GOVERNMENT OF BIHAR

DEPARTMENT OF SCIENCE & TECHNOLOGY

STATE BOARD OF TECHNICAL EDUCATION, BIHAR

EXAMINATION FORM - SEM I

Registration Number : 1382119040
Name of Institution : Govt. Polytechnic, Sheikhpura Institute Code : 138
Name of Branch : Electronics Engineering Branch Code : 21
Roll Number : 111382119040 Aadhaar No. : 467530863019
Student Name : SANDEEP KUMAR Date of Birth : 28-Jun-2002
Father Name : YOGERNDRA PASWAN Contact No. : 9931124811
Email : krsandeep2226@gmail.com Submission Date : 03-Dec-2019
KYP Number :
.
Subject Type Subject Code Subject Title
Theory 1602101 Communication Skills-II
Theory 1602102 Engg. Mathematics
Theory 1602103 Applied Science
Theory 1602104 Engg. Mechanics
Theory 1602105 Engg. Drawing
Practical 1602106 Communication Skills Lab
Practical 1602107 Applied Science Lab
Practical 1602108 Engg. Mechanics Lab
Sessional 1602109 Engg. Drawing
Sessional 1602110 Workshop Practice
Sessional 1602111 Development of Life
Sessional 1602112 Professional Practice

Declaration
I hereby declare that the above information is true to the best of my knowledge and I am filling the examiantion form for backlog(Carry) papers
of Semester I and II (if any), other wise my chance shall be lapsed as per Exam Rule 3 and 6.

Signature of Candidate
Verification

1. This is to certify that the above information filled by the student has been verified and found correct. The requisite examination fee has
been deposited by the student.
2. This is to certify that this candidate SANDEEP KUMAR has maintained a good conduct, attended 75% of Lectures, Sessional and
Practical classes of each subject, satisfactory and completed all Sessional, Terminal and Practical work and marks has been upload/ sent to
the board; has satisfied the condition laid down by the Regulation of Board for appearing at the Board Examination as Regular/Ex-student.

Date :
Principal Signature & Seal

1. This examination form is valid for Sem I only. You have to fill sepreate examination form for other semester.
2. Please submit, Your Exam form till 06-Dec-2019 to Principal of concerned institute, other wise your Exam form will be
NOTE
cancelled.
3. Please submit, Exam Fee Rs 750 for SC, ST, Physically Handicapped, Female (all category) and Rs 1000 for others.