agu examapplication

Mechanical Engineering - Semester II - Main Exam COLLEGE COPY Examination Form May 2013 College Code / Name : 800 Institute of Engineering & Technology *129003141005* Course : Mechanical Engineering - Semester II - Main Exam FORM NO : 11266922 PERSONAL DETAIL Name of Stu dent : AMAN SHARMA Nationality : INDIAN Roll No : 128005530005 Father's Name : RAMNIWAS SHARMA Mother 's Name : SANTOSH SHARMA Date of Birth : 13/09/1993 Religion : HINDU Address : SADHBHAWNA COLONY LAL PHATAK NEAR SAINT MARIA JUNIOR HIGH SCHOOL Pin : 243001 Sex : MALE Orginal Resident of : UP Ca te go ry : GENERA L Sub-category : Signature of Candidate (English) Medium of 10+2 Exam : ENGLISH Subject Stream : SCIENCE OFFERED SUBJECTS FOR EXAMINATION Subject Name Code Signature of Candidate (Hindi) MATHS-II PHYSICS-II COMMUNICATIVE ENGLISH PROGRAMMING AND COMPUTING ENGINEERING DRAWING LAB-PHYSICS LAB-PROGRAMMING AND COMPUTING 554201 554202 554203 554204 554205 554206 554207 DETAILS OF PREVIOUS EXAMINATION RESULT Left Thumb Impression for Male & Right Thumb Impression for Female in the presence of Principal / Forwarding authority Course Roll No. Subject Board/University Mrks Obt Max Marks Year Division 128005530005 501 750 2013 First High School Intermediate Previous Year Declaration I, AMAN SHARMA(11266922) Son/Daughter of Mr./Mrs RAMNIWAS SHARMA do hereby solemnly affirm that, all the information given in the examination form are true to the best of my knowledge and belief. If any of information is found incorrect or distorted at any stage, I shall have no objection in cancellation of my examination form by the University. I shall no do further correspondance for any correction to the University. (Signature of Candidate) Certificate by the Principal/Director/Head This is to certify that AMAN SHARMA Son/Daughter of Sri RAMNIWAS SHARMA is a student of our College. The above particular details have been verified from the original records. He/She is eligible for the examination so that his/her examination form is being forwarded. Dated:- Signature of Principal/Director/Head with stamp University Use Only Checked all the entries from office records and found correct Dated:-_______ ____________ Signature of Section incharge(in full) Enclosures :- 1.Academic Documents 3.DOB Proof High School Marks Sheet 2.Address Proof 4.Proof of enrollment, if enrolled