The Assam Royal Global University, Guwahati

Regular Examination Form :: Even Semesters :: 2022

Before filling in details read the intructions provided in the next page
PARTICULARS TO BE FILLED IN BY THE CANDIDATE
School : RSBSC
Programme : MSC BIOTECHNOLOGY
Semester : 2ND
Name of the candidate : PARISMITA PATGIRI
Registration No. : 1211607
Roll No. : 214151018
Gender (M/F) : F
Father’s Name : GIRIN PATGIRI
Mother’s Name : PINU PATGIRI
Contact No. : 6003148323
E-mail ID : parismitapatgiri71@gmail.com

Subject(s) Appearing
Fill in correct subject name and its correct subject code. Leave blank, if not applicable
S.No Subject Code Name of the Subject(s)
1 BTC154C201 BIOPHYSICAL CHEMISTRY
2 BTC154C201 CELL BIOLOGY
3 BTC154C203 MOLECULAR BIOLOGY
4 BTC154C204 PRACTICAL-II
5
ç Fill in core subjects
(including practical subjects)
6
7
8
9
10
1 BTC154D201 GENOMICS AND PROTEOMICS
2
ç Fill in DSE subjects
3
4
1 CEN984A201 COMMUNICATIVE ENGLISHG -II
ç Fill in AECC subjects
2 BHS984A203 BEHAVIOURAL SCIENCE-II
1 COM044S227 STRESS MANAGEMENT
ç Fill in AEEC subjects
2
1
ç Fill in GE subjects
2
DECLARATION BY THE CANDIDATE I agree (Yes / No)

If any of the statements made above is found to be not true, or if it appears to be so, that I have, in any
way, contravened the provisions of the University Rules and Regulations relating to the examinations, YES
I shall be liable for cancellation of my candidature at any time, if the authority feels to.

Place GUWAHATI Date 6/11/2022

Details of Late Fees Payment :

Amount paid : Rs .
Mode of Payment :
To Account No. :
UTR No. :
Date of Payment :
*For Cash deposit in Bank Account attach a scan copy of receipt with the form

Semester Fees Paid

(Yes/No)

For Head of Department only (Yes / No )

Certified by Head of The candidate has completed the process of internal evaluation
Department His/her conduct has been satisfactory during the semester

Name of Head of Date

Department:

General Instructions for filling form

Microsoft Excel is recommended for filling the form.
Avoid mistakes while filling in the information. Incomplete Form is liable to be rejected.
School: Fill in name of School admitted. Use Abreviation. Example: RSET, RSHSS, RSB etc
Programme : Fill in name of programme enrolled
Example: B.A. History, M.A. History, B.Sc. Physics, M.Sc. Physics, B.Tech. CSE, BBA, MBA, etc

Name of the candidate : Fill in full name as per your class 10th Certificate
Semester : Fill in semester as 1st, 2nd, 3rd etc
Registration No. : Fill in A/F if not available
Roll No. : Fill in your Nine digit roll number. It may have letters as suffix.
Subject(s) Appearing: Fill in name of subjects with correct subject codes in proper rows corresponding to Core, DSE,
AECC, AEEC and GE subject, as applicable. (Check course structure for details).
Leave blank if not applicable.

Declaration: Fill in selection with date and place.

Late Fee: Applicable for form submitted late.
Fill in correct details of late fee payment (online), ie. Amount, transactions date and reference
number (UTR). Form is liable to be rejected if transaction details are incorrect as verified by
account section

After filling form, Save As with file name <programme_semester_roll No> example: BSc_Phy_1S_12345878 in Excel
format only. (pdf or image file or tampered form structure is liable to be rejected by system)
Send the filled-up form by email to the concerned person (HOD/Co-ordinator) on or before the stipulated date of
submission. Retain copy of the file and the email for future reference