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Student’s Name :
Date of Birth :
Affix your recent
passport size
E mail ID :
photograph
Father’s Name :
Mother’s name :
Father’s Occupation :
Mother’s Occupation :
Student Signature :
Page 1 of 3
PRESIDENCY UNIVERSITY
(Private University Estd. in Karnataka State by Act No.41 of 2013
School of Engineering
Department of Electronics And Communication
Engineering
Academic Details
% of
Sl.No Class School/College Name Board/University Grade
Result
1 10th Std. / SSLC
2 PUC / Diploma
B.Tech Programme
Sem 1st Sem 2nd Sem 3rd Sem 4th Sem 5th Sem 6th Sem 7th Sem 8th Sem
SGPA
CGPA
NE
NP
Signature :
Page 2 of 3
PRESIDENCY UNIVERSITY
(Private University Estd. in Karnataka State by Act No.41 of 2013
School of Engineering
Department of Electronics And Communication
Engineering