Reg.

No

EWALECE062
UNIVERSITY OF CALICUT
Details of fee remitted Amount 200 Chalan No. 64344 Date of remittance 4-4-2014 Name of Treasury friends calicut

Identifying Officer's Name,Designation and Address

................................................................................................................ ................................................................................................................ .........................

Signature of the Candidate................................................. (To be signed in the Presence of Identifying Officer)

Signature of Identifying Officer with Seal (To be signed on the Photograph)

B.Tech Supplementary Examination( Semester - 4 ) MAY 2014

APPLICATION FORM
Centre and Place of Examination

Name of Candidate
Date of Birth Permanent Address Present Address Phone

AWH ENGINEERING COLLEGE, KUTTIKATUR MUHAMMED FAIJAS A M

07.01.1993 awh engg.college calicut awh engg.college calicut 9845530270 Details of papers for which candidate is applying now

( SUP ) ( SUP ) ( SUP ) ( SUP ) ( SUP )

EN09 401A CE09 403 CE09 404 CE09 405 CE09 406

ENGINEERING MATHEMATICS IV FLUID MECHANICS STRUCTURAL ANALYSIS I ENGINEERING ECONOMICS & PRINCIPLES OF MANAGEMENT SURVEYING II

I hereby certify that the entries made above are correct to the best of my knowledge

Place :

Date :

Signature of Candidate