30/07/21, 10:44 AM

Examination Form 2020-21 for REGULAR Students

Application Form for : Fourth Semester Examination 2020-2021
For The Degree of : Bachelor of Technology in Information Technology

Name : SHABIH ALAM ANSARI

REG. NO. : 201090100220005 OF 2020-21
Roll. NO. : 10900220116
Institute Name(Code) : NETAJI SUBHASH ENGINEERING COLLEGE-109

PAPER CODE PAPER NAME PAPER TYPE

PCC-CS401 Discrete Mathematics Theory Paper
PCC-CS402 Computer Architecture Theory Paper
PCC-CS403 Formal Language & Automata Theory Theory Paper
PCC-CS404 Design & Analysis of Algorithms Theory Paper
BSC 401 Biology Theory Paper
MC401 Environmental Sciences Theory Paper
PCC-CS492 Computer Architecture Practical Paper
PCC-CS494 Design & Analysis of Algorithms Practical Paper
I Declare that I have fulfilled the criteria for attempting the above Examinations as a Regular Candidate

I 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 :03-08-2021 11:59 PM

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Full Signature of the applicant with Date.
I certify that
1. The Statements made by the applicant are correct.
2. He/She was admitted to the Institute as per University regulations.
3. He/She has deligently and regularly pursued his/her studies and
4. He/She has attended.....................%(in word ........................................) of lectures.

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Signature of the Principal / Director of the Institute/ College with date and seal.
N.B.
1. Examination Fees Rs. 1200/- (Not refundable)
2. Students are required to submit the form to their Institution only.
3. If any of the Statements mentioned above is incorrect, the Examination of the Candidate is liable to be cancelled by the University.
Receipt No. Date of Payment Exam Fees Payment Status
order_Hf1PlBWcMUGGWg 30-07-2021 10:43:11 1200 Paid

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