EXAMINATION FORM FOR EXAMINATION: Dec-2011

For Regular Semester Only

Institute Branch Roll No / Name Father / Mother Name Mobile / Email / Batch Swami Parmanand Engineering College ,Jaulan Kalan, Lalru B.Tech.(Electronic & Communication Engineering) 100780419322/VIKAS KUMAR SINGH NAKUL SINGH/DURGA DEVI 9006082733/vikassingh45@rediffmail.com/2010 Subjects in which appearing Subject Code / Paper Id Sem3 EC-201 / A0301 EC-203 / A0302 AM-201 / A0303 CS252 / A0304 EE-201 / A0305 CS-254 EC-205 EC-207 WS Trg Electronics Devices & Circuits Electronic Measurement & Instrumentation Applied Mathematics-III Object Oriented Programming using C++ Network Analysis & Synthesis Lab.-III (Object Oriented Programming) Lab.-I (Electronic Devices & Networks) Lab.-II (Instrumentation) Workshop Training/for Non-LEET Subject Title / Remarks T/P

Entry Date :-17 Oct 2011

Affix photograph to be attested by principal/ Competent Authority

Internal

External

Theory Theory Theory Theory Theory Practical Practical Practical Practical

Yes Yes Yes Yes Yes Yes Yes Yes Yes

Yes Yes Yes Yes Yes Yes Yes Yes Yes

I have understood all the regulations and its amendments in regard to examinations. I found myself Eligible to appear in Examination. In case University declare me ineligible due to any wrong information submitted in examination form by me, I shall be responsible for the consequences at any stage.

Sign of Candidate ________________________

Sign with ball pen __________

Date___________________

Certified that the Candidate has completed the prescribed course of study and fulfilled all the conditions laid down in the Regulations for the examination and is eligible to appear in the examination as a regular student of Punjab Technical University. The candidate bears a good moral character and particulars filled by him/her are correct.

Signature of the Principal / Competent Authority (With Seal and Date) ________________________

(Signature of HOD)

Receipt of Regular Examination Form and Examination Fee for Examination Dec-2011 Received Regular Examination Form of Sem3th and Examination Fee of Rs._________________ and late fee (if any) Rs. ___________ from Student Name:VIKAS KUMAR SINGH and Student RollNo:100780419322. Signature of Institute Dealing Head with seal