EXAMINATION FORM

BRANCH :
ROLL NO. :
REGISTRATION NO.
B.TECH.

NATIONAL INSTITUTE OF TECHNOLOGY

DURGAPUR

M.TECH.

MBA

MCA

MESS CLEARANCE
(BY THE WARDEN)

M.Sc.

APPLICATION FOR___________SEMESTER (REG./ SUP.) EXAMINATION, 20 __- 20__

(to be filled up by the candidates in BLOCK LETTERS only)
NAME (as in institute registration)______________________________________________________
HOSTEL/LOCAL ADDRESS____________________________________________________________
______________________________________________________________________________
MOBILE NO._______________________________

Email._________________________________

(Attach photocopy of the Institute Fee Slip and Fine Slip (If any)

Date :

Signature of the student

Verified

Received Admit Card

(Signature with date)

Dealing Assistant
Assistant Registrar(Academic)
.

NATIONAL INSTITUTE OF TECHNOLOGY, DURGAPUR

ADMITCARD

BRANCH :

ROLL NO. :

__SEMESTER (REG./SUP.) EXAMINATION, 20__ - 20__

NAME___________________________________

REGISTRATION NO.
B.TECH.

Stamp size photo

M.TECH.
ROLL NO._____________________

MBA

MCA

M.Sc.
Signature of the Student
Assistant Registrar(Academic)
MOBILE PHONE IS STRUCTLY PROHIBITED IN THE EXAMINATION HALL