917722, 1012.0 (===="=" | MAULANA ABUL KALAM AZAD UNIVERSITY OF TECHNOLOGY, WEST BENGAL SonvMain Campus : Harnghata, Nadia, Pin-7a124a- Kolkata Campus : BF-142, SECTOR, SALTLAKE CITY, KOLKATA-700 064, (INDIA) Examination Form 2021-22 for REGULAR Students ‘Application Form for: Second Semester Examination 2021-2022 For The Degree of _: Bachelor of Pharmaceutical Technology ‘Name 1: DEBASISH BERA. REG. NO. +: 213630201910038 OF 2021-22 Roll. NO. 136301921027 Institute Name(Code) MR. COLLEGE OF PHARMACEUTICAL SCIENCES AND RESEARCH-363 PAPER CODE [PAPER NAME [PAPER TYPE PT2IS ‘Human Anatomy and Physiology Il - Theory ‘Theory Paper PT213 Pharmaceutical Organic Chemistry I - Theory ‘Theory Paper Pr214 Biochemistry — Theory Theory Paper lPrai6 Pathophysiology — Theory ‘Theory Paper PT298 Human Anatomy and Physiology Tl -Practical ‘Practical Paper lpr296 Pharmaceutical Organic Chemistry I- Practical Practical Paper lp1297 Biochemistry — Practical Practical Paper HU282 Environmental sciences ~ Sessional ‘Sessional Paper 1 Declare that I have fulfilled the criteria for attempting the above Examinations as a Regular Candidate 1 accept the Online Mode of Examinations and related rules and regulation. I am also satisfied with mock test conducted by the University. Last Date Of submission of form to the respective institutes by the students 11-06-2022 11:59 PM. Full Signature of the applicant with Date. 1 certify that 1. ‘The Statements made by the applicant are correct. 2. He/She was admitted tothe Institute as per University regulations 3. He/She has deligently and regularly pursued bis/her studies and 4, He/She has attended, atin word ) of lectures Signature of the Principal / Director of the Institute/ College with date and seal. NB. L. Examination Fees Rs. 1200/- (Not refundable) 2. Students are required to submit the form to their Institution only 3. [any of te Statements mentioned above is incorrect, the Examination of the Candidate is isle to be cancelled by the University Receipt No. Date of Payment Exam Fees Payment Status (order_feTagwTthr812WI 07-06-2022 10-1124 1200 Paid w