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  • Date - 12 - 29 - 2021 Time - 14 - 12 - 32 - 970

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    Gaurav Marathe
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    This document is an application form for a student named Ukey Akash Chandrashekhar to take the December 2021 examination for Semester 1 of the Regular June 2018 Pattern for a Bachelor of Technology in Chemical Engineering. It lists the 10 subjects the student is applying to take the exam for, including Mathematics, Physics, Chemistry, Communication Skills, and Engineering Graphics. It also provides the student's registration number, eligibility status, proposed exam center and medium. It includes a payment receipt for the application fee and a declaration by the student that the information provided is true and complete.

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    This document is an application form for a student named Ukey Akash Chandrashekhar to take the December 2021 examination for Semester 1 of the Regular June 2018 Pattern for a Bachelor of Technology in Chemical Engineering. It lists the 10 subjects the student is applying to take the exam for, including Mathematics, Physics, Chemistry, Communication Skills, and Engineering Graphics. It also provides the student's registration number, eligibility status, proposed exam center and medium. It includes a payment receipt for the application fee and a declaration by the student that the information provided is true and complete.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    7 views1 page

    Date - 12 - 29 - 2021 Time - 14 - 12 - 32 - 970

    Uploaded by

    Gaurav Marathe
    This document is an application form for a student named Ukey Akash Chandrashekhar to take the December 2021 examination for Semester 1 of the Regular June 2018 Pattern for a Bachelor of Technology in Chemical Engineering. It lists the 10 subjects the student is applying to take the exam for, including Mathematics, Physics, Chemistry, Communication Skills, and Engineering Graphics. It also provides the student's registration number, eligibility status, proposed exam center and medium. It includes a payment receipt for the application fee and a declaration by the student that the information provided is true and complete.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    Kavayitri Bahinabai Chaudhari North Maharashtra University, Jalgaon

    https://nmuj.digitaluniversity.ac/

    University Institute of Chemical Technology (10000F)


    Application Form for Examination of December-2021 event.

    Bachelor_of_Technology_B_Tech
    To explore your personalized Job Opportunities, Competitive Exams, Career Fairs etc., click on 'EASY' link in your 'e-Suvidha' account on
    https://nmuj.digitaluniversity.ac/. Activate your 'e-Suvidha' account and login today!

    PRN : Eligibility Status: Examination form No.:


    292647
    2020015400277552 Eligible

    Student's Name: UKEY AKASH CHANDRASHEKHAR Mother's Name: SUNITA


    Name in Vernacular Language: ]€ȡž…Ȳġžȯša€ȯ

    Exam Center : Medium : English PCP Center :

    1. Sem-I(Regular-June-2018 Pattern-Chemical
    Engineering)
    SN Code Name AM - AT
    1 81101 BSL-101 Mathematics-I TH-UA [ ] ;TH-CA [ ]
    2 81102 BSC-102 Physics TH-UA [ ] ;TH-CA [ ]
    3 81103 BSC-103 Chemistry-I TH-UA [ ] ;TH-CA [ ]
    4 81104 HMC-101 Communication Skills TH-UA [ ] ;TH-CA [ ]
    5 81105 ESC-101 Engineering Graphics TH-UA [ ] ;TH-CA [ ]
    6 81106 NC-101 Induction Program TH-CA [ ]
    7 81107 BSC-102 Physics (PR) PR-UA [ ] ;PR-CA [ ]
    8 81108 BSC-103 Chemistry-I (PR) PR-UA [ ] ;PR-CA [ ]
    9 81109 HMC-101 Communication Skills (PR) PR-UA [ ]
    10 81110 ESC-101 Engineering Graphics (PR) PR-UA [ ] ;PR-CA [ ]
    Payment mode: Online Payment Amount : 700.00
    Transaction No : 3088881638020753559 Transaction Date :11/27/2021 1:45:54 PM Bank :
    To, The Controller of Examination, Place:
    I request permission to present myself for the ensuing examination. I have remitted the prescribed fee for the same. I hereby declare that all
    statement made in this application are true, complete and correct to the best of my knowledge and belief. I have gone through the syllabus Date:
    and the list of books prescribed for the examination for which I am appearing. I shall not request for any special concession such as change
    in time or day fixed for university Examination etc. on religious or any other ground. I understand that in the event of any information being
    found false or incorrect, my candidature is liable to be cancelled or rejected.

    Student's Signature

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