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Application No:24184 Details of examination fee remitted

Online Registeration on : 17-09-2010 a) Amount remitted

b) Where remitted

BOARD OF TECHNICAL EXAMINATIONS c) Chalan / Receipt No

KERALA STATE d) Date of remittance

e) Name of Treasury ****

Register Number 88020657 Name of Candidate SIYAS.A

Name of Branch Mechanical Engineering Name of Course DIPLOMA IN ENGINEERING


Government Polytechnic College ,
Scheme 06 Exam Center
Palakkad

Details of Registration
SlNo Year/Sem Type Registered Subjects Fee Without Fine*

1270 5 Regular 5038 5039 5040 521 522 523 524 300

*Note Fine will be collected as per Rules.

Certified that details furnished by me above are correct

Name& Signature of the candidate

Verified attendance and Recommended

Head of Section/ Group Tutor

Certified that the entries are carefully verified and found correct with this office records

Section Clerk Principal/Head of Institution

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