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VISVESVARAYA TECHNOLOGICAL UNIVERSITY, BELGAUM

APPLICATION FORM FOR EXAMINATION DECEMBER - 2013 ACK NO: 1 2 3 4 5 6 7 COLLEGE NAME DEGREE BRANCH UNIVERSITY SEAT NO NAME OF THE CANDIDATE EMAIL ID SUBJECTS APPLIED - 03 Semester Regular Exam Fee 12EC009 - ADVANCES IN VLSI DESIGN 12EC117 - AUTOMOTIVE ELECTRONICS 12EC020 - CMOS RF Circuit Design 12LVS34 - Evaluation of Project Phase - I
: : : : : :

10501219

Alpha College Of Engineering, Bangalore M.E & M.Tech M-Tech/M.Arch Full Time - VLSI DESIGN & EMBEDDED SYSTEMS 1AC12LVS15 Shivakumar Badiger

Payment Details

Mode of Payment : Cash 8 Fee paid in words Receipt No. with date
: :

Rupees One Thousand Sixty Only / 07-11-2013 10501219

Total Fee Amount (Rs.)

1,060.00

9 Address for correspondence with Phone No:

Signature of the candidate with date

Date Applied :

07-11-2013

Signature of the HOD

Signature of the Principal/His Representative with college seal

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