Student Exam Application Report

College : 130-Supaul College of Engineering, Supaul

Programme /Course Name : BE / B.Tech - MECHANICAL ENGINEERING
Exam Name : B.TECH 5th SEMESTER EXAMINATION, 2019
Branch Name : MECHANICAL ENGINEERING
Category of the Examinee : 0 - 0-First Attempt
Register No. : 17102130026
University Details
Exam Type : Winter
Register No. : 17102130026 Exam Form No. : 130/814

General Details
Full Name : PRIYAM
Father's Name : NANDLAL SINGH
Mother's Name : RITA DEVI
Gender : Female
Date of Birth(dd-mm-yyyy) : 05-10-1998

Caste Category : SC
Mobile No. : 7546922621 Email Address : PRITSING2622@GMAIL.COM
Adhaar No. :
Fee Paid Amount. : 3,200.00 Fee Paid Date. : 12-11-2019
Correspondence / Permanent : AT+PO-BASANVARA PinCode: 852219
Address

Semester-V Subjects Offered

Subject Code Subject Name
021510 FLUID MACHINERY
021510P FLUID MACHINERY
021512 STEAM POWER SYSTEM
021512P STEAM POWER SYSTEM
021513 DYNAMICS OF MACHINERY
021513P DYNAMICS OF MACHINERY
021514 MACHINE TOOLS AND MACHINERY
061505 INFORMATION SECURITY
241502 PERSONNEL MANAGEMENT AND INDUSTRIAL RELATION
I solemnly affirm that the information given by me in this application form are true and correct. I have read and accepted all instructions given with
this application form.
Place :
Date : 12/11/2019 Examinee's Signature

Principal's Certificate
Certified that the applicant has fully complied all conditions & provisions prescribed in concerned ordinance, rules & regulations. There is no objection
regarding his/her character which could be a disqualification for appearing in the examination.
The examinee is eligible for admitting in this examination.

Place :
Date : 12/11/2019 Principal's Signature & Stamp

Printed Date : 12/11/2019 10:17:35 Page No : 1 / 1