Reg.

No

EWAKECE014
UNIVERSITY OF CALICUT
Details of fee remitted Amount 200 Chalan No. 64219 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 ATHULYA ANAND

16.09.1992 PUTHAN PURAKKAL HOUSE THANDORPPPARA PO KAYANNA VIA PUTHAN PURAKKAL HOUSE THANDORPPPARA PO KAYANNA VIA 8606268128 Details of papers for which candidate is applying now

Present Address

Phone

( 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