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SANT GADGE BABA AMRAVATI UNIVERSITY

EXAMINATION APPLICATION FORM
 WINTER 2022
Type of Programme UG
B.E in ELECTRONICS & TELECOMMUNICATION ENGG. (CGS) -
Name of Course / Level
Semester - VII
Branch (B.E in ELECTRONICS & TELECOMMUNICATION ENGG. (CGS))
Jawaharlal Darda Institute of Engineering and Technology,Yavatmal-
Name of College/Institute
(447)
College Area Urban
Enrollment No 194470180
PRN No 194470180

PERSONAL DETAILS
1. Full Name Of The Applicant: CHITRA GAUTAM BANKAR
2. Gaurdian's/Husband's Full Name: Mr. Gautam Limbaji Bankar
3. Mother's Full Name: Mrs. Suvarna
4. Correspondence Address: At Mangrul Post Belora,Tq Yavatmal Dist Yavatmal, ,445105
(With Pin Code)
5. Permanent Address: At Mangrul Post Belora,Tq Yavatmal Dist Yavatmal, ,445105
(With Pin Code)
6. E-mail-ID  : cbankar171@gmail.com 7. Contact No.  : 8261890625
8. Date of Birth: 7/12/2000 9. Applicant Gender: FEMALE
10.Category: SC 11.Religion: BUDHIST
12.Mother Tongue: MARATHI 13.Medium of Instruction: English
14.Differently Abled/Divyang: NO 15.Nationality: Indian
Subjects offered:  
SUBJECT CODE SUBJECT NAME PAPER TYPE THEORY PRACTICAL
17424 Cryptography & Network Security Compulsory Paper THEORY --
17425 Digital Image and Video Processing Compulsory Paper THEORY --
Project Management and
17426 Compulsory Paper THEORY --
Entrepreneurship
Mobile Communication and
17428 Optional Paper THEORY --
Networks
17432 Antenna and Propagation Optional Paper THEORY --
Cryptography & Network Security
17433 Compulsory Paper -- PRACTICAL
Lab
Digital Image and Video Processing
17434 Compulsory Paper -- PRACTICAL
Lab
Project Management and
17435 Compulsory Paper -- PRACTICAL
Entrepreneurship Lab
17436 Project Stage I (Seminar) Compulsory Paper -- --

Date: Applicant Signature

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Student's Declaration :
  WINTER 2022
REGULAR
Name of Examination :  (B.E in ELECTRONICS & Medium :  English
TELECOMMUNICATION
ENGG. (CGS))
Semester :  Semester - VII.
Subject (Only for : 
P.G.Exams)
Examination Centre : 
 
a. As per provision of the ordinance No.1 of 1985 ,I have participated in the 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 : Applicant Signature

 
 
( विद्यार्थ्यांने online सादर के लेल्या परीक्षा आवेदनपत्राची एक प्रत त्यांच्या महाविद्यालयात सादर के ल्यानंतरच
परीक्षा क्रमांक generate होईल )
CERTIFICATE OF PRINCIPAL
(For collegiate students only )
 
a. Certified that applicant student has been Enrolled in Sant Gadge Baba Amravati University and he
/she has fully complied all conditions and provisions prescribed in the concern Ordinance and
regulations and rules. There is no objection regarding his/her character which could be a
disqualification for appearing in the examination.
b. Original certificates/Marksheets/Degree/Diploma as an eligibility qualification issued by the
Board/University to this student are verified and he/she is eligible for admitting in this examination.
c. This student has participated in the activities viz....................,as per provisions of Ordicance
No./1985.
 
 
 
Date: Principal -------------- (Sig. & Stamp)

FEE DETAIL (FOR OFFICIAL USE ONLY)

The Fee Amount to be Paid by Candidate is : RS   850 /-
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