282, 4:38 PM (===="=" | 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 : First Semester Examination 2021-2022 For The Degree of _: Bachelor of Pharmaceutical Technology ‘Name 1: DEBASISH BERA. REG. NO, +: 213630201910038 OF 2021-22 Roll. NO. 36301921027 Institute Name(Code) MR. COLLEGE OF PHARMACEUTICAL SCIENCES AND RESEARCH-363 PAPER CODE [PAPER NAME [PAPER TYPE [Pros ‘Human Anatomy and Physiology I Theory ‘Theory Paper PTI01 Pharmaceutical Analysis !— Theory ‘Theory Paper lPri0s Pharmaceuties I - Theory Theory Paper lPri03 Pharmaceutical Inorganic Chemistry - Theory ‘Theory Paper lPri9s Human Anatomy and Physiology— Practical ‘Practical Paper lprist Pharmaceutical Analysis l— Practical Practical Paper lpris6 Pharmaceutics I~ Practical Practical Paper lpris3 Pharmaceutical Inorganie Chemistry ~ Practical Practical Paper lprmiss Remedial Mathematics - Theory ‘Sessional Paper Declare that I have fulfilled the criteria for attempting the above Examinations as a Regular Candidate Taccept 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 :28-02-2022 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 to the Insitute as per University regulations. 3. He/She has deligently and regularly pursued his/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. 1 Examination Fees Rs. 1200/- (Not refundable) 2. Students are requited to submit the form to ther Isttution only. 3. _Iany of the Statements mentioned above is incorrect, the Examination of the Candidate is Table to be cancelled by the University, Receipt No. Date of Payment Exam Fees rayment Status ‘order_I2Qc¥mIQyEQUV} 23-02-2022 16:38:31 1200 Paid w