “NOT ELIGIBLE” and will not be allowed to appear in
Examination.
2) I hereby declare that I have gone through the syllabus as prescribed and adopted by the University and relevant rules of the Heads of Passing which are applicable for
the examination for which I am appearing and I accept the same without any challenge (wherever applicable).
3) I shall be responsible if my application form is rejected for any errors, wrong or incomplete entries made by me in the examination form.
4) I am not admitted to the course after the cut-off date declared by the University for grant of terms.
5) I fulfil all the criteria for the admission in the course as defined by the MCI/ University and I am not defying the criteria of the admission order.
Place :
Date : 29/11/2018 Signature of Candidate in running hand

CERTIFICATE BY THE HEAD OF INSTITUTION


I certify:
1. That Shri/Smt/Kum. SURJENDU BIKASH KAR is a bonafide student of this college, admitted to the Electrical course.
2. That the candidate has completed the academic terms to appear in this examination (wherever applicable). Engineering
3. That the information furnished by the said candidate is verified from his/her documents and that the candidate is Eligible to appear for University
Examination.
Place :
Date : 29/11/2018 Signature & Seal of the Dean/Principal

Printed Date : 29/11/2018 05:32:24 Page No : 1 / 1

You might also like