Chaudhary Charan Singh University, Meerut [ Computer Copy ]

Examination Form for "U.G. & P.G." Class, Session 2020-21

1. Course Applied For : B.Tech. (Agricultural Engineering)

2. College Name : SIR CHHOTU RAM INSTITUTE OF ENGG. & TECH., CCS UNIV.
CAMPUS, MEERUT
3. Roll No. : 4. Enrolment No. :
Form No:220101730
5. Semester : Ist Semester 6. Type of Exam : Main Exam
7. Name of the Student : AAYUSH RANA
8. Father`s Name : MANOJ KUMAR
9. Mother`s Name : MUNDER
10. Date of Birth : 14/07/2003 11. Gender : Male
12. Caste : OBC 13. Kashmiri Residents : No
14. Physically Handicapped : No
15. State from where Intermediate/ +2 passed : UP
16. Do you have Domicile Certificate of U.P. State : Yes
17. Length of Residence in U.P :
18. Permanent Address : VILLAGE- MAKHANNAGAR POST - BEHSUMA, Signature of Student
MEERUT, 683, UTTAR PRADESH, Pin : 250404
19. Correspondence Address : VILLAGE- MAKHANNAGAR POST - BEHSUMA,
MEERUT, 683, UTTAR PRADESH, Pin : 250404
20. Mobile No.(Student) : 7417010010 Signature of Parents
21. Mobile No.(Parents) : 7417010010
22. Email ID : RANAAAYUSH00018@gmail.com

23. Name of Subjects

S.No. Name of the Papers Code No.
1 Engineering Mathematics - I BT-114
2 Engineering Physics BT-115
3 Principles of Soil Science BT-116
4 Workshop Technology and Practices BT-117
5 Environmental Science and Disaster Management BT-118
6 Communication Skills and Personality Development BT-119
7 Engineering Physics Lab BT-165
8 Principles of Soil Science Lab BT-166
9 Workshop Technology and Practices Lab BT-167
10 Communication Skills and Personality Development Lab BT-169
11 Engineering Drawing BT-168

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Course : B.Tech. (Agricultural Engineering)
Semester : Ist Type of Exam : Main Exam From No. : 220101730

24. Give details of results of the previous semester

Part/Sem Roll No. Year Obtained Marks Maximum Marks Result
0 0 0 SELECT
25. Description of Examination:
Name of Examination Year Name of the School/College Roll No. Mrks obt. Max. Mrks Division
Board/University Name
High School 2019 CBSE NEW BLOOMS 5421412 303 500 Ist
PUBLIC SCHOOL
HASTINAPUT MRT
Intermediate 2021 CBSE NEW BLOOMS 21699493 355 500 Ist
PUBLIC SCHOOL
HASTINAPUT MRT
Graduation
Post Graduation
26. Whether you were punished for any offence/unfair means in the previously attended or the present institution, if yes, then provide the following
information
Name of the Class : Name of Institution :
Roll No : Year : Punishment Details :
27. If last examination is passed from other University/Board fill the following details :
a. Migration Certificate Submitted :
b. University/Board :
c. Exam : d. Year : e. Migration Certificate No.:
28. Participation in Sports : None of Above

Declaration/ Undertaking
I AAYUSH RANA(220101730) declare that i am fully aware of the rules and eligibility criterion of the examinations. The form has been filled by me and
I am fully responsible for each and every entry in the form. If any entry is found to be wrong/false/ forge, my examination form/admission may be
cancelled at any time. I am abide by the code of conduct and rules and regulations of the Institute/ University.

Detail of Examination Fee

Total Fees : 1670
Transaction No. : CCSU-F2BA42A199BF71B-1
Date : 09/01/2022
Payment Status : PAID

Date:___________________

Place:___________________ (Full Signature of the Applicant)

Certificate of the Principal

All the entries in the exam from, marksheets and other certificates attached have been duly checked and this is certified
that he/she is eligible for examination as per university rule and his/her examination form is being forworded.

Date:___________________

Checked by Name and Signature :___________________

Signature Head/Coordinator :___________________ (Full Signature of the Principal with stamp)

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 Chaudhary Charan Singh University, Meerut [ University Copy ]
Examination Form for "U.G. & P.G." Class, Session 2020-21

1. Course Applied For : B.Tech. (Agricultural Engineering)

2. College Name : SIR CHHOTU RAM INSTITUTE OF ENGG. & TECH., CCS UNIV.
CAMPUS, MEERUT
3. Roll No. : 4. Enrolment No. :
Form No:220101730
5. Semester : Ist Semester 6. Type of Exam : Main Exam
7. Name of the Student : AAYUSH RANA
8. Father`s Name : MANOJ KUMAR
9. Mother`s Name : MUNDER
10. Date of Birth : 14/07/2003 11. Gender : Male
12. Caste : OBC 13. Kashmiri Residents : No
14. Physically Handicapped : No
15. State from where Intermediate/ +2 passed : UP
16. Do you have Domicile Certificate of U.P. State : Yes
17. Length of Residence in U.P :
18. Permanent Address : VILLAGE- MAKHANNAGAR POST - BEHSUMA, Signature of Student
MEERUT, 683, UTTAR PRADESH, Pin : 250404
19. Correspondence Address : VILLAGE- MAKHANNAGAR POST - BEHSUMA,
MEERUT, 683, UTTAR PRADESH, Pin : 250404
20. Mobile No.(Student) : 7417010010 Signature of Parents
21. Mobile No.(Parents) : 7417010010
22. Email ID : RANAAAYUSH00018@gmail.com

23. Name of Subjects

S.No. Name of the Papers Code No.
1 Engineering Mathematics - I BT-114
2 Engineering Physics BT-115
3 Principles of Soil Science BT-116
4 Workshop Technology and Practices BT-117
5 Environmental Science and Disaster Management BT-118
6 Communication Skills and Personality Development BT-119
7 Engineering Physics Lab BT-165
8 Principles of Soil Science Lab BT-166
9 Workshop Technology and Practices Lab BT-167
10 Communication Skills and Personality Development Lab BT-169
11 Engineering Drawing BT-168

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Course : B.Tech. (Agricultural Engineering)
Semester : Ist Type of Exam : Main Exam From No. : 220101730

24. Give details of results of the previous semester

Part/Sem Roll No. Year Obtained Marks Maximum Marks Result
0 0 0 SELECT
25. Description of Examination:
Name of Examination Year Name of the School/College Roll No. Mrks obt. Max. Mrks Division
Board/University Name
High School 2019 CBSE NEW BLOOMS 5421412 303 500 Ist
PUBLIC SCHOOL
HASTINAPUT MRT
Intermediate 2021 CBSE NEW BLOOMS 21699493 355 500 Ist
PUBLIC SCHOOL
HASTINAPUT MRT
Graduation
Post Graduation
26. Whether you were punished for any offence/unfair means in the previously attended or the present institution, if yes, then provide the following
information
Name of the Class : Name of Institution :
Roll No : Year : Punishment Details :
27. If last examination is passed from other University/Board fill the following details :
a. Migration Certificate Submitted :
b. University/Board :
c. Exam : d. Year : e. Migration Certificate No.:
28. Participation in Sports : None of Above

Declaration/ Undertaking
I AAYUSH RANA(220101730) declare that i am fully aware of the rules and eligibility criterion of the examinations. The form has been filled by me and
I am fully responsible for each and every entry in the form. If any entry is found to be wrong/false/ forge, my examination form/admission may be
cancelled at any time. I am abide by the code of conduct and rules and regulations of the Institute/ University.

Detail of Examination Fee

Total Fees : 1670
Transaction No. : CCSU-F2BA42A199BF71B-1
Date : 09/01/2022
Payment Status : PAID

Date:___________________

Place:___________________ (Full Signature of the Applicant)

Certificate of the Principal

All the entries in the exam from, marksheets and other certificates attached have been duly checked and this is certified
that he/she is eligible for examination as per university rule and his/her examination form is being forworded.

Date:___________________

Checked by Name and Signature :___________________

Signature Head/Coordinator :___________________ (Full Signature of the Principal with stamp)

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 Chaudhary Charan Singh University,Meerut
Enrolment Form
(All entries should be filled by the Candidate)
(Examination Session 2020-21)

THE REGISTRAR,
CHAUDHARY CHARAN SINGH UNIVERSITY,
MEERUT

Enrolment No. M-

Sir,
I request you for permission to be enrolled as a member of the University.
Name of the Candidate, Father's and Mother's Name should be written strictly as per High School Certificate.
01. Name of the Candidate:(Female Candidate should write Km./Smt. after her Name)
In English(In capital letter) AAYUSH RANA
(In Hindi)
02. Fathers Name(In Hindi) (In English) MANOJ KUMAR
03. Mothers Name(In Hindi) (In English) MUNDER
04. Permanent Address VILLAGE- MAKHANNAGAR POST - BEHSUMA
MEERUT 683, UTTAR PRADESH, Pin : 250404
05. Category: OBC
06. Date of Birth 14/07/2003
07. Length of Residence in U.P
08. Year of Admission to Degree Class in the College
09. Year of Passing the Intermediate Exam in 2021
10. Name of the Board or University conducting the Intermediate Examination passed CBSE
11. If already enrolled in Chaudhary Charan Singh University,state enrolment Number M
12. Exam Passed
(a) B.A or B.Sc. or B.Com. or B.Sc.(Ag.) etc. from the University in the year
(b) M.A or M.Sc. or M.Com. or M.Sc.(Ag.) etc. from the University in the year
(c) Any other examination Passed from University in the year
13. Whether doing Ph.D. or any other degree of any other University in India/Abroad,you may please state full particulars

14. The Examination for which studying/appearing at the time of filling the form B.Tech. (Agricultural Engineering) Ist
15. If, enclosed migration certificate of another University/board,mention its No and Date of Issue
University/Board

Yours faithfully,

Class B.Tech. (Agricultural Engineering) Year Ist

(Signature of the Student)
I Certify that the above named candidate is not enrolled in Chaudhary Charan Singh University, Meerut earlier and
has filled the form himself and i believe the above information is true. The Fee of Rs. 100/- is forwarded herewith.

(College Seal) Principal Signature

Note:Enrolment alone does not entitle a candidate to appear at University Examination
___________________________________________________________________________________________________________________
Chaudhary Charan Singh University,Meerut

ENROLMENT CERTIFICATE
Examination : B.Tech. (Agricultural Engineering) Roll No. :
N.B(All entries except that of Enrolment No. should be filled by the candidate)
Sri/Smt./Km AAYUSH RANA S/o./D/o MANOJ KUMAR
College SIR CHHOTU RAM INSTITUTE OF ENGG. & TECH., CCS UNIV. CAMPUS, MEERUT has been enrolled as a student of
University at
No.M
Date________________________________

Registrar

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