Reg.

No

EWALEME032
UNIVERSITY OF CALICUT
Details of fee remitted Amount 215 Chalan No. 64362 Date of remittance 04-04-2014 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/Improvement Examination ( Semester - 4 ) MAY 2014 with fine Rs.100/APPLICATION FORM
Centre and Place of Examination

Name of Candidate
Date of Birth Permanent Address

AWH ENGINEERING COLLEGE, KUTTIKATUR MUHAMMED MUSTHAFA. V.P

31.08.1992 VIRIPPAKKIL(H) NEAR PRESTEEGE RAHMAN BAZAR 673655 VIRIPPAKKIL(H) NEAR PRESTEEGE RAHMAN BAZAR 673655 9847372784 Details of papers for which candidate is applying now

Present Address

Phone

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

EN09 401A EN09 402 ME09 403 ME09 404 ME09 405 ME09 406

ENGINEERING MATHS IV ENVIRONMENTAL SCIENCE MECHANICS OF SOLIDS CASTING AND JOINING FLUID MACHINERY THERMODYNAMICS

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

Place :

Date :

Signature of Candidate