GOVERNMENT OF BIHAR

DEPARTMENT OF SCIENCE & TECHNOLOGY

STATE BOARD OF TECHNICAL EDUCATION, BIHAR

EXAMINATION FORM - SEM V
Registration Number : 1301520030
Roll Number : 511301520030 Aadhaar No. : 705736290179
Name of Branch : Civil Engineering Branch Code : 15
Name of Institute : Govt. Polytechnic, Motihari Institute Code : 130
.
Name of Student : OMPRAKASH KUMAR Date of Birth : 2001-05-10
Email : okumar10052001@gmail.com Mobile Number : 8789768654
Father Name : RAMEKBAL BAITHA Submission Date : 28-Mar-2023
Form Fee : Rs. 1000.00 Payment Date : 2023-03-28 07:38:39
Bank Reference No. : 3787778181126
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. Subject Type Subject Code Subject Title
. T 2015501 Design of steel and R.C.C Structure
. T 2015502 Estimating and costing
. T 2015503 Water Resources Engineering.
. T 2015504A Precast and Prestressed Concrete
. T 2000505F Industrial Automation (Basics)
. P 2015506 Estimating & Costing Lab
. P 2000508F Industrial Automation Lab(Basics)
. S 2015509 In-Plant Training
. S 2015510 Minor Project
. S 2000511F Industrial Automation (Basics) (TW)
. S 2015512 Course Primavera/ 3D Max / Others
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Declaration
I hereby declare that the above information is true to the best of my knowledge and I am filling the examiantion form for backlog(Carry) papers
of Semester I and II (if any), other wise my chance shall be lapsed as per Exam Rule 3 and 6.

Signature of Candidate
.
Verification
1. This is to certify that the above information filled by the student has been verified and found correct. The requisite examination fee has
. been deposited by the student.
2. This is to certify that this candidate OMPRAKASH KUMAR has maintained a good conduct, attended 75% of Lectures, Term Work and Practical
. classes of each subject, satisfactory and completed all Term Work, TA, CT and Practical work and marks has been upload/ sent to the board;
. has satisfied the condition laid down by the Regulation of Board for appearing at the Board Examination as Regular/Ex-student.

Date : Principal Signature & Seal

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NOTE 1. This examination form is valid for Sem V only. You have to fill sepreate examination form for other semester.
. 2. Please submit, Your Exam form within 24 Hours to Principal of concerned institute, other wise your Exam form will be cancelled.