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Application form for Odd Semester Examinations 2022-23 for REGULAR Students
Application Form for : Seventh Semester Examination 2022-2023
For The Degree of : Bachelor of Pharmaceutical Technology

Name : SUSMITA GHOSH

REG. NO. : 201930201920001 OF 2020-21
Roll. NO. : 19301920115
Institute Name(Code) : BENGAL SCHOOL OF TECHNOLOGY(193)

PAPER CODE PAPER NAME PAPER TYPE

PT711 Instrumental Methods of Analysis Theory Paper
PT716A Industrial Pharmacy II Theory Paper
PT718 Pharmacy Practice Theory Paper
PT716B Novel Drug Delivery System Theory Paper
PT791 Instrumental Methods of Analysis Practical Paper
PT-781 Practice School Sessional Paper
I Declare that I have fulfilled the criteria for attempting the above Examinations as a Regular Candidate

I accept the rules, guidelines and notifications in respect of the current offline mode of end semester examinations and
shall abide by the same.

Last Date Of submission of form to the respective institutes by the students :21-11-2022 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_Kj2ZceZEAre9Xe 22-11-2022 15:20:58 1200 Paid

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