GOVERNMENT OF BIHAR

DEPARTMENT OF SCIENCE & TECHNOLOGY

STATE BOARD OF TECHNICAL EDUCATION, BIHAR

EXAMINATION FORM - SEM I

Registration Number : 1142019034
Name of Institution : Government Polytechnic, Darbhanga Institute Code : 114
Name of Branch : Electrical Engineering Branch Code : 20
Roll Number : 111142019034 Aadhaar No. : 409753711991
Student Name : ALOK KUMAR Date of Birth : 15-Oct-2003
Father Name : SUNIL RAI Contact No. : 8084267090
Email : alok61159@gmail.com Submission Date : 30-Nov-2019
KYP Number :
.
Subject Type Subject Code Subject Title
Theory 1601101 Basic Physics
Theory 1601102 Basic Chemistry
Theory 1601103 Basic Mathematics
Theory 1601104 Communication Skill-I
Theory 1601105 Engg. Graphics
Theory 1601106 Computer Fundamentals
Practical 1601107 Basic Physics Lab
Practical 1601108 Basic Chemistry Lab
Practical 1601109 Computer Fundamental Lab
Practical 1601110 Basic Workshop Practice
Sessional 1601111 English (Language Lab)
Sessional 1601112 Engg. Graphics
Sessional 1601113 Basic Workshop Practice

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 ALOK KUMAR 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 I only. You have to fill sepreate examination form for other semester.
2. Please submit, Your Exam form till 03-Dec-2019 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.