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Course, Sem & Exam Held in : DIPL SEM 1 - Remedial (MAY 2019)
Institute Code & Name: [658] GOVERNMENT POLYTECHNIC, DAMAN
Enrollment No: 176580305026 SeatNo: D156863
Name of Student: MAURYA ANJALI RAMESH
To,
Controller of Examination
Gujarat Technological University
Respected Sir,
I would like to apply for Re-Assessment in the following subjects in external theory portion of
the subjects as mentioned below:
SrNo Subject Code Subject Name Present Grade
1 3300001 Basic Mathematics FF
I hereby confirm that all the details provided above are correct & agree that the result declared after Re-
Assessment will be considered as my final result for the above examination.
Note:
Please keep student copy safe for further assistance. Signature of Student
Please Pay your fees at your institute.
Institute Copy
I MAURYA ANJALI RAMESH Enrollment no. 176580305026 has paid Rs. 250 on favors of Re-Assessment for
Exam DIPL SEM 1 - Remedial (MAY 2019) Subjects [3300001].
Institute Seal & Sign
Student Copy (To be handed over to student)
I MAURYA ANJALI RAMESH Enrollment no. 176580305026 has paid Rs. 250 on favors of Re-Assessment for
Exam DIPL SEM 1 - Remedial (MAY 2019) Subjects [3300001].
Institute Seal & Sign