Reg.

No

EWALEEE003
UNIVERSITY OF CALICUT
Details of fee remitted Amount 265 Chalan No. 64291 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 ADARSH. S

13.11.1993 PUTHIYEDATH HOUSE PULLALUR PARANNUR (PO) CALICUT PUTHIYEDATH HOUSE PULLALUR PARANNUR (PO) CALICUT 9846322029 Details of papers for which candidate is applying now

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

EN09 401B EN09 402 EE09 403 EE09 404 EE09 405 EE09 406 EE09 407(P) EE09 408(P)

ENGINEERING MATHEMATICS IV ENVIRONMENTAL SCIENCE SIGNALS AND SYSTEMS DC MACHINES AND TRANSFORMERS DIGITAL ELECTRONICS ELECTRICAL MEASUREMENTS & INSTRUMENTATION SYSTEMS MECHANICAL ENGINEERING LAB ELECTRICAL MEASUREMENTS & INSTRUMENTATION LAB

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

Place :

Date :

Signature of Candidate