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Sage University Examination Form: Name of Institute: Enrollment No: Candidate Name: Medium: English Status: Regular

This document is an examination form for Rajkumar, a student at Sagar Institute of Research & Technology seeking to appear for exams at Sage University. It provides his personal details like name, father's name, address and contact information. It lists the 6 theory and 7 practical paper codes and titles he is appearing for in his second semester of the B.Tech ME (Mechanical Engineering) program. It also includes his exam fees payment details and instructions signed by the candidate and certified by the Head of Department.

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Viraaj Singh
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291 views1 page

Sage University Examination Form: Name of Institute: Enrollment No: Candidate Name: Medium: English Status: Regular

This document is an examination form for Rajkumar, a student at Sagar Institute of Research & Technology seeking to appear for exams at Sage University. It provides his personal details like name, father's name, address and contact information. It lists the 6 theory and 7 practical paper codes and titles he is appearing for in his second semester of the B.Tech ME (Mechanical Engineering) program. It also includes his exam fees payment details and instructions signed by the candidate and certified by the Head of Department.

Uploaded by

Viraaj Singh
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
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SAGE UNIVERSITY

Kailod Kartal, Rau Bypass Road , Indore


Examination Form
(UG/PG/DIPLOMA/PhD) Admitted batch : 2020-2021
NAME OF INSTITUTE : SAGAR INSTITUTE OF RESEARCH & TECHNOLOGY,STATUS
INDORE : REGULAR

ENROLLMENT NO : 20ENG2MEC0051 MEDIUM: ENGLISH


CANDIDATE NAME : RAJKUMAR
(According to class 10th Mark sheet)

FATHER 'S/HUSBAND NAME : UMRAV SINGH

MOTHER 'S NAME : BHURI

ADDRESS : AMLATAJ BAGLI DEWAS, MP

EMAIL ID : [email protected]
MOBILE NO. 8085353062
(FOR SMS ALERT)

FEES DETAILS
Receipt No. : EXAM|21-22|19085 Date : 26-Jun-2021 Pay Mode : Online
Order ID : 2976423535902 (Success) Bank Ref No. : 110196587717 Amount : 1500
APPEARING IN . B.Tech ME (Mechanical Engineerng) II Semester
SNo. SUBJECT TITLE OF THEORY PAPERS SNo. SUBJECT TITLE OF PRACTICAL PAPERS
CODE CODE
1 AECACEVS001T Environmental Science and Disaster 1 AECACEVS001N Environmental Science and Disaster
Management Management
2 EBSDCMAT007T Mathematics – II 2 AECACEVS001T Environmental Science and Disaster
Management
3 EBSDCPHY002T Physics
3 EBSDCMAT007T Mathematics – II
4 EECGEECT001T Electronics and its circuit
4 EBSDCPHY002T Physics
5 EMEDCENG001T Engineering Graphics
5 EECGEECT001T Electronics and its circuit
6 EMEDCMFG001T Manufacturing Process
6 EMEDCENG001T Engineering Graphics
7 EMEDCMFG001T Manufacturing Process
Instructions :
1.I certify that this application has been filled by me and the information given there in is correct and I shall be personally
responsible for the same if I proved false later on.
2.I also certify that I am not regular student of any other institute for university and appearing as regular candidate only in the
examination being conducted by SAGE UNIVERSITY
3.I understand that if it is a found later on that the information furnished above is false then my result of examination will be
cancelled.
4.Date entry in the application form have been examined and verified properly and found correct. The candidate is eligible to
appear in the examination as per arrival and ordinance and regulation of SAGE UNIVERSITY
5.Before submitting the application the candidates are advised to satisfy themselves that eligibility conditions that are laid down
by the University to appear for the examination are fulfilled.

Candidate's Signature Certified by : HOD/HOI

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