School Of Computing

VTU R21
B. Tech - Computer Science and Engineering(Data Science)
Winter 2023-2024
Retest – Student Registration Form
1. Name of the Student : 2. VTU No & Register No :
3. Year/Branch: 4. Mentor Name:
Fill the below Details: Date of Submission:
MT-I(Th) Actual Code /Name of the Reason for Leave Attenda- Handling Faculty CC Name
MT-II(Th) Test Course nce% Name / Slot / Sign and Sign
MT-I(Int) Date

Signature of the Student Recommended by: Name and Signature of the Mentor

Dept. Exam Cell Coordinator HOD/Dean-SOC

Note: The duly filled retest registration form should be submitted by the student to the concerned
mentor. Mentors need to verify the proof/ valid reason and then recommend. Incomplete
or any partial entries will not be considered.
*For Medical reasons necessary proof must be attached.