EXAMINATION FORM FOR EXAMINATION: May-2011

For Regular Semester Only

Institute Branch Roll No / Name Gender / DOB /B.Gp / Batch Father / Mother Name Mobile / Email / Phone Category Postal Address Chitkara Inst. of Engg. & Tech. Jansala Patiala B.Tech.(Electronic & Communication Engineering) 90180517462/GURPINDER SINGH GHUMAN Male / 04 Sep 1991 / B+ / 2009 Affix photograph to be attested by principal/ Competent Authority

MUKHTIAR SINGH GHUMAN/AMARJIT KAUR GHUMAN 9888427219/luckyghum1@gmail.com/01872266348 General V.P.O Ghoman, Tehsil Batala, District Gurdaspur (143514),Punjab. V.P.O Ghoman, Tehsil Batala, District Gurdaspur (143514),Punjab. / Gurdaspur Subjects in which appearing

Permanent Address / Distt

Subject Code / Paper Id Semester4 EC-202 / A0306 EC-204 / A0307 EC-206 / A0308 EC-208 / A0309 IC-204 / A0310 IC-212 EC-210 EC-212 GF Analog Electronics Digital Electronics Signals and Systems

Subject Title / Remarks

T/P

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 No

Electromagnetic Field Theory Linear Control Systems Lab.VI (Linear Control Systems) Lab.-IV (Analog Electronics) Lab.-V (Digital Electronics) General Fitness

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 ________________________

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 May-2011 Received Regular Examination Form of Semester4th and Examination Fee of Rs._________________ and late fee (if any) Rs. ___________ from Student Name:GURPINDER SINGH GHUMAN and Student RollNo:90180517462. Signature of Institute Dealing Head with seal