EXAMINATION APPLICATION FORM (wes. March, 2015)
OLLNO.: essczatnce
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REGISTRATION NO anaes)
aTionAL NSTITUTE OF TECHNOLOGY
DURGAPUR |
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_SEMSTER (REGULAR/SUPPLE) EXAMINATION, 20___-20.
APPLICATION FOR,
(oe led up bythe candidate in BLOCK LETTERS only)
[NAME (as institute Registration).
PRESENT ADDRESS,
MOBILE No, Baile ts tote se a
(aach photocopy feist Semester Registration Fe payent Sip avd Fine pajent Spans)
‘have read and understood all the provision as ld down under the Regulations ofthe programme
ans shall abide by all the provisions ofthe regulations of the programme
Signature ofthe Student
Date
Received Admit Card Vertes
(Gignature with date) Dealing Assistant DEAN/FIC/DR/AR
FF FECHNOLOGY DURGAPUR
ADMIT CARD
S64 (REG /SU) EXAMINATION, 20__-20__
ROLLNO. (obelled up bythe canst) fear
| samp size
REGISTRATION NO, calour photo
NAME,
‘Signature ofthe Student DEAN/FIC/DR/AR
MOBILE PHONE/ ELECTRONICS GADGETS ARE PROHIBITED IN THE EXAMINATION HALL