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Filled in Examination Application Form For: Page 1/2

This document is an examination application form for Anshuman Goswami, a male student enrolled in the B.Tech Mechanical Engineering program at Dhemaji Engineering College, seeking permission to appear for the 8th semester examinations in 2025. The application lists the subjects he is registered to be examined in and includes personal details such as contact information and addresses. The form also contains a declaration by the candidate and a certification by the college principal regarding his eligibility and conduct.

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Anshuman Goswami
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0% found this document useful (0 votes)
19 views2 pages

Filled in Examination Application Form For: Page 1/2

This document is an examination application form for Anshuman Goswami, a male student enrolled in the B.Tech Mechanical Engineering program at Dhemaji Engineering College, seeking permission to appear for the 8th semester examinations in 2025. The application lists the subjects he is registered to be examined in and includes personal details such as contact information and addresses. The form also contains a declaration by the candidate and a certification by the college principal regarding his eligibility and conduct.

Uploaded by

Anshuman Goswami
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/60921

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

FILLED IN EXAMINATION APPLICATION FORM FOR


PROGRAM: B.Tech Mechanical SEMESTER: 8 (Regular) EXAMINATION YEAR: 2025 Even
Engineering

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

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

DATE: 30-04-2025 12:50:18 PM

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

Subjects in which he/ she registered to be examined in B.Tech Mechanical Engineering, Semester 8 (Regular) .

SL. No. PAPER CODE PAPER NAME


1 ME181801 Manufacturing Methods
2 ME181822 Project -2
3 ME181823 Grand Viva Voce-II
4 ME1818OE21 Noise and Vibration Control
5 ME1818PE24 Compressors and Gas Turbines
6 ME1818PE33 Internal Combustion Engines

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

4. Medium of Examination English 5. Examination Roll No 213010002006

6. ASTU Registration No 008930121 Of 2021

7. Name of the Candidate ANSHUMAN GOSWAMI

8. Father's Name PRODIP GOSWAMI

9. Mother's Name SANTI DEVI GOSWAMI

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10. Contact No (M) 8011023544

11. College/ Institute Dhemaji Engineering College, Dhemaji

12. Nationality INDIAN

13. Local Guardain's Name PRODIP GOSWAMI

14. Present Address 15. Permanent Address


House/Ward No: 177 House/Ward No: 177
Vill/Town: KURUABAHI TINI ALI Vill/Town: KURUABAHI TINI ALI
PO: KURUABAHI TINI ALI PO: KURUABAHI TINI ALI
Dist: GOLAGHAT Dist: GOLAGHAT
State: ASSAM State: ASSAM
Pin: 785615 Pin: 785615
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 12:50:18 PM Yours Faithfully

Place:______________

(ANSHUMAN GOSWAMI)
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: Not Paid Status Date: 30-04-2025 12:50:18 PM

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