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Examination FormKKW

The document is an examination form application for the Summer 2025 semester at K.K. Wagh Institute of Engineering Education & Research for a B.Tech student in Information Technology. It includes personal details of the applicant, courses applied for, and fee details, along with instructions for submission and declaration of responsibility for the information provided. The form must be approved by the Examination Cell and signed by the Class Coordinator.

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24 views2 pages

Examination FormKKW

The document is an examination form application for the Summer 2025 semester at K.K. Wagh Institute of Engineering Education & Research for a B.Tech student in Information Technology. It includes personal details of the applicant, courses applied for, and fee details, along with instructions for submission and declaration of responsibility for the information provided. The form must be approved by the Examination Cell and signed by the Class Coordinator.

Uploaded by

chatupaleparth
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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K. K.

Wagh Institute of Engineering Education & Research,


Nashik (An Autonomous Institute From A.Y. 2022-23)

Examination Form Application


SUMMER-2025
SPPU Institute Code : 4013 PUNCODE : CEGN018940 Form No : 24143E-01679
Programme Name : B.Tech(2023 Class : Branch : Information Technology.
Pattern)
Roll No : Division : GE-FYE CRN : 3724081095
Eligibility No : 12024217959 PRN : 310162444769 ABC ID:
Group :

Instructions:
1. Regular students should submit exam form to the concerned departmental Class-Coordinator.
2. This form will be considered VALID ONLY AFTER APPROVAL from the Examination Cell.
3. Repeater/Year drop students should submit exam form to the examination students section directly.
To,
The Controller of Examinations, K.K.Wagh IEER, Nashik-3
I request permission to present myself for the examination of following courses, mentioned below;
Personal Details:
Name of Applicant: CHATUPALE PARTH UDAY
Name of Applicant¶s Mother: VIDYA
Address: H.NO 2-6-793,GULMANDI CORNER,AURANGPURA
Contact Number: 9168012373 Email ID : [email protected]
Gender Male Category OPEN
Learning Disable/ Physically Handicapped : NONE Medium of Instruction : ENGLISH

Details of Courses Applied :


Course Code Title of Course CCE TW INSEM TU ENDSEM

SEMESTER II (REGULAR)
2300102A Differential Equations and Y NA Y Y Y
Integral Calculus
2300110A Engineering Drawing NA Y Y NA Y

2300115B Engineering Exploration NA NA NA Y NA

2300107A Fundamentals of Electronics Y Y Y NA Y


Engineering
2300116A Indian Knowledge System NA NA NA Y NA

2300118F Object Oriented Y NA Y NA Y


Programming
2300103A Applied Physics (A) Y Y Y NA Y

2300117E Web Designing using Y Y NA NA NA


PHP/CSS
Fee Details:
Fee Type Fee Amount Rs.
STATEMENT OF MARKS 145
CAP FEE 400
EXAM FEES 905
Total Fee to be paid: 1450

Page No. : 1/2


K. K. Wagh Institute of Engineering Education & Research,
Nashik (An Autonomous Institute From A.Y. 2022-23)

DECLARATION:
I hereby declare that I have gone through the course curriculum and the list of books prescribed for the examination for
which I am appearing. I SHALL BE RESPONSIBLE for any errors and wrong or incomplete entries made by me in
the examination form.
I shall not request for special concession such as change in the day, date and/or time fixed for the examination etc. on
religious or any other grounds.
Note: 1. Optional / Elective / Group / Audit /Honor/ Special Course(s) (if applicable), should be selected carefully.
2. The exam form should be verified and signed by the concerned departmental Class Coordinator.
3. No supplement will be provided for all type of examinations.

Date : 19/03/2025 12:45


Place: Nashik

Name & Sign of Student Name & Sign of Class Coordinator Sign of Controller of Examinations

Page No. : 2/2

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