Reg.

No

EWALECE032
UNIVERSITY OF CALICUT
Details of fee remitted Amount 200 Chalan No. 64358 Date of remittance 4-4-2014 Name of Treasury friends calicut

Identifying Officer's Name,Designation and Address

................................................................................................................ ................................................................................................................ .........................

Signature of the Candidate................................................. (To be signed in the Presence of Identifying Officer)

Signature of Identifying Officer with Seal (To be signed on the Photograph)

B.Tech Supplementary Examination( Semester - 4 ) MAY 2014

APPLICATION FORM
Centre and Place of Examination

Name of Candidate
Date of Birth Permanent Address

AWH ENGINEERING COLLEGE, KUTTIKATUR JUNAID. K. P

07.02.1994 KANNADIPOYIL (H) POOVATTUPARAMBA (PO) CALICUT 673008 KANNADIPOYIL (H) POOVATTUPARAMBA (PO) CALICUT 673008 9497401093 Details of papers for which candidate is applying now

Present Address

Phone

( SUP ) ( SUP ) ( SUP ) ( SUP ) ( SUP )

EN09 401A CE09 403 CE09 404 CE09 405 CE09 406

ENGINEERING MATHEMATICS IV FLUID MECHANICS STRUCTURAL ANALYSIS I ENGINEERING ECONOMICS & PRINCIPLES OF MANAGEMENT SURVEYING II

I hereby certify that the entries made above are correct to the best of my knowledge

Place :

Date :

Signature of Candidate