Student Exam Application Report

College : JISE-JIS COLLEGE OF ENGINEERING

Programme /Course Name : B.Tech - Electrical Engineering
Exam Name : B.Tech Fourth Semester Examination May - 2019
Branch Name : Electrical Engineering
Category of the Examinee : 0 - Regular
Roll No. : 380317011041
University Details
Exam Cycle : Summer Medium : English
Exam Form No. : JISE/198
General Details
Full Name : PRADIPTA DUTTA
Father's Name : KANAILAL DUTTA
Mother's Name : DURGA DUTTA
Gender : Male
Date of Birth(dd-mm-yyyy) : 11-12-1999
Caste Category : GENERAL
Mobile No. : 8697884057
Adhaar No. : 825657767444 Email Address : dutrab50@gmail.com
Correspondence Permanent : SODEPUR, PANSILA UTTAR NATAGARH PinCode: 700112
Address

Subjects Offered
Subject Code Subject Name
CS(EE)402 DATA STRUCTURE
CS(EE)492 DATA STRUCTURE LAB
EE401 ELECTRICAL MACHINES - I
EE402 ELECTRICAL AND ELECTRONICS MEASUREMENT
EE491 ELECTRICAL MACHINES - I LAB
EE492 ELECTRICAL AND ELECTRONICS MEASUREMENT LAB
M(CS)401 NUMERICAL METHODS
M(CS)491 NUMERICAL METHODS LAB
MC481 TECHNICAL SKILL DEVELOPMENT
PH(EE)401 PHYSICS II
PH(EE)491 PHYSICS II LAB
DECLARATION BY THE CANDIDATE
1) I am aware that, I have to fulfil criteria of attendance by the University/ MCI, failing which I shall be held “NOT ELIGIBLE” and will not be allowed to appear in
Examination.
2) I hereby declare that I have gone through the syllabus as prescribed and adopted by the University and relevant rules of the Heads of Passing which are applicable for
the examination for which I am appearing and I accept the same without any challenge (wherever applicable).
3) I shall be responsible if my application form is rejected for any errors, wrong or incomplete entries made by me in the examination form.
4) I am not admitted to the course after the cut-off date declared by the University for grant of terms.
5) I fulfil all the criteria for the admission in the course as defined by the MCI/ University and I am not defying the criteria of the admission order.
Place :
Date : 22/05/2019 Signature of Candidate in running hand

CERTIFICATE BY THE HEAD OF INSTITUTION

I certify:
1. That Shri/Smt/Kum. PRADIPTA DUTTA is a bonafide student of this college, admitted to the Electrical course.
2. That the candidate has completed the academic terms to appear in this examination (wherever applicable). Engineering
3. That the information furnished by the said candidate is verified from his/her documents and that the candidate is Eligible to appear for University
Examination.
Place :
Date : 22/05/2019 Signature & Seal of the Dean/Principal

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