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Filled in Examination Application Form For: Page 1/2

This document is an examination application form for Kaustab Das, a B.Tech Mechanical Engineering student at Assam Engineering College, requesting permission to appear for the Semester 6 examinations in 2025. The application includes personal details, subjects registered for examination, and a declaration of eligibility. Payment status is noted as paid but not yet approved by the college.

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Kaustab Das
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0% found this document useful (0 votes)
24 views2 pages

Filled in Examination Application Form For: Page 1/2

This document is an examination application form for Kaustab Das, a B.Tech Mechanical Engineering student at Assam Engineering College, requesting permission to appear for the Semester 6 examinations in 2025. The application includes personal details, subjects registered for examination, and a declaration of eligibility. Payment status is noted as paid but not yet approved by the college.

Uploaded by

Kaustab Das
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Form No: ASTU/EX/56672

A.S.T.U. Sl. No.

FILLED IN EXAMINATION APPLICATION FORM FOR


PROGRAM: B.Tech Mechanical SEMESTER: 6 (Regular) EXAMINATION YEAR: 2025 Even
Engineering

To,
The Controller of Examinations,
Assam Science and Technology University, Guwahati
(Through the Principal/ Director of Assam Engineering College, Guwahati)

Sir,
I request the permission to appear myself at the ensuing Examinations with following particulars duly filled in:

DATE: 30-04-2025 11:33:28 AM

Program Name: B.Tech Mechanical Engineering Program Code: 0102

Subjects in which he/ she registered to be examined in B.Tech Mechanical Engineering, Semester 6 (Regular) .

SL. No. PAPER CODE PAPER NAME


1 HS181606 Accountancy
2 ME181601 Machine Design-II
3 ME181602 Fluid Mechanics-II
4 ME181603 Mechanical Measurements and Instrumentation
5 ME181604 Workshop Theory and Practice-II
6 ME181605 Heat Transfer-II
7 ME181612 Fluid Mechanics-II Lab
8 ME181613 Mechanical Measurements and Instrumentation Lab
9 ME181615 Heat Transfer-II Lab

1. Category of student Regular 2. Sex Male 3. Caste General

4. Medium of Examination English 5. Examination Roll No 220610002032

6. ASTU Registration No 014606122 Of 2022

7. Name of the Candidate Kaustab Das

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8. Father's Name Ghanashyam Das

9. Mother's Name Ranu Das

10. Contact No (M) 8011464913

11. College/ Institute Assam Engineering College, Guwahati

12. Nationality Indian

13. Local Guardain's Name Ghanashyam Das

14. Present Address 15. Permanent Address


House/Ward No: Gogoi PG Alimai Bhuyan Road House/Ward No: House no-123
Vill/Town: Jalukbari Guwahati Vill/Town: Village-Moutupuri
PO: Jalukbari PO: Moutupuri
Dist: Kamrup Metropolitan Dist: Barpeta
State: Assam State: Assam
Pin: 781013 Pin: 781316
Country: India Country: India

DECLARATION OF THE CANDIDATE


If any of the statements made as above in the application are found to be not true, or if it appears as such in the opinion
of the University, I have in any way contravened by the provisions of the University Rules and Regulations relating to
the Degree examination, my admission to the examination will be liable for cancellation at any time at the discretion of
the University authority before or after the examination/results.

Date: 30-04-2025 11:33:28 AM Yours Faithfully

Place:______________

(Kaustab Das)
CERTIFICATE
1. I certify that the particulars furnished by the above named candidate have satisfied me that he/ she passed all
qualifying examinations and fulfilled all the requirements under the regulations to be eligible to appear above
mentioned examination.
2. He/ She has completed all the other requirements including evaluation of the grading system upto mid-semester
examination and the minimum requirement of attendance as per the program regulation.
3. I certify that his/ her conduct and progress in studies have been satisfactory during the course of study in this
College/ Institution within the framework of A.S.T.U. Regulations.
4. Further, it is certified that this College/ Institution had been granted affiliation by the Assam Science and
Technology University, Guwahati.
Principal/ Head of the College/ Institution

..............................

Payment Status: Paid but not yet approved by college. Status Date: 02-05-2025 08:23:12 AM

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