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Dr. Vishwanath Karad MIT WORLD PEACE MIT-WPU | UNIVERSITY | rune Examiniation Form for FoE Feb 2019 Application No. :18103B-00244 *18103B-00244* Examination Fee: 2150 /- Note: Rs. 100/- per Internal Backlog subject as per Circular dated 18-Sept-2017] Rs. 300/- per External Backlog subject as per Circular dated 18-Sept-2017] To, THE CONTROLLER OF EXAMINATIONS, MIT-WPU, PUNE-411038, sir, | request permission to present myself for the EY - BTech(TRIMESTER«I}] Examination in First Year BTech to be held in JAN-2019 and pay herewith the prescribed fee Rs.2150 /-.| sought admission to the First Year BTech Course in the academic year 2018-2019 Yours faithfully, Date : 18/01/2019 09:56 Signature of the Candidate College : Faculty of Engineering Gender Male Centre : Faculty of Engineering Name : Mr. Abhishek Ral Mother Name —: NUTAN Permanent Regn. No. 1032180748 Seat No ‘Address for correspondence: MANANPUR P.0-SADIPUR {Local Address) Permanent home address MANANPUR P, DIPUR Contact No. / Mobile No. 7667411887 Signature of the Candidate Dr. Vishwanath Karad MIT WORLD PEACE MIT-WPU | UNIVERSITY | pune ‘Application No : 18103B-00244 | desire to appear for the following Papers/Term Work/Practical/Oral ‘Sub Code Subject Name Internal | THEORY ‘TRIMESTER (REGULAR) CHEM Chemistry Yes Yes BIO Biology Yes Yes oP Computer Programming Yes Yes ESEC and t_| Introduction to Electronics Engineering] _ Yes Yes (Electronics) EGR Engineering Graphics Yes Yes Certificate to be signed by the Principal / Dean of the College at which the Candidate has studied | certify that Mr. Abhishek Raj (1) has attended adequate number of days required as per rules and has satisfactorily kept the term, (2) has completed to my satisfaction the prescribed Practical Work including Laboratory Work, Term Work, etc. in the subjects concerned, (3) isto the best of my knowledge and belief a person of good conduct and has my permission to appear at the ensuing Examination in FY - BTech(TRIMESTER-I). | also certify that his statement as to his having passed in the Papers and/or Practicals, Term Work, Oral etc. named above at a previous Examination is correct. Place: Online Submitted Signature: . Date : 18/01/2019 09:56 Principal / Dean College Seal

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