HARCOURT BUTLER TECHNICAL UNIVERSITY KANPUR

( Examination Form For Regular / Readmitted / Ex / Carry Over Students for ODD SEMESTER , 2019-2020 )

Roll No. Branch Studying in Semester Mobile No.

Year
1604530034 Electronics Engineering 4 VII 7355237895

To,

Hon'ble Vice Chancellor

Harcourt Butler Technical University , Kanpur

Sir,

Kindly grant me permission to appear in the ensuing I / II / III / IV year Semester Final Examination for Bachelor of
Technology / Master of Technology / Master of Computer Applications / Ph.D.
I declare that :

1. I have read the rules , relevant ordinances , Statutes etc. , and undertake to abide by them. I will not claim any benefit
arising out of some error or mistake on the part of the University Office.
2. I am not appearing for any other examination of the University not permitted under the Ordinance.
3. I have not been debarred from appearing in the examination by any University on account of use of unfair means.
4. I will have no objection if I am being searched by any one deputed by the Superitendent of the Examination during course of
examination.

( Signature of Candidate )

PARTICULAR TO BE FILLER BY THE STUDENT

1. Name of the Course : Bachelor Of Technology 2. Session : 2019-2020

3. Semester : VII 4. Branch Code : 06

Affix a good quality
5. Status of Students : Regular latest coloured
photograph
6. Name of candidate in capital letter ( records as per High School , In English ) :
SUBHAM SINGH
Name of candidate ( records as per High School , In Hindi ) :

7. Father's Name ( as per High School records , in English ) :

SANTOSH KUMAR SINGH
Father's Name ( as per High School records , in Hindi ) :

8. Mother's Name ( as per High School records , in English ) :

KHELTI SINGH
Mother's Name ( as per High School records , in Hindi ) :

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9. Date of Birth : 14 Aug 1998

10. Category : OBC

11. Gender : Male 12. Year of Admission :

13. Enrollment No : HBTU160106033 14. Roll No : 1604530034

15. E-Mail ID : 16. Adhaar No : 526021659702

17. Particulars of the Qualifying Examination passed : ( Inter / Graduation / Diploma / B.Tech. I / II / III , MCA I / II , M.Tech. )

Name of Examination : Year : Roll No :

18. Whether he / she has appeared at this Examination Before . If so , give details :

Name of Examination : Year : Roll No : Result of Examination :

19. Particulars of passing First , Second and Third year of the Programme

Examination Year Roll No. Marks Maximum Result If promoted with Carry Over Papers
B.Tech / MCA / Obtained Marks provide name of papers and whether it is
M.Tech cleared / not cleared

First Year

Second Year

Third Year

Final Year

20. Subject Codes and Paper ID in which student wishes to appear in this Examination

Theory Subjects Practical & Other Subjects

Paper Name Paper Code Paper Name Paper Code
Computer Networks ICS709 Digital Signal Processing Lab IET751
Digital Signal Processing IET701 Project IET753
Wireless Communications IET702 Industrial/Practical Training and Report IET754
Presentation
Satellite Communication IET711 General Proficiency IGP701
Non Conventional Energy Resources & IME741
Utilization

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21. Complete permanent mailing address of the student

Name : SUBHAM SINGH

Address :

Contact No ( Presently used by student ) : Pin code :

DECLARATION BY THE CANDIDATE

I hereby declare that the information given above has been filled by me and is correct to the best of my knowledge and belief .

( Signature of Candidate )