Office Academics

S6 Elective Declaration Form

Roll No. : 201EI139 Date: 21/12/2022

Name of the Student: SURAJ M V Department: EIE

Elective No. Course Code Course Name

III 18CE0YC ENVIRONMENTAL IMPACT ASSESMENT

IV 18EI020 SMART AND WIRELESS INSTRUMENTATION

Add Course 18EI017 POWER PLANT INSTRUMENTATION

▪ I assure you that, the above electives are registered for the 2022-23 EVEN semester
▪ No. of open electives registered including 6th semester:
(Open elective for B.E/B.Tech – Minimum 1 to maximum 3 during the entire
programme). (If not opted Add course kindly provide “NA” in the table)

Signature of Student Signature of Mentor