ASSAM SCIENCE AND TECHNOLOGY UNIVERSITY

GUWAHATI
College/Institution Entry Sl. No….................
(To avoid mistake(s) please follow the accompanying instructions and examples carefully before filling up the form)
APPLICATION FORM FOR …................................END SEMESTER....................... Examination

Branch…..............ME.........................Semester….......8th..........................................Examination, 2020....
To,
The Controller of Examinations, Assam Science and Technology University, Guwahati
(Through the Principal/Director …........ROYAL GLOBAL UNIVERSITY.......................................................... College/

I request the permission to appear myself at the ensuing, Examination with following particulars duly filled in
The fee of Rs ….....1300..............................................is remitted herewith vide A.S.T.U. Cash Memo No. ….........................
Dated…..................................
Course Name: B.TECH(ME)

Course Code 0 0 1 Name of the subject with Grade 'R' :

Subject Code with Grade 'R' :

Subject in which he/she registered to be Examined in …...ME...........Course, …......8th.....Semester, Corse Code 0 1

(Subject to be mentioned clearly)
SL. NO. NAME OF THE SUBJECT SUBJECT CODE
1. Industrial Engineering M E 1 3 1 8 0 1
2. project and production management M E 1 3 1 8 0 2
3. Mechatronics M E 1 3 1 8E 0 3 2
4. Industrial Instrumentation M E 1 3 1 8E 0 4 3
5. Energy conservation and management M E 1 3 1 8E 0 5 4
6. CAD lab M E 1 3 1 8 1 7
7. project M E 1 3 1 8 1 6
8. Comprehensive viva M E 1 3 1 8 2 1
9.
10.
11.
12.
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15.
PARTICULARS TO BE FILLED BY THE CANDIDATE

Other
1. Category of Student: Regular ✓ (F/I/R) 2. Sex : Male ✓ Female

3. General ✓ OBC MOBC SC Others 4. Medium of Examination English

5. A.S.T.U. Registration N 1 2 6 8 0 2 1 1 6 Session 2 0 2 0

6. Examination Roll No.: 1 6 0 2 1 0 0 0 2 1 4 4
7. Name of the Candidate: S H A H I N A H M E D

8. Father's Name: A B D U L M A N N A N
9. Mother's Name: M O R I O M B E G U M
10. Contact No. (Mobile) : 7 0 0 2 4 0 5 7 5 8
11. Name of the
College/Institution : R O Y A L S C H O O L O F E N G & T E H
(As in College/Institution display board)
 12 Nationality : I N D I A N

13 Local Guardian's Name: A B D U L H A N N A N

14 Home Address : A H O M G A O N G H Y

P.O. : G H A R C H U K Dist : K A M R U P

State : A S S A M Pin : 7 8 1 0 3 5

15 Present Address : A H O M G A O N G H Y

P.O. : G H A R C H U K Dist : K A M R U P

State : A S S A M Pin : 7 8 1 0 3 5

DECLARATION OF THE CANDIDATE

Date : D 0 3 M 0 6 Y 2 0 2 0 Yours faithfully

S h a h i n a h m e
Place :online Full signature of candidate

CERTIFICATE

I certify that the particulars furnished by the above named candidate has satisfied me that he/she passed the H.S.S.L.C./
H.S./P.U. (Two yr.) Examination and fulfilled all the requirements under the regulations to be eligible to appear as Regular

in…..................................Course …....................... Semester Examination.

Principal/Head of the College/Institution

…......................................................................
Office seal

(This form will not be accepted without Seal & Signature of the Principal/Head of the College/Institution.)

Approved by: Verified by:

Controller of Examinations Deputy Controller of Examinations

Assam Science and Technology University, Guwahati Assam Science and Technology University, Guwahati
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