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Appendix A: Certificate from Head of the Department/ Institute Certificate from Head of the Department/Institute Eligibility Document for 2020 Application) This is to certify that Mr. / Ms. RG. Roane, x | Slo OF Dio nF. ARLIER.. _..is a student enrolled inthe department of .. Max bounce Segiceeedig at the institute! college et hlahem. Lastilule. ot feginecsics for the program as per the . 5 details given below: Do not attest Do not sign on ‘Sign inside the adjacent box Leet it 4, Roll No/ Registration No./ Student ID : 7603 Jb\\}05 2. The student isin the final year of ....B. (BE, / B.Tech’ BS/B Se Research a —— Se) integrated Mt See ret MCA). OR 3. The student is in the pre-final year of ..... _(ME/ M.Tech/ Dual Degree! Integrated ME./ M.Tech) . 4, Duration of the program which the student is studying seo on. Years 5, The student is pursuing the undergraduate program on lateral entry: 1.[) Yes 2 No Lot Signature of the Candidate with date: ‘CTOR Signature of the Heay te with seal ate 409.2019 Karan KX Di 828 1F Note: Without signature of the Head of the Department/Institute & seal, the certificate Is not valid.

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