12.

13.
Annexure - 02
Yes
Yes,
if
Have
aners
Confim
lam
you BIJU PATNAIK
sease
your
UNIVERSUTY OF TECHNOLOGY, ODISIA
wiling
taken
specty ROURKELA
No
ONwilingness
LINE
tromCOMPUTER BASED TEST
to FROM
your
take
Td
HOMEICENTRE OPTION FORM
he Prdskal hetitutins and CauwL Ptotn 11s fr teri Rural il r
f
online
aporove
Mock/Trial FINAL SE MESTERRE GU AR EXAMINA
to
o be serr by the Stuadernt onlione to IIOI, 2019 20)
Yes,
le
take
test
hus / her Coikege or venfeaton ard e
regsiratonj
(raVMock Test is Marxlatory)
in
Test?
mention
online
July
Name of the Student
test
date Sudeepta Saho0
Regsration Number by
and
time
ticking
61O1 To4IE
Name of hisher own Colege ipvt (allec o(nGuneeug, keo nhar
the
Course
Dba
below
B:Tech
Brancn(f any) option
o. Mooie No Sude
FORCOLLEGE
5-07-2020
Aadhar No. / Voter ID (To be produced in New Centre)
8E-Mail id (To receive Admit Card)
s2o375g
Eleclrical
At/PO-Khakgucla,
USE

9Residental Address
TBATo81IA1
10. Which device with the
DISt-NabaroanepuL
ePIHaSL3Oamau
following configuration do you use to take online exam (Tick the appropriate Box)?
on
Desktop with the given below system comfiguration Laptop with the gven below system configuration
Pn- 3
System configuration En1OLeri
53
1WebcamandMike
2 Minimum of i3 prooessor, 4GB RAMand above
7640¢5
6
3. 1 MBPS Intemet bandwidth
4. Power backup for the exam for 3 hour duration n-co
5. Should be able to install a smail application, so admin privileges is a must
11. From where would you take the Test?
Ohers (Technc/Pradessonal instuticns and Govt PayechnicsiT'sfa interis Rura Hty Areas onty)
M
Home

ttme -2.a0 PM

DECLARATION
Ihereby confrm the availability of Desktop / Laplop with Webcam, Mke,3 processor and 4GB RAM, IMBPS Intemet bandwidth,Power
Backup for the examinaion duration of 34 Hours, and can instal the examinaion aplication to appear online Test I have taken mocktral test
and am conficdent b appear the test I also undertake to maintain confideniality, shal not resot to any objectionable unfair means eading to
mapractioes, and completely abide by the instructions during examinatonS to be issued by the Unversity.

Sudeepta sahoo
Date: 26-01-2080 Full Signature of the Student

(FOR ONLINE VERIFICATION)

On receipt of application, we verified the details and upoaded change of Centre Name, E-Mail ID and Mobile No. of the sthudent in the University

portai (UMS)

Signature of Principal/ Director

Verified by
Name and Designation Seal
Date Date
 Annexure - 02

10. R M NO BPUTICovid-19/FE-1
Course
Name
Branch BIJU PATNAIK UNIVERSITY OF
Desktop
Which
Ragstration
of
TECHNOLOGY, ODISHA
(if ROURKELA
the
any)
hisher
device
ON-LINE COMPUTER BASED TEST FROM
with
Number
Student
HOMEICENTRE' OPTION FORM
the Tni
al Prolesiomal lInstituions
own
with and Ciovt Polsteolnics FIT% for Inturior Rural
lilly Areas only
the (FINAL SEMESTER REGULAR EXAMINATION, 2019 20)
given
College(o be sent by the Student online to his
/ her Colege for venitfication and
re-registration)
f
following
below (TnaVMock Test is Mandatory)
Yes,
system
mention Sudeepta Sah00
configuration
cornfiguration
date 610Lou18
and
do
fime
you
nvt (ollecqe ok fnguneeung ,keo nhare
use

to
B.Tech
6. Mobile No.
(FOR
take
Eleciial EnqiOgering
adhar No. /Voter ID
Dba5-07-2020
online
ONLINE
(To beproduced in New Centre)
8. E-Mail ld (To receve Admit Card)
E exam
20 3I151835]2 6
9. Residental Address SudeePHaSH3OAmaTLLCo
(Tick
VERIFICATION)
the
IM
At/PO-hatigucla PIn- 7640E5
DISt- Na appropriate
paranpu
ttne

Laptop with the given below system configuraton

System configuration Box)?
2.2o
1. Webcam and Mike
2. Minimum of i3 processor, 4GB RAMand
above
3.1 MBPS
Intemet bandwidth PM
4. Power backup for the eram for 3 hour
duration
5. Shoud be able to instal a small
11. From where would
application, so admin
prvileges is a must
you take the Test?
Home 0hers echnicaPrdessiorel Instutors and Gon PdyechnTTs fr Indera Rrdl Hly Areas oriy)
If adhers, pease
spechy from the approved i).
12. Have you taken
your Mock/Trial Test?
Y Yes Na
13. Confim
your wilingness to take online test by ticking the bekow option
Yes, Iam wiling to take online test in July
DECLARATION
hereby confrm heavailability of Desktop / Laptop with Webcam, Mike, 3
Backup for the examination duration of 34 Hours, and can install the examination prooessor and 4GB RAM, 1MBPS Intemet bandwidth, Power
application to online Test I have taken modkhral est
appear the test. I also undertake to maintain oonfidentiality, shal not resortappear
and am confident to
mapractioes, and completely abide by the instrudions to any obectonable untair means eading to
during examinabons to be 1sued by he Univeraty
Sudeepta Sahoo
Date:26-01- 20A0 Full Signature of the Student

FORCOLLEGE USE
nreceipt of application, we verifed the details and uploaded change of Centre Name, E-Mail 1D and Mobile No. of the student in the Unversiy
portal (UMS).

Verified by
Name and Designation: Signature of Principal/ Director
Date Seal
Date