JadavpurUniversity

Kolkata-700032.

PG Thesis
Declaration
Form
(FOR THE2nd SEMESTER 2019-20SESSION)
in by BlockLetters)

*** (Fill

1. Name in full): D
..SKC.HANAN HOSS AI
* ******************''***'***
**********

2. Sex (Male/ ALE

M ********'************
Female):..
3. Phone
4. Email:**
No...
sscehh.c
handan
*** .,****************
Mobile
qmarcom
*****'****

No..2.26.3.4345. ****'*******

************************

5. University No......
Registration *..Ol......
6. ClassRoll No.021502002
**************
ofPowerEngineering....
7. CourseName:.....Master
.
8. Department: ofPowerEngineering...
...Department ****
under whichPG thesis
9. Name oftheteacherofthedepartment tobe performed

(theteacher assessthe Term Paper Leadingto Thesis'

will and 'Modular
Lab)

tom ain
Sk Chandan
22 infull
oftheStudent
Signature
Date:.!6.03.
************

oftheconcernedteacherforacceptance
Countersignature
Mowywmi baw
21.03.22