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B.Tech Exam Application Form - Kannur University

This document is an application form for Kannur University's B.Tech VI Semester supplementary/improvement examinations in December 2016. It contains details of the candidate such as name, date of birth, address, category, examination center, paper details, fee payment details, and signatures of the candidate and principal. The candidate is applying to appear for 4 papers - Dynamics of Machinery, Advances in Manufacturing Engineering, Operations Research, and Numerical Methods.

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amal
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15 views1 page

B.Tech Exam Application Form - Kannur University

This document is an application form for Kannur University's B.Tech VI Semester supplementary/improvement examinations in December 2016. It contains details of the candidate such as name, date of birth, address, category, examination center, paper details, fee payment details, and signatures of the candidate and principal. The candidate is applying to appear for 4 papers - Dynamics of Machinery, Advances in Manufacturing Engineering, Operations Research, and Numerical Methods.

Uploaded by

amal
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

Reg.

No: B3ENME8765

KANNUR UNIVERSITY
[Link] VI Semester(Supplementary/Improvement-Including Part Time)
Examinations, December 2016
APPLICATION FORM
Passport Size

Photo(To be

Attested)

Signature of Identifying Officer with Seal


(To be signed on the Photograph)
Name and Designation
Signature of the Candidate.................................................
(To be signed in the Presence of Identifying Officer)

Name of Candidate :REJIL V V Date of Birth :18-11-1993


Sex : MALE

Address : RATHIN NIVAS,PINARAYI, :PATHIRIYAD , 670741

Category : OBC
Centre and Place of Examination :COLLEGE OF ENGINEERING AND TECHNOLOGY,PAYYANNUR

Details of Paper Registerd


1 ENME7A602TH DYNAMICS OF MACHINERY(S)
2 ENME7A604TH ADVANCES IN MANUFACTURING ENGINEERING(S)
3 ENME7A605TH OPERATIONS RESEARCH(S)
4 ENME7A606TH ELECTIVE I- NUMERICAL METHODS(S)
Details of fee remitted
Amount Chalan No. Date of remittance Name of Treasury
770 38 13-02-2017 SBT MATHAMANGALAM BRANCH

I hereby certify that the entries made above are correct to the best of my knowledge
Station :
Date :

Signature of Candidate

This is to certify that ......................................................... belongs to SC/ST/Other Backward/Forward Community


appearing for the examination for the First/Second Chance. His/Her Examination fees Rs.................will be claimed by
me from the District Harijan Welfare Officer concerned and the chalan for the same sent to the Controller of
Examinations at an early date.

Office Seal Signature of the Principal


Address to which application is to be sent :
Controller of Examinations ,Kannur University , Thavakkara , Civil Station (P.O)-670 002

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