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Dona Exam Form

This document is an application form submitted by Shreyasi Das, a student of Government College of Engineering and Textile Technology in Berhampore, for the alternative assessment process for the second semester examinations of 2019-2020 due to the Covid-19 pandemic. The form lists the 8 papers - 4 theory and 4 practical - that the student is applying for assessment in. It includes a declaration that the student meets the criteria for the alternative assessment process and agrees to accept the results, with the option to apply for a special examination later. The principal of the institute also certifies details about the student's admission and attendance.

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Vishnu Biswas
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170 views2 pages

Dona Exam Form

This document is an application form submitted by Shreyasi Das, a student of Government College of Engineering and Textile Technology in Berhampore, for the alternative assessment process for the second semester examinations of 2019-2020 due to the Covid-19 pandemic. The form lists the 8 papers - 4 theory and 4 practical - that the student is applying for assessment in. It includes a declaration that the student meets the criteria for the alternative assessment process and agrees to accept the results, with the option to apply for a special examination later. The principal of the institute also certifies details about the student's admission and attendance.

Uploaded by

Vishnu Biswas
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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10/9/2020

Alternative method of evaluation for even sem 2019-20 for REGULAR Student
(Covid-19 pandemic situation and as per advisory)
I hereby apply for the alternative assessment process as prescribed by the appropriate authority of the University in Covid-19
pandemic situation with the following details.
Application Form for : Second Semester Examination 2019-2020
For The Degree of : Bachelor of Technology in Textile Technology

Name : SHREYASI DAS


REG. NO. : 013589 OF 2019-20
Roll. NO. : 11101419035
: GOVT. COLLEGE OF ENGINEERING AND TEXTILE TECHNOLOGY, BERHAMPORE-
Institute Name(Code)
111

PAPER CODE PAPER NAME PAPER TYPE


BSCH201 Chemistry-I (Gr-A) Theory Paper
BSM202 Mathematics - IIB Theory Paper
ESCS201 Programming for Problem Solving Theory Paper
HMHU201 English Theory Paper
BSCH291 Chemistry-I Laboratory (Gr-A) Practical Paper
ESCS291 Programming for Problem Solving Practical Paper
ESME291 Engineering Graphics & Design(Gr-A) Practical Paper
HMHU291 Language Laboratory Practical Paper
I declare that I have fulfilled the criteria for applying in the above evaluation process as a Regular / Back paper Candidate
as per alternative assessment process due to Covid-19 pandemic situation. I am agreed with the alternate method of
evaluation as prescribed by appropriate authority as per notice Ref.No. COE/MAKAUT,WB/59/2020 dated 29/09/2020 and
declare that I shall accept the assessment process in Covid-19 pandemic situation for even semester 2019-20. I may apply
for special examination after the Covid-19 situation is normalized if I am not satisfied with this process and result of the
special examination would be binding on me irrespective of increase / decrease of marks and status of pass/fail.

Last Date Of submission of form to the respective institutes by the students :03rd October 2020

............................................................................
Full Signature of the applicant with Date.
I certify that
1. The Statements made by the applicant are correct.
2. He/She was admitted to the Institute as per University regulations.
3. He/She has deligently and regularly pursued his/her studies and
4. He/She has attended.....................%(in word ........................................) of lectures.

............................................................................
Signature of the Principal / Director of the Institute/ College with date and seal.
N.B.
1. Examination Fees Rs. 1200/- (Not refundable)
2. Students are required to submit the form to their Institution only.
3. If any of the Statements mentioned above is incorrect, the Examination of the Candidate is liable to be cancelled by the University.
Receipt No. Date of Payment Exam Fees Payment Status
makaut15f7d6155810ce 1200 Paid

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10/9/2020

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