Bikaner Technical University: Student's Declaration

BIKANER TECHNICAL UNIVERSITY
EXAMINATION APPLICATION FORM

B.Tech. I SEM (BACK) Exam 2021-22
Type of Program Under Graduate

Branch B. Tech. Civil Engineering
College Engineering College, Bikaner
Enrollment Number 18E1EBCEM20P001
Roll Number 18EEBCE001 Recent Photo
Name of Student ABHISHEK MEENA
Father's Name PRAKASH CHAND MEENA
Subject Offered
S.No. Subject Name Subject Code Select Improvement(Yes/No)
1 Basic Mechanical Engineering 1FY3-07
Student's Declaration
A. As per provision of the BTU, ordinances and regulations of examination, I have participated in all activities.
B. As is not permitted in the Ordinance, I am not appearing in any other Examination.
C. I solemnly affirm that the complete information given in this application form is true and correct. If any information given in this form
found to be false, I shall be eligible for imposition of fine and punishment & shall be personally responsible for any loss.
D. I understand that my application form shall be rejected or result of examination shall not be declared in case of appearing any
discrepancy/deficiency in this application form as well as for non-compliance of the same within the stipulated time.
Date: _______________
Signature of Applicant: ____________________
Verification by Institute
All the above entries have been checked and verified from the available records.
Date: _______________
Seal and Signature of Director/Principal: ____________________
Name of Director/Principal: ____________________

Name of Student AKASH
Father's Name MAHENDRA SINGH
Subject Offered
1 Engineering Chemistry 1FY2-03
Date: _______________
Date: _______________

Name of Student AMIT KUMAR
Father's Name SUMER SINGH
Subject Offered
1 Engineering Mathematics-I 1FY2-01
Date: _______________
Date: _______________

Name of Student ARAV ABUSARIA
Father's Name SURESH KUMAR ABUSARIA
Subject Offered
Date: _______________
Date: _______________

Name of Student HIMANSHU RAJPUROHIT
Father's Name SHYAM SINGH RAJPUROHIT
Subject Offered
2 Basic Civil Engineering 1FY3-09
Date: _______________
Date: _______________

Name of Student JAI PRAKASH BISHNOI
Father's Name NATHARAM BISHNOI
Subject Offered
Date: _______________
Date: _______________

Name of Student JAYANT KUMAR
Father's Name PANKAJ KUMAR
Subject Offered
Date: _______________
Date: _______________

Name of Student MAHENDRA
Father's Name PUKHARAM
Subject Offered
Date: _______________
Date: _______________

Name of Student MANIT KUMAR MEENA
Father's Name NEMI CHAND MEENA
Subject Offered
Date: _______________
Date: _______________

Name of Student TUSHAR YOGI
Father's Name SATISH KUMAR YOGI
Subject Offered
4 Basic Civil Engineering 1FY3-09
Date: _______________
Date: _______________

Bikaner Technical University: Student's Declaration

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BIKANER TECHNICAL UNIVERSITY

EXAMINATION APPLICATION FORM

Type of Program Under Graduate

Type of Program Under Graduate

Type of Program Under Graduate

Type of Program Under Graduate

Type of Program Under Graduate

Type of Program Under Graduate

Type of Program Under Graduate

Type of Program Under Graduate

Type of Program Under Graduate

Type of Program Under Graduate

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