EXAM APPLICATION FORM (2023-24 )

Type of Programme UG

Bachelors Degree in (B. Tech in Computer Science and

Name of Course
Engineering (Cyber Security))

(B. Tech in Computer Science and Engineering (Cyber

Branch
Security))

Name of College HALDIA INSTITUTE OF TECHNOLOGY-(103)

PERSONAL DETAILS
1. Full Name of the Applicant: MANJIMA HANDA
2. Father's/Gaurdian's/Husband's Full SNEHASIS HANDA
Name:
3. Address For Communication : Pushpak, Plot No 99, Brajanathchak 721607
4. Permanent Address : Pushpak, Plot No 99, Brajanathchak 721607
5. E-mail-ID : handamanjima1@gmail.com
6. Mobile No. : 7384848192
7. Date of Birth: 12/5/2005
8. Gender: FEMALE
9.Category: General
10.Medium of Instruction: English
11.Nationality: Indian
Name of the course for which enrolment is sought. : B. Tech in Computer Science and Engineering
(Cyber Security)
Subjects offered:
SUBJECT CODE SUBJECT NAME
BS-CH 101 Chemistry - I
BS-M 101 Mathematics - I
ES-CS 101 Computer Programming for Problem Solving
HM-HU 101 English Language & Technical Communication
BS-CH 191 Chemistry - I Lab.
ES-CS 191 Computer Programming for Problem Solving Lab.
ES-ME 192 Engineering Graphics & Design. Lab.
HM-HU 191 English Language & Technical Communication Lab.
Receipt No. Date of Payment Exam Fees Payment Status
order_NRZCgIprEyLMDP 22-01-2024 12:27:47 2000 Paid

Applicant's Signature