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Filled in Examination Application Form For: Page 1/2

The document is an examination application form for Rhiddhiman Gogoi, a B.Tech Mechanical Engineering student, requesting permission to appear for the Semester 4 (Improvement) exams in 2025. It includes personal details, subjects registered for examination, and a declaration regarding the accuracy of the information provided. The application is submitted to the Controller of Examinations at Assam Science and Technology University through the Assam Engineering College.

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16 views2 pages

Filled in Examination Application Form For: Page 1/2

The document is an examination application form for Rhiddhiman Gogoi, a B.Tech Mechanical Engineering student, requesting permission to appear for the Semester 4 (Improvement) exams in 2025. It includes personal details, subjects registered for examination, and a declaration regarding the accuracy of the information provided. The application is submitted to the Controller of Examinations at Assam Science and Technology University through the Assam Engineering College.

Uploaded by

rhiddhi975
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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Form No: ASTU/EX/65737

A.S.T.U. Sl. No.

FILLED IN EXAMINATION APPLICATION FORM FOR


PROGRAM: B.Tech Mechanical SEMESTER: 4 (Improvement) EXAMINATION YEAR: 2025 Even
Engineering

To,
The Controller of Examinations,
Assam Science and Technology University, Guwahati
(Through the Principal/ Director of Assam Engineering College, Guwahati)

Sir,
I request the permission to appear myself at the ensuing Examinations with following particulars duly filled in:

DATE: 30-05-2025 01:16:08 PM

Program Name: B.Tech Mechanical Engineering Program Code: 0102

Subjects in which he/ she registered to be examined in B.Tech Mechanical Engineering, Semester 4 (Improvement) .

SL. No. PAPER CODE PAPER NAME


1 ME181402 Workshop Theory and Practice-I
2 ME181404 Materials Science
3 ME181405 Mechanics of Materials

1. Category of student Improvement 2. Sex Male 3. Caste General

4. Medium of Examination English 5. Examination Roll No 220610002045

6. ASTU Registration No 034506122 Of 2022

7. Name of the Candidate Rhiddhiman Gogoi

8. Father's Name HEMENDRA KUMAR GOGOI

9. Mother's Name NABANITA GOGOI

10. Contact No (M) 7002593164

11. College/ Institute Assam Engineering College, Guwahati

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12. Nationality INDIAN

13. Local Guardain's Name NABANITA GOGOI

14. Present Address 15. Permanent Address


House/Ward No: AMGURI WARD NO.9 House/Ward No: AMGURI WARD NO.9
Vill/Town: AMGURI TOWN Vill/Town: AMGURI TOWN
PO: AMGURI PO: AMGURI
Dist: SIVASAGAR Dist: SIVASAGAR
State: ASSAM State: ASSAM
Pin: 785680 Pin: 785680
Country: INDIA Country: INDIA

DECLARATION OF THE CANDIDATE


If any of the statements made as above in the application are found to be not true, or if it appears as such in the opinion
of the University, I have in any way contravened by the provisions of the University Rules and Regulations relating to
the Degree examination, my admission to the examination will be liable for cancellation at any time at the discretion of
the University authority before or after the examination/results.

Date: 30-05-2025 01:16:08 PM Yours Faithfully

Place:______________

(Rhiddhiman Gogoi)
CERTIFICATE
1. I certify that the particulars furnished by the above named candidate have satisfied me that he/ she passed all
qualifying examinations and fulfilled all the requirements under the regulations to be eligible to appear above
mentioned examination.
2. He/ She has completed all the other requirements including evaluation of the grading system upto mid-semester
examination and the minimum requirement of attendance as per the program regulation.
3. I certify that his/ her conduct and progress in studies have been satisfactory during the course of study in this
College/ Institution within the framework of A.S.T.U. Regulations.
4. Further, it is certified that this College/ Institution had been granted affiliation by the Assam Science and
Technology University, Guwahati.
Principal/ Head of the College/ Institution

..............................

Payment Status: Not Paid Status Date: 30-05-2025 01:16:08 PM

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