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Examination Form 2018-19 for BACKLOG Students

Last Date Of submission of form to the respective institutes by the : 15th November,
students 2019
Application Form
: Fifth Semester Examination 2018-2019
for
For The Degree of : Bachelor of Technology in Mechanical Engineering

Name : YOGESH KUMAR

REG. NO. : 161250110435 OF 2016-2017
Roll. NO. : 12500716013
Institute
: BENGAL COLLEGE OF ENGINEERING & TECHNOLOGY-125
Name(Code)

PAPER CODE PAPER NAME PAPER TYPE

ME505A ELECTRICAL MACHINES Theory Paper
I Declare that I have fulfilled the criteria for attempting the above Examinations as a Backlog
Candidate

............................................................................
Full Signature of the applicant with Date.
I certify that
1. The Statements made by the applicant are correct.
2. He/She was admitted to the Institute as per University regulations.
3. He/She has deligently and regularly pursued his/her studies and
4. He/She has attended.....................%(in word ........................................) of lectures.

............................................................................
Signature of the Principal / Director of the Institute/ College with date and seal.
N.B.
1. Examination Fees Rs. 1000/- (Not refundable)
2. Students are required to submit the form to their Institution only.
If any of the Statements mentioned above is incorrect, the Examination of the Candidate is liable to
3.
be cancelled by the University.

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