I.K.

Gujral Punjab Technical University

Jalandhar-Kapurthala Highway, Kapurthala
REAPPEAR EXAM FORM CUM PROVISIONAL ADMIT CARD FOR EXAMINATIONS TO BE HELD IN
THE MONTH OF MARCH-2021
Institute Name : 534/ Modern Group of Colleges (Engineering), Mukerian, Hoshiarpur
Student Photo
Branch Title : B.Tech. (Automobile Engineering)
Roll No. / Name : 1734388/ BALJINDER SINGH
Father / MotherName : RAMINDER SINGH/ BALBIR KAUR
Examination Centre : 524/ Modern Group of Colleges (Management), Mukerian, Hoshiarpur Student Signature
Subjects in which Appearing
Sem. M.Code Sub.Code Paper Id Subject Title T/P Int. Ext. ExamSession
2 54092 BTAM-102 54092 Engineering Mathematics-II Theory No Yes Nov-2020

2 54101 BTME-101 54101 Elements of MechanicalEngineering Theory No Yes Nov-2020

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. It is also certified that i have
filled all regular examination forms of previous lower semester(s).

Controller of Examination
Sign of Candidate____________________ Date____________________
NOTE: The candidate must bring photo ID card/Driving license/Voter card/Passport to appear in
examination centre.