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21 views2 pages

Exam Form

Uploaded by

Rahul.
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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HARCOURT BUTLER TECHNICAL UNIVERSITY KANPUR

( Examination Form For Regular / Readmitted / Ex / Carry Over Students for EVEN SEMESTER , 2023-2024 )

Roll No. Branch Studying in Semester Mobile No.


Year
200104046 Computer Science and Engineering 4 VIII 8175959555

To,

Hon'ble Vice Chancellor


Harcourt Butler Technical University , Kanpur

Sir,

Kindly grant me permission to appear in the ensuing I / II / III / IV year Semester Final Examination for Bachelor of
Technology / Master of Technology / Master of Computer Applications / Ph.D.
I declare that :

1. I have read the rules , relevant ordinances , Statutes etc. , and undertake to abide by them. I will not claim any benefit
arising out of some error or mistake on the part of the University Office .
2. I am not appearing for any other examination of the University not permitted under the Ordinance.
3. I have not been debarred from appearing in the examination by any University on account of use of unfair means.
4. I will have no objection if I am being searched by any one deputed by the Superitendent of the Examination during course of
examination.

( Signature of Candidate )

PARTICULAR TO BE FILLER BY THE STUDENT

1. Name of the Course : Bachelor of Technology 2. Session : 2023-2024

3. Semester : VIII 4. Branch Code : 04


Affix a good quality
5. Status of Students : Regular latest coloured
photograph
6. Name of candidate in capital letter ( records as per High School , In English ) :
RAHUL VERMA
Name of candidate ( records as per High School , In Hindi ) :

7. Father's Name ( as per High School records , in English ) :


RADHE LAL VERMA
Father's Name ( as per High School records , in Hindi ) :

8. Mother's Name ( as per High School records , in English ) :


SHIVKUMARI
Mother's Name ( as per High School records , in Hindi ) :

1
9. Date of Birth : 08 Jun 2001

10. Category : SC

11. Gender : Male 12. Year of Admission :

13. Enrollment No : HBTU200104046 14. Roll No : 200104046

15. E-Mail ID : [email protected] 16. Adhaar No : 804877211154

17. Particulars of the Qualifying Examination passed : ( Inter / Graduation / Diploma / B. Tech. I / II / III , MCA I / II , M.Tech. )

Name of Examination : Year : Roll No :

18. Whether he / she has appeared at this Examination Before . If so , give details :

Name of Examination : Year : Roll No : Result of Examination :

19. Particulars of passing First , Second and Third year of the Programme

Examination Year Roll No. Marks Maximum Result If promoted with Carry Over Papers
B.Tech / MCA / Obtained Marks provide name of papers and whether it is
M.Tech cleared / not cleared

First Year

Second Year

Third Year

Final Year

20. Subject Codes and Paper ID in which student wishes to appear in this Examination

Theory Subjects Practical & Other Subjects


Paper Name Paper Code Paper Name Paper Code
MACHINE LEARNING ECS482 PROJECT ECS498
SOFTWARE PROJECT MANAGEMENT EIT470
TECHNOLOGY OF PIGMENTS AND OPT492
EXTENDERS

21. Complete permanent mailing address of the student

Name : RAHUL VERMA

Address : BODHI KA DERA , NARAICHA


BINDKI ,FATEHPUR

Contact No ( Presently used by student ) : Pin code : 212657

DECLARATION BY THE CANDIDATE


I hereby declare that the information given above has been filled by me and is correct to the best of my knowledge and belief .

( Signature of Candidate )

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