ISLAMIC UNIVERSITY OF SCIENCE & TECHNOLOGY

AWANTIPORA ,PULWAMA
FORM NO :
220271

Examination Form Exam Roll No : EE-14-77

Session : January , 2017 Semester : 4

Name :
Parentage :
Registration No. :
ASHFAQ UL HASSAN BHAT

RAFIQ UL HASSAN BHAT

IUST/BTECH/14/1944
S
Batch : 2014

Programme : B.Tech. Electrical Engineering

Department : Department of Electrical Engineering

Courses in which to be examined :

S.No. Course Code Course Title Exam Type / Remarks

1 EE-401T Electrical Machines-I

Fee :
The Examination fee of rupees 350 /- paid vide University receipt number 220271 Dated : 18/01/2017 and
the receipt is enclosed in original.
Declaration By Student :
I solemnly declare that the particulars given here-in-above are correct to the best of my knowledge and belief and
nothing has been concealed therein. In case any of the information is found incorrect or false. I shall be personally
responsible for the consequences.
I also hereby declare that I shall abide by the statutes of the University governing the Examinations and that I shall not
resort unfair means or misconduct in the Examination.

For Office Use

Objection if any Checked and found eligible/not eligible Permitted

Dealing Assistant Seal & Signature

Dated : 1/18/2017 of Concerned HOD

Note : Submit the hard copy of the Examination form in the concerned department for verification
and get Hall Ticket for appearing in the End Term Examination
 Islamic University of Science & Technology
Awantipora , Jammu and Kashmir
University (Department) Copy
Reciept No EXM- 220271 Account No 0693010100000002
Name ASHFAQ UL HASSAN BHAT Parentage RAFIQ UL HASSAN BHAT

Registration No. IUST/BTECH/14/1944 Programme B.Tech. Electrical Engineering

Dated 18/01/2017 Contact No. 9018566999

Amount 350 /- + Rs.10 bank charges Amount in Words THREE HUNDRED AND FIFTY Only/.

Bank Seal and Sign Signature of Student

Islamic University of Science & Technology

Awantipora , Jammu and Kashmir
University (Finance) Copy

Reciept No EXM- 220271 Account No 0693010100000002

Name ASHFAQ UL HASSAN BHAT Parentage RAFIQ UL HASSAN BHAT

Registration No. IUST/BTECH/14/1944 Programme B.Tech. Electrical Engineering

Dated 18/01/2017 Contact No. 9018566999

Amount 350 /- + Rs.10 bank charges Amount in Words THREE HUNDRED AND FIFTY Only/.

Bank Seal and Sign Signature of Student

Islamic University of Science & Technology

Awantipora , Jammu and Kashmir
Student Copy
Reciept No EXM- 220271 Account No 0693010100000002
Name ASHFAQ UL HASSAN BHAT Parentage RAFIQ UL HASSAN BHAT

Registration No. IUST/BTECH/14/1944 Programme B.Tech. Electrical Engineering

Dated 18/01/2017 Contact No. 9018566999

Amount 350 /- + Rs.10 bank charge Amount in Words THREE HUNDRED AND FIFTY Only/.

Bank Seal and Sign Signature of Student

Islamic University of Science & Technology

Awantipora , Jammu and Kashmir
Bank Copy

Reciept No EXM- 220271 Account No 0693010100000002

Name ASHFAQ UL HASSAN BHAT Parentage RAFIQ UL HASSAN BHAT

Registration No. IUST/BTECH/14/1944 Programme B.Tech. Electrical Engineering

Dated 18/01/2017 Contact No. 9018566999

Amount 350 /- + Rs.10 bank charges Amount in Words THREE HUNDRED AND FIFTY Only/.

Bank Seal and Sign Signature of Student

Note : Submit the hard copy of the Examination form in the concerned department for verification
and get Hall Ticket for appearing in the End Term Examination