14/05/2025, 10:15                                                                                 about:blank
Application form for Even Semester Examinations 2024-25 for Backlog Candidates
     Application Form for                      : Second Semester Examinations 2024-25
     For The Degree of                         : Bachelor of Technology in Electrical Engineering
     Name                                                 : ADITYA RAJ
     REG. NO.                                             : 223550110001 OF 2022-23
     Roll. NO.                                            : 35501622021
     Institute Name(Code)                                 : Ghani Khan Choudhury Institute of Engineering & Technology(355)
     PAPER CODE                               PAPER NAME                                                                      PAPER TYPE
     BSPH201                                  Physics-I (Gr-B)                                                                Theory Paper
    I declare that I have fulfilled the criteria for appearing in the above Examinations as a Backlog Candidate.
    I accept the rules, guidelines and notifications of the University in respect of the current offline mode of end semester
    examinations and shall abide by the same.
    Last date of submission of form to the respective institutes by the students :19-05-2025 11:59 PM
    ............................................................................
    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 diligently and regularly pursued his/her studies and
    4. He/She has attended.....................%(in words ........................................) of lectures.
    ............................................................................
    Signature of the Principal / Director of the Institute/ College with date and seal.
    N.B.
    1. Examination Fees Rs. 1000/- (Not refundable)
    2. Students are required to submit the form to their Institution only.
       If any of the statements mentioned above is incorrect, the Examinations of the Candidate is liable to be cancelled by the
    3.
       University.
                                    Receipt No.                                     Date of Payment             Exam Fees        Payment Status
                        MK34278968241f86daaec                                      14-05-2025 10:14:41             1000                Paid
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