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GOVERNMENT OF BIHAR

DEPARTMENT OF SCIENCE & TECHNOLOGY

STATE BOARD OF TECHNICAL EDUCATION, BIHAR

EXAMINATION FORM - SEM II


Registration Number : 2012017002
Name of Institution : Jamui Polytechnic, Jamui Institute Code : 201
Name of Branch : Electrical Engineering Branch Code : 20
Roll Number : 242012017002 Aadhaar No. : 813810435195
Student Name : CHANDERDEV PANDIT Date of Birth : 21-Aug-1991
Father Name : BATESHWAR PANDIT Contact No. : 9661836909
Email : [email protected] Submission Date : 24-Nov-2019
KYP Number :
.
Subject Type Subject Code Subject Title
Theory 1601202 Engg. Mathematics

Declaration
I hereby declare that the above information is true to the best of my knowledge and I am filling the examiantion form for backlog(Carry) papers
of Semester I and II (if any), other wise my chance shall be lapsed as per Exam Rule 3 and 6.

Signature of Candidate
Verification

1. This is to certify that the above information filled by the student has been verified and found correct. The requisite examination fee has
been deposited by the student.
2. This is to certify that this candidate CHANDERDEV PANDIT has maintained a good conduct, attended 75% of Lectures, Sessional and
Practical classes of each subject, satisfactory and completed all Sessional, Terminal and Practical work and marks has been upload/ sent to
the board; has satisfied the condition laid down by the Regulation of Board for appearing at the Board Examination as Regular/Ex-student.

Date :
Principal Signature & Seal

1. This examination form is valid for Sem II only. You have to fill sepreate examination form for other semester.
2. Please submit, Your Exam form till 27-Nov-2019 to Principal of concerned institute, other wise your Exam form will be
NOTE
cancelled.
3. Please submit, Exam Fee Rs 750 for SC, ST, Physically Handicapped, Female (all category) and Rs 1000 for others.

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