Bikaner Technical University: Student's Declaration

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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 20E1EBCEM30P001
Roll Number 20EEBCE001 Recent Photo
Name of Student AAKASH
Father's Name OM PRAKASH
Subject Offered
S.No. Subject Name Subject Code Select Improvement(Yes/No)
1 Engineering Mathematics-I 1FY2-01
2 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: ____________________
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 20E1EBCEF30P002
Roll Number 20EEBCE002 Recent Photo
Name of Student AAYUSHI CHOUDHARY
Father's Name JAGDISH KUMAR CHOUDHARY
Subject Offered
S.No. Subject Name Subject Code Select Improvement(Yes/No)
1 Engineering Mathematics-I 1FY2-01
2 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: ____________________
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 20E1EBCEM30P003
Roll Number 20EEBCE003 Recent Photo
Name of Student AAYUSHMAN SONI
Father's Name MAYANK SONI
Subject Offered
S.No. Subject Name Subject Code Select Improvement(Yes/No)
1 Engineering Mathematics-I 1FY2-01

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: ____________________
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 20E1EBCEM30P004
Roll Number 20EEBCE004 Recent Photo
Name of Student ABHAY RAJ SUTHAR
Father's Name DHARMENDRA KUMAR SUTHAR
Subject Offered
S.No. Subject Name Subject Code Select Improvement(Yes/No)
1 Engineering Mathematics-I 1FY2-01
2 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: ____________________
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 20E1EBCEM20P005
Roll Number 20EEBCE005 Recent Photo
Name of Student ABHAYRAJ MEENA
Father's Name PADAM SINGH MEENA
Subject Offered
S.No. Subject Name Subject Code Select Improvement(Yes/No)
1 Engineering Mathematics-I 1FY2-01

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: ____________________
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 20E1EBCEM10P006
Roll Number 20EEBCE006 Recent Photo
Name of Student ABHIJEET CHOUHAN
Father's Name PUKH RAJ
Subject Offered
S.No. Subject Name Subject Code Select Improvement(Yes/No)
1 Engineering Mathematics-I 1FY2-01
2 Engineering Chemistry 1FY2-03
3 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: ____________________
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 20E1EBCEM40P007
Roll Number 20EEBCE007 Recent Photo
Name of Student ABHIRAJ SINGH
Father's Name JITENDRA SINGH
Subject Offered
S.No. Subject Name Subject Code Select Improvement(Yes/No)
1 Engineering Mathematics-I 1FY2-01
2 Engineering Chemistry 1FY2-03
3 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: ____________________
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 20E1EBCEM21P008
Roll Number 20EEBCE008 Recent Photo
Name of Student ABHISHAK MEENA
Father's Name SATEH SINGH MEENA
Subject Offered
S.No. Subject Name Subject Code Select Improvement(Yes/No)
1 Engineering Mathematics-I 1FY2-01
2 Basic Mechanical Engineering 1FY3-07
3 Engineering Chemistry Lab 1FY2-21

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: ____________________
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 20E1EBCEM30P009
Roll Number 20EEBCE009 Recent Photo
Name of Student ABHISHEK
Father's Name VIKRAM SINGH
Subject Offered
S.No. Subject Name Subject Code Select Improvement(Yes/No)
1 Engineering Mathematics-I 1FY2-01
2 Engineering Chemistry 1FY2-03
3 Basic Mechanical Engineering 1FY3-07
4 Basic Civil Engineering 1FY3-09

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: ____________________
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 20E1EBCEM20P010
Roll Number 20EEBCE010 Recent Photo
Name of Student ABHISHEK MEENA
Father's Name BABULAL MEENA
Subject Offered
S.No. Subject Name Subject Code Select Improvement(Yes/No)
1 Engineering Mathematics-I 1FY2-01
2 Engineering Chemistry 1FY2-03
3 Human Values 1FY1-05
4 Basic Mechanical Engineering 1FY3-07
5 Basic Civil Engineering 1FY3-09

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: ____________________
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 20E1EBCEM40P011
Roll Number 20EEBCE011 Recent Photo
Name of Student AKASH SINGH
Father's Name RAJESH KUMAR SINGH
Subject Offered
S.No. Subject Name Subject Code Select Improvement(Yes/No)
1 Engineering Mathematics-I 1FY2-01
2 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: ____________________
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 20E1EBCEM20P012
Roll Number 20EEBCE012 Recent Photo
Name of Student AMIT KUMAR MEENA
Father's Name RAMESH CHAND MEENA
Subject Offered
S.No. Subject Name Subject Code Select Improvement(Yes/No)
1 Engineering Mathematics-I 1FY2-01
2 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: ____________________
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 20E1EBCEM40P013
Roll Number 20EEBCE013 Recent Photo
Name of Student ANKIT KUMAR
Father's Name NIHAL SINGH
Subject Offered
S.No. Subject Name Subject Code Select Improvement(Yes/No)
1 Engineering Mathematics-I 1FY2-01
2 Engineering Chemistry 1FY2-03
3 Human Values 1FY1-05
4 Basic Mechanical Engineering 1FY3-07
5 Basic Civil Engineering 1FY3-09
6 Engineering Chemistry Lab 1FY2-21

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: ____________________
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 20E1EBCEM30P014
Roll Number 20EEBCE014 Recent Photo
Name of Student ANKIT MAHALA
Father's Name AMRITPAL
Subject Offered
S.No. Subject Name Subject Code Select Improvement(Yes/No)
1 Engineering Mathematics-I 1FY2-01
2 Engineering Chemistry 1FY2-03
3 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: ____________________
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 20E1EBCEM30P015
Roll Number 20EEBCE015 Recent Photo
Name of Student ARBAJ KHAN
Father's Name MOHAMMED ISHAK
Subject Offered
S.No. Subject Name Subject Code Select Improvement(Yes/No)
1 Engineering Chemistry 1FY2-03
2 Basic Civil Engineering 1FY3-09

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: ____________________
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 20E1EBCEM31P016
Roll Number 20EEBCE016 Recent Photo
Name of Student ARVIND BHAKAL
Father's Name MEGHA RAM
Subject Offered
S.No. Subject Name Subject Code Select Improvement(Yes/No)
1 Engineering Mathematics-I 1FY2-01
2 Engineering Chemistry 1FY2-03
3 Human Values 1FY1-05
4 Basic Mechanical Engineering 1FY3-07
5 Basic Civil Engineering 1FY3-09
6 Engineering Chemistry Lab 1FY2-21

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: ____________________
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 20E1EBCEM20P017
Roll Number 20EEBCE017 Recent Photo
Name of Student ASHISH SEHRA
Father's Name KALU RAM MEENA
Subject Offered
S.No. Subject Name Subject Code Select Improvement(Yes/No)
1 Engineering Mathematics-I 1FY2-01
2 Engineering Chemistry 1FY2-03
3 Human Values 1FY1-05
4 Basic Mechanical Engineering 1FY3-07
5 Basic Civil Engineering 1FY3-09

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: ____________________
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 20E1EBCEM10P018
Roll Number 20EEBCE018 Recent Photo
Name of Student ASHOK KUMAR
Father's Name KARTAR NATH
Subject Offered
S.No. Subject Name Subject Code Select Improvement(Yes/No)
1 Engineering Mathematics-I 1FY2-01
2 Engineering Chemistry 1FY2-03
3 Human Values 1FY1-05
4 Basic Mechanical Engineering 1FY3-07
5 Basic Civil Engineering 1FY3-09
6 Engineering Chemistry Lab 1FY2-21

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: ____________________
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 20E1EBCEM20P021
Roll Number 20EEBCE021 Recent Photo
Name of Student DEENDAYAL MEENA
Father's Name DHARM SINGH
Subject Offered
S.No. Subject Name Subject Code Select Improvement(Yes/No)
1 Basic Mechanical Engineering 1FY3-07
2 Basic Civil Engineering 1FY3-09

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: ____________________
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 20E1EBCEM20P023
Roll Number 20EEBCE023 Recent Photo
Name of Student DESHRAJ MEENA
Father's Name RAMAVATAR MEENA
Subject Offered
S.No. Subject Name Subject Code Select Improvement(Yes/No)
1 Engineering Mathematics-I 1FY2-01
2 Engineering Chemistry 1FY2-03
3 Basic Mechanical Engineering 1FY3-07
4 Basic Civil Engineering 1FY3-09

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: ____________________
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 20E1EBCEM30P024
Roll Number 20EEBCE024 Recent Photo
Name of Student DHARMENDRA KARWASARA
Father's Name AIDAN KARWASAR
Subject Offered
S.No. Subject Name Subject Code Select Improvement(Yes/No)
1 Engineering Mathematics-I 1FY2-01
2 Engineering Chemistry 1FY2-03
3 Human Values 1FY1-05
4 Basic Mechanical Engineering 1FY3-07
5 Basic Civil Engineering 1FY3-09

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: ____________________
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 20E1EBCEM30P025
Roll Number 20EEBCE025 Recent Photo
Name of Student DUSHYANT CHOUDHARY
Father's Name RAJU CHOUDHARY
Subject Offered
S.No. Subject Name Subject Code Select Improvement(Yes/No)
1 Engineering Mathematics-I 1FY2-01
2 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: ____________________
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 20E1EBCEM20P026
Roll Number 20EEBCE026 Recent Photo
Name of Student GAJWANI ADITYA RAJESH
Father's Name RAJESH
Subject Offered
S.No. Subject Name Subject Code Select Improvement(Yes/No)
1 Engineering Mathematics-I 1FY2-01
2 Engineering Chemistry 1FY2-03
3 Human Values 1FY1-05
4 Basic Mechanical Engineering 1FY3-07
5 Basic Civil Engineering 1FY3-09

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: ____________________
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 20E1EBCEM40P027
Roll Number 20EEBCE027 Recent Photo
Name of Student GOUTAM KHANDELWAL
Father's Name NARENDRA KUMAR
Subject Offered
S.No. Subject Name Subject Code Select Improvement(Yes/No)
1 Engineering Chemistry 1FY2-03
2 Human Values 1FY1-05
3 Basic Mechanical Engineering 1FY3-07
4 Basic Civil Engineering 1FY3-09

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: ____________________
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 20E1EBCEM10P029
Roll Number 20EEBCE029 Recent Photo
Name of Student GOVIND DEV NAYAK
Father's Name RAJU LAL NAYAK
Subject Offered
S.No. Subject Name Subject Code Select Improvement(Yes/No)
1 Engineering Mathematics-I 1FY2-01
2 Engineering Chemistry 1FY2-03
3 Human Values 1FY1-05
4 Basic Mechanical Engineering 1FY3-07
5 Basic Civil Engineering 1FY3-09

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: ____________________
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 20E1EBCEM40P030
Roll Number 20EEBCE030 Recent Photo
Name of Student HEMANG OJHA
Father's Name SHUDHIRAMMOHAN OJHA
Subject Offered
S.No. Subject Name Subject Code Select Improvement(Yes/No)
1 Engineering Mathematics-I 1FY2-01
2 Engineering Chemistry 1FY2-03
3 Human Values 1FY1-05
4 Basic Mechanical Engineering 1FY3-07
5 Basic Civil Engineering 1FY3-09
6 Engineering Chemistry Lab 1FY2-21
7 Human Values Activities 1FY1-23
8 Manufacturing Practices Workshop 1FY3-25

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: ____________________
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 20E1EBCEM10P031
Roll Number 20EEBCE031 Recent Photo
Name of Student HEMANT KUMAR RATAWAL
Father's Name MOOL CHAND RAIGER
Subject Offered
S.No. Subject Name Subject Code Select Improvement(Yes/No)
1 Engineering Mathematics-I 1FY2-01
2 Basic Mechanical Engineering 1FY3-07
3 Basic Civil Engineering 1FY3-09

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: ____________________
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 20E1EBCEM20P032
Roll Number 20EEBCE032 Recent Photo
Name of Student HIMANSHU BAGDI
Father's Name RAM BABU MINA
Subject Offered
S.No. Subject Name Subject Code Select Improvement(Yes/No)
1 Engineering Mathematics-I 1FY2-01
2 Engineering Chemistry 1FY2-03
3 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: ____________________
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 20E1EBCEM30P033
Roll Number 20EEBCE033 Recent Photo
Name of Student HITESH DHAYAL
Father's Name VIDYADHAR DHAYAL
Subject Offered
S.No. Subject Name Subject Code Select Improvement(Yes/No)
1 Engineering Mathematics-I 1FY2-01
2 Human Values 1FY1-05
3 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: ____________________
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 20E1EBCEF30P034
Roll Number 20EEBCE034 Recent Photo
Name of Student JAMANA
Father's Name KHERAJ RAM
Subject Offered
S.No. Subject Name Subject Code Select Improvement(Yes/No)
1 Engineering Mathematics-I 1FY2-01
2 Engineering Chemistry 1FY2-03
3 Human Values 1FY1-05
4 Basic Mechanical Engineering 1FY3-07
5 Basic Civil Engineering 1FY3-09
6 Manufacturing Practices Workshop 1FY3-25

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: ____________________
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 20E1EBCEM10P035
Roll Number 20EEBCE035 Recent Photo
Name of Student JATIN
Father's Name VED PRAKASH
Subject Offered
S.No. Subject Name Subject Code Select Improvement(Yes/No)
1 Engineering Mathematics-I 1FY2-01
2 Human Values 1FY1-05
3 Basic Mechanical Engineering 1FY3-07
4 Basic Civil Engineering 1FY3-09

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: ____________________
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 20E1EBCEM40P036
Roll Number 20EEBCE036 Recent Photo
Name of Student JAYPRAKASH CHOUDHARY
Father's Name RAM LAL JAT
Subject Offered
S.No. Subject Name Subject Code Select Improvement(Yes/No)
1 Engineering Mathematics-I 1FY2-01
2 Engineering Chemistry 1FY2-03
3 Human Values 1FY1-05
4 Basic Mechanical Engineering 1FY3-07
5 Basic Civil Engineering 1FY3-09

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: ____________________
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 20E1EBCEM10P037
Roll Number 20EEBCE037 Recent Photo
Name of Student JITESH KUMAR MEENA
Father's Name BABU LAL MEENA
Subject Offered
S.No. Subject Name Subject Code Select Improvement(Yes/No)
1 Engineering Mathematics-I 1FY2-01
2 Engineering Chemistry 1FY2-03
3 Human Values 1FY1-05
4 Basic Mechanical Engineering 1FY3-07
5 Basic Civil Engineering 1FY3-09

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: ____________________
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 20E1EBCEM30P038
Roll Number 20EEBCE038 Recent Photo
Name of Student JUGNU
Father's Name MAHENDER SINGH
Subject Offered
S.No. Subject Name Subject Code Select Improvement(Yes/No)
1 Engineering Mathematics-I 1FY2-01
2 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: ____________________
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 20E1EBCEF10P039
Roll Number 20EEBCE039 Recent Photo
Name of Student KAVITA
Father's Name DULICHAND
Subject Offered
S.No. Subject Name Subject Code Select Improvement(Yes/No)
1 Engineering Mathematics-I 1FY2-01
2 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: ____________________
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 20E1EBCEM30P040
Roll Number 20EEBCE040 Recent Photo
Name of Student KULDEEP GODARA
Father's Name RAJEEV CHOUDHARY
Subject Offered
S.No. Subject Name Subject Code Select Improvement(Yes/No)
1 Engineering Mathematics-I 1FY2-01
2 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: ____________________
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 20E1EBCEM40P043
Roll Number 20EEBCE043 Recent Photo
Name of Student MANVENDRA SINGH KUMPAWAT
Father's Name BHAGWAN SINGH KUMPAWAT
Subject Offered
S.No. Subject Name Subject Code Select Improvement(Yes/No)
1 Engineering Mathematics-I 1FY2-01
2 Engineering Chemistry 1FY2-03
3 Human Values 1FY1-05
4 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: ____________________
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 20E1EBCEM30P044
Roll Number 20EEBCE044 Recent Photo
Name of Student MOHD FAISHAL QURESHI
Father's Name MOHD SHAKIL QURESHI
Subject Offered
S.No. Subject Name Subject Code Select Improvement(Yes/No)
1 Engineering Mathematics-I 1FY2-01
2 Engineering Chemistry 1FY2-03
3 Basic Mechanical Engineering 1FY3-07
4 Basic Civil Engineering 1FY3-09

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: ____________________
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 20E1EBCEF30P045
Roll Number 20EEBCE045 Recent Photo
Name of Student MONIKA
Father's Name SUBHASH CHANDRA NEHRA
Subject Offered
S.No. Subject Name Subject Code Select Improvement(Yes/No)
1 Engineering Mathematics-I 1FY2-01
2 Engineering Chemistry 1FY2-03
3 Human Values 1FY1-05
4 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: ____________________
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 20E1EBCEF20P046
Roll Number 20EEBCE046 Recent Photo
Name of Student MONIKA MEENA
Father's Name SATEH SINGH MEENA
Subject Offered
S.No. Subject Name Subject Code Select Improvement(Yes/No)
1 Engineering Chemistry 1FY2-03
2 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: ____________________
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 20E1EBCEF30P047
Roll Number 20EEBCE047 Recent Photo
Name of Student MS KIRTI
Father's Name MAHESH NEHRA
Subject Offered
S.No. Subject Name Subject Code Select Improvement(Yes/No)
1 Engineering Mathematics-I 1FY2-01
2 Engineering Chemistry 1FY2-03
3 Human Values 1FY1-05
4 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: ____________________
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 20E1EBCEF30P048
Roll Number 20EEBCE048 Recent Photo
Name of Student MS MAMTA
Father's Name MAHENDER SINGH
Subject Offered
S.No. Subject Name Subject Code Select Improvement(Yes/No)
1 Engineering Mathematics-I 1FY2-01

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: ____________________
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 20E1EBCEF30P049
Roll Number 20EEBCE049 Recent Photo
Name of Student MS RASHI CHOUDHARY
Father's Name AMITABH CHOUDHARY
Subject Offered
S.No. Subject Name Subject Code Select Improvement(Yes/No)
1 Engineering Mathematics-I 1FY2-01
2 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: ____________________
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 20E1EBCEM30P050
Roll Number 20EEBCE050 Recent Photo
Name of Student MUKESH PATEL
Father's Name DALLA RAM
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: ____________________
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 20E1EBCEM30P053
Roll Number 20EEBCE053 Recent Photo
Name of Student NITIN
Father's Name ARJUN RAM
Subject Offered
S.No. Subject Name Subject Code Select Improvement(Yes/No)
1 Engineering Mathematics-I 1FY2-01
2 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: ____________________
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 20E1EBCEF20P054
Roll Number 20EEBCE054 Recent Photo
Name of Student NUTAN MEENA
Father's Name NIWAS MEENA
Subject Offered
S.No. Subject Name Subject Code Select Improvement(Yes/No)
1 Engineering Mathematics-I 1FY2-01
2 Engineering Chemistry 1FY2-03
3 Human Values 1FY1-05
4 Basic Mechanical Engineering 1FY3-07
5 Basic Civil Engineering 1FY3-09

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: ____________________
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 20E1EBCEM30P055
Roll Number 20EEBCE055 Recent Photo
Name of Student OJASVI SAINI
Father's Name VIJAY KUMAR
Subject Offered
S.No. Subject Name Subject Code Select Improvement(Yes/No)
1 Engineering Chemistry 1FY2-03
2 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: ____________________
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 20E1EBCEM40P057
Roll Number 20EEBCE057 Recent Photo
Name of Student PARDEEP
Father's Name BASANT KUMAR
Subject Offered
S.No. Subject Name Subject Code Select Improvement(Yes/No)
1 Human Values 1FY1-05
2 Basic Mechanical Engineering 1FY3-07
3 Basic Civil Engineering 1FY3-09

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: ____________________
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 20E1EBCEM20P058
Roll Number 20EEBCE058 Recent Photo
Name of Student PAWAN MEENA
Father's Name DINESH CHAND MEENA
Subject Offered
S.No. Subject Name Subject Code Select Improvement(Yes/No)
1 Engineering Mathematics-I 1FY2-01
2 Basic Civil Engineering 1FY3-09

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: ____________________
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 20E1EBCEM20P063
Roll Number 20EEBCE063 Recent Photo
Name of Student ROHIT MEENA
Father's Name PRAHLAD KUMAR MEENA
Subject Offered
S.No. Subject Name Subject Code Select Improvement(Yes/No)
1 Engineering Mathematics-I 1FY2-01
2 Engineering Chemistry 1FY2-03
3 Basic Mechanical Engineering 1FY3-07
4 Basic Civil Engineering 1FY3-09

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: ____________________
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 20E1EBCEM40P066
Roll Number 20EEBCE066 Recent Photo
Name of Student SAMEER SHARMA
Father's Name YOG RAJ SHARMA
Subject Offered
S.No. Subject Name Subject Code Select Improvement(Yes/No)
1 Engineering Mathematics-I 1FY2-01
2 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: ____________________
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 20E1EBCEM40P067
Roll Number 20EEBCE067 Recent Photo
Name of Student SAMUDRAVALLABH PANDAYA
Father's Name PRABHAKAR PANDYA
Subject Offered
S.No. Subject Name Subject Code Select Improvement(Yes/No)
1 Engineering Mathematics-I 1FY2-01
2 Engineering Chemistry 1FY2-03

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: ____________________
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 20E1EBCEM20P069
Roll Number 20EEBCE069 Recent Photo
Name of Student SANDEEP KUMAR SONAT
Father's Name BHOMA RAM
Subject Offered
S.No. Subject Name Subject Code Select Improvement(Yes/No)
1 Engineering Mathematics-I 1FY2-01
2 Human Values 1FY1-05
3 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: ____________________
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 20E1EBCEM40P073
Roll Number 20EEBCE073 Recent Photo
Name of Student SUBHASH SIYAG
Father's Name HUKMARAM SIYAG
Subject Offered
S.No. Subject Name Subject Code Select Improvement(Yes/No)
1 Engineering Mathematics-I 1FY2-01
2 Engineering Chemistry 1FY2-03
3 Human Values 1FY1-05
4 Basic Mechanical Engineering 1FY3-07
5 Basic Civil Engineering 1FY3-09

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: ____________________
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 20E1EBCEM10P074
Roll Number 20EEBCE074 Recent Photo
Name of Student SUMIT KUMAR MEENA
Father's Name BANWARI LAL MEENA
Subject Offered
S.No. Subject Name Subject Code Select Improvement(Yes/No)
1 Engineering Mathematics-I 1FY2-01
2 Engineering Chemistry 1FY2-03
3 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: ____________________
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 20E1EBCEM30P075
Roll Number 20EEBCE075 Recent Photo
Name of Student SUNIL MAVALIYA
Father's Name BAJRANG LAL
Subject Offered
S.No. Subject Name Subject Code Select Improvement(Yes/No)
1 Engineering Mathematics-I 1FY2-01
2 Engineering Chemistry 1FY2-03
3 Basic Mechanical Engineering 1FY3-07
4 Basic Civil Engineering 1FY3-09

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: ____________________
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 20E1EBCEF30P077
Roll Number 20EEBCE077 Recent Photo
Name of Student TUSAR CHOUDHARY
Father's Name SUMER SINGH
Subject Offered
S.No. Subject Name Subject Code Select Improvement(Yes/No)
1 Engineering Mathematics-I 1FY2-01
2 Engineering Chemistry 1FY2-03
3 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: ____________________
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 20E1EBCEM40P078
Roll Number 20EEBCE078 Recent Photo
Name of Student VAIBHAV RAJ SHARMA
Father's Name OM PRAKASH SHARMA
Subject Offered
S.No. Subject Name Subject Code Select Improvement(Yes/No)
1 Engineering Mathematics-I 1FY2-01

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: ____________________
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 20E1EBCEM30P079
Roll Number 20EEBCE079 Recent Photo
Name of Student VIJESH BISHNOI
Father's Name RAMNIVAS BISHNOI
Subject Offered
S.No. Subject Name Subject Code Select Improvement(Yes/No)
1 Engineering Mathematics-I 1FY2-01
2 Engineering Chemistry 1FY2-03
3 Human Values 1FY1-05
4 Basic Mechanical Engineering 1FY3-07
5 Basic Civil Engineering 1FY3-09

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: ____________________
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 20E1EBCEM21P080
Roll Number 20EEBCE080 Recent Photo
Name of Student VIKASH KUMAR MEENA
Father's Name GYARSHI LAL MEENA
Subject Offered
S.No. Subject Name Subject Code Select Improvement(Yes/No)
1 Engineering Mathematics-I 1FY2-01
2 Engineering Chemistry 1FY2-03
3 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: ____________________
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 20E1EBCEM20P081
Roll Number 20EEBCE081 Recent Photo
Name of Student VIKASH KUMAR MEENA
Father's Name SHIV DAS MEENA
Subject Offered
S.No. Subject Name Subject Code Select Improvement(Yes/No)
1 Engineering Mathematics-I 1FY2-01
2 Engineering Chemistry 1FY2-03
3 Human Values 1FY1-05
4 Basic Mechanical Engineering 1FY3-07
5 Basic Civil Engineering 1FY3-09

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: ____________________
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 20E1EBCEM20P082
Roll Number 20EEBCE082 Recent Photo
Name of Student VIKESH MEENA
Father's Name JAI SINGH MEENA
Subject Offered
S.No. Subject Name Subject Code Select Improvement(Yes/No)
1 Engineering Mathematics-I 1FY2-01
2 Engineering Chemistry 1FY2-03
3 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: ____________________
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 20E1EBCEM30P084
Roll Number 20EEBCE084 Recent Photo
Name of Student VIRENDRA GITHALA
Father's Name BHANWAR SINGH GITHALA
Subject Offered
S.No. Subject Name Subject Code Select Improvement(Yes/No)
1 Engineering Mathematics-I 1FY2-01
2 Engineering Chemistry 1FY2-03
3 Basic Mechanical Engineering 1FY3-07
4 Basic Civil Engineering 1FY3-09

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: ____________________
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 20E1EBCEM10P085
Roll Number 20EEBCE085 Recent Photo
Name of Student VIRENDRA PARIHAR
Father's Name BHAIRA RAM
Subject Offered
S.No. Subject Name Subject Code Select Improvement(Yes/No)
1 Basic Mechanical Engineering 1FY3-07
2 Basic Civil Engineering 1FY3-09

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: ____________________
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 20E1EBCEM10P086
Roll Number 20EEBCE086 Recent Photo
Name of Student VISHAL
Father's Name JAGDISH RAM
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: ____________________
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 20E1EBCEM30P088
Roll Number 20EEBCE088 Recent Photo
Name of Student VISHESH CHAUDHARY
Father's Name MAHESH KUMAR JAT
Subject Offered
S.No. Subject Name Subject Code Select Improvement(Yes/No)
1 Engineering Chemistry 1FY2-03
2 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: ____________________
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 20E1EBCEM30P089
Roll Number 20EEBCE089 Recent Photo
Name of Student VIVEK JAKHAR
Father's Name BHOM SINGH JAKHAR
Subject Offered
S.No. Subject Name Subject Code Select Improvement(Yes/No)
1 Engineering Mathematics-I 1FY2-01
2 Engineering Chemistry 1FY2-03
3 Human Values 1FY1-05
4 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: ____________________
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 20E1EBCEM10P090
Roll Number 20EEBCE090 Recent Photo
Name of Student YADVENDRA BUNKER
Father's Name JAGDISH PRASAD BUNKER
Subject Offered
S.No. Subject Name Subject Code Select Improvement(Yes/No)
1 Engineering Mathematics-I 1FY2-01
2 Engineering Chemistry 1FY2-03
3 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: ____________________
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 20E1EBCEM10P092
Roll Number 20EEBCE092 Recent Photo
Name of Student YATIN BHADALIYA
Father's Name BABU LAL MAHAWAR
Subject Offered
S.No. Subject Name Subject Code Select Improvement(Yes/No)
1 Engineering Mathematics-I 1FY2-01
2 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: ____________________
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 20E1EBCEM30P093
Roll Number 20EEBCE093 Recent Photo
Name of Student YOGENDRA SINGH BHATI
Father's Name LAXMAN SINGH BHATI
Subject Offered
S.No. Subject Name Subject Code Select Improvement(Yes/No)
1 Engineering Mathematics-I 1FY2-01

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: ____________________
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 20E1EBCEM20P094
Roll Number 20EEBCE094 Recent Photo
Name of Student YOGESH KUMAR MEENA
Father's Name RAMAVATAR MEENA
Subject Offered
S.No. Subject Name Subject Code Select Improvement(Yes/No)
1 Engineering Mathematics-I 1FY2-01
2 Engineering Chemistry 1FY2-03

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: ____________________

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