UTKAL UNIVERSITY OF CULTURE,BHUBANESWAR

APPLICATION FORM FOR EXAMINATION

TXT 1ST Sem Regular Exam - 2016

Registered Mobile : 7205575174

Roll No : 01
Regd. No. :
Name of the college :P.G. Departments, Utkal University of Culture

1. Name of the Applicant : BARSA PRIYADARSINI PARIDA

2. Date of Birth: DD 07 MM 07 YYYY 1988

3. Gender : Female 4. Nationality: Indian

5. (a) Father's Name: SUVAS CHANDRA PARIDA

(b) Mother's Name: SABITA PARIDA

6. Applicant's Email: bp.priyadarsini@gmail.com

7. Details of the Current Semester :

Discipline

(a) Year 2016 (b) Semester 1ST

(c). Subjects of Examination :

Paper Code Core/Elective Theory/Practical Title

TXT101 Core Theory/Practical Textile Science
TXT102 Core Theory Baics of Textile Manufacture
TXT103 Core Theory/Practical Fabric Structure and Design Development
TXT104 Core Theory Traditional Indian Textiles
TXT105 Core Practical Coloure Design Laboratory
TXT106 Core Practical Sewing Practice
TXT107 Core Practical Field Visti, Seminar & Viva Voce
TXT108 Core Practical Craft Documentation - I

Declaration by the Candidate

(a) I submit all the particulars for consideration by the university authorities to admit me for the examination.

(b) I shall not indulge in any undesirable activities which will affect the prestige of my institution of study or of Utkal university of culture.
The university authorities may impose any punishment for any contravention to rules and regulations in force in the
conduct of examination.

Full Signature of the Aplicant

 CERTIFICATE

(A) Certified (1) that the particulars given overleaf by the candidate are correct, ( 2 ) that I have verified
his/her certificates of the qualifying examination and the registration receipt in original (3) that his/her
conduct has been good, (4) that he/she has studied diligently and (5) that he/she has satisfactorily passed
the college periodical examinations and other tests and there is all probability of his/her passing the
examination. Nothing is known to me against his/her moral character (6) that the candidate has secured the
percentage of attendance. (7) that the fees prescribed by the university has been paid by the candidate and
deposited.

(B) (In case of Back appearance) Certified that sri/Smt._______________________________________

appeared in Examination in _________________________________ with Roll No. ___________________
as Back paper(s).(The Original Fail Certificate to be attached)

(C) (In case of candidates who had already appeared) Certified that the results of the candidate has not been
withheld of he/she has not been debarred from appearing at the present Examination for being reported to
have infringed the rules of examination discipline.

Seal Principal ___________________________

College P.G. Departments, Utkal University of Culture

Date & time of submission : 11-11-2016 10:34 AM

Downloaded on :11-11-2016 04:43 PM