PDF Examination Application Form Odd Sem. Exam.session- 2022-23 Back Exam

Name Of Course/Level Name Of College/Institute

Roll No

Enrollment No 18E1EACEM40P020

Engineering College, Ajmer

18EEACE020

B. Tech. Civil Engineering - Semester - VII

2. Father's/Husband's Full Name:

3. Mother's Full Name:

7. Date of

1. Full Name Of The Applicant:

5. E-mail-ID :

11.Differently 9.Category:

4. Address:

PERSONAL DETAILS

6.Contact No

10.Medium of 8. Applicant gender

English

MALE

03-4-2000

GN

HARSHIT JAIN

YOGENDRA KUMAR JAIN ANJANA JAIN

IN FRONT OF POWER HOUSE,NEAR BALAJI TEMPLE,SHIVRAJNAGAR,RAJASTHAN

SUBJECT CODE SUBJECT NAME PAPER TYPE SELECT SUBJECT

Compulsory 7CE4-01 Transportation Engineering(T)

Subjects

Applicant Signature Date :

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.

Student Declaration :

Name Of Course/Level Name Of College/Institute

Roll No

Enrollment No 18E1EACEF30P035

Engineering College, Ajmer

18EEACE035

B. Tech. Civil Engineering - Semester - VII

2. Father's/Husband's Full Name:

3. Mother's Full Name:

7. Date of

1. Full Name Of The Applicant:

5. E-mail-ID :

11.Differently 9.Category:

4. Address:

PERSONAL DETAILS

6.Contact No

10.Medium of 8. Applicant gender

English

FEMALE

09-9-1999

OBC

NANDITA RAWAT NANU SINGH RAWAT GEETA DEVI

KALYANIPURA AJMER

SUBJECT CODE SUBJECT NAME PAPER TYPE SELECT SUBJECT

Compulsory 7CE4-01 Transportation Engineering(T)

Subjects

Applicant Signature Date :

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.

Student Declaration :

Name Of Course/Level Name Of College/Institute

Roll No

Enrollment No 18E1EACEM30P037

Engineering College, Ajmer

18EEACE037

B. Tech. Civil Engineering - Semester - VII

2. Father's/Husband's Full Name:

3. Mother's Full Name:

7. Date of

1. Full Name Of The Applicant:

5. E-mail-ID :

11.Differently 9.Category:

4. Address:

PERSONAL DETAILS

6.Contact No

10.Medium of 8. Applicant gender

English

MALE

23-7-1999

OBC

NITIN TAK MANISH TAK SANJU TAK

BEHIND DAK BUNGLOW,SOJAT CITY,PALI

SUBJECT CODE SUBJECT NAME PAPER TYPE SELECT SUBJECT

Compulsory 7CE7-30 Practical Training(P)

Subjects

Applicant Signature Date :

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.

Student Declaration :

Name Of Course/Level Name Of College/Institute

Roll No

Enrollment No 18E1EACEM20P055

Engineering College, Ajmer

18EEACE055

B. Tech. Civil Engineering - Semester - VII

2. Father's/Husband's Full Name:

3. Mother's Full Name:

7. Date of

1. Full Name Of The Applicant:

5. E-mail-ID :

11.Differently 9.Category:

4. Address:

PERSONAL DETAILS

6.Contact No

10.Medium of 8. Applicant gender

English

MALE

04-11-2001

ST

SUDEEP MAHAR CHUTTAN LAL MEENA SUSHILA MEENA

A-409, RAJEEV GANDHI NAGAR,JAGATPURA,JAIPUR,RAJASTHAN

SUBJECT CODE SUBJECT NAME PAPER TYPE SELECT SUBJECT

Compulsory 7CE4-01 Transportation Engineering(T)

Subjects

Applicant Signature Date :

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.

Student Declaration :

Name Of Course/Level Name Of College/Institute

Roll No

Enrollment No 18E1EACEM10P058

Engineering College, Ajmer

18EEACE058

B. Tech. Civil Engineering - Semester - VII

2. Father's/Husband's Full Name:

3. Mother's Full Name:

7. Date of

1. Full Name Of The Applicant:

5. E-mail-ID :

11.Differently 9.Category:

4. Address:

PERSONAL DETAILS

6.Contact No

10.Medium of 8. Applicant gender

English

MALE

08-3-1998

SC

SUSHIL KUMAR VERMA PREM PRAKASH SAROJ VERMA

HOUSE NO. 11 GALI NO 1,SHAKTI COLONY RATANADA,JODHPUR

SUBJECT CODE SUBJECT NAME PAPER TYPE SELECT SUBJECT

Compulsory 7CE4-01 Transportation Engineering(T)

Subjects

Applicant Signature Date :

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.

Student Declaration :

Name Of Course/Level Name Of College/Institute

Roll No

Enrollment No 18E1EACEM40P302

Engineering College, Ajmer

18EEACE302

B. Tech. Civil Engineering - Semester - VII

2. Father's/Husband's Full Name:

3. Mother's Full Name:

7. Date of

1. Full Name Of The Applicant:

5. E-mail-ID :

11.Differently 9.Category:

4. Address:

PERSONAL DETAILS

6.Contact No

10.Medium of 8. Applicant gender

English

MALE

12-9-2000

GN

SHIVAM PANDEY OMPRAKASH PANDEY KRISHNA PANDEY

OMPRAKASH PANDEY,VP-EKLINGPURA RAWATBHATA

SUBJECT CODE SUBJECT NAME PAPER TYPE SELECT SUBJECT

Optional Paper 7AG6-60.2 Environmental Engineering and Disaster Management(T)

Compulsory 7CE4-01 Transportation Engineering(T)

Subjects

Applicant Signature Date :

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.

Student Declaration :

Name Of Course/Level Name Of College/Institute

Roll No

Enrollment No 18E1EACSM40P001

Engineering College, Ajmer

18EEACS001

B. Tech. Computer Science & Engineering - Semester - VII

2. Father's/Husband's Full Name:

3. Mother's Full Name:

7. Date of

1. Full Name Of The Applicant:

5. E-mail-ID :

11.Differently 9.Category:

4. Address:

PERSONAL DETAILS

6.Contact No

10.Medium of 8. Applicant gender

English

MALE

03-11-1999

GN

AATMIK RANJAN MISHRA PUSHP MISHRA

RANJANA MISHRA

PLOT NO 17 OPPOSITE BALAJI FARMS,AJAY NAGAR SAKET NAGAR AJMER

SUBJECT CODE SUBJECT NAME PAPER TYPE SELECT SUBJECT

Optional Paper 7AG6-60.2 Environmental Engineering and Disaster Management(T)

Compulsory 7CS4-01 Internet of Things(T)

Subjects

Applicant Signature Date :

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.

Student Declaration :

Name Of Course/Level Name Of College/Institute

Roll No

Enrollment No 18E1EAEEM40P004

Engineering College, Ajmer

18EEAEE004

B. Tech. Electrical Engineering - Semester - VII

2. Father's/Husband's Full Name:

3. Mother's Full Name:

7. Date of

1. Full Name Of The Applicant:

5. E-mail-ID :

11.Differently 9.Category:

4. Address:

PERSONAL DETAILS

6.Contact No

10.Medium of 8. Applicant gender

English

MALE

17-7-1999

GN

ADITYA JANGID

KAILASH CHANDER JANGID MEENA JANGID

1 P 12 TALWANDI, INDIRA PURA,KOTA

SUBJECT CODE SUBJECT NAME PAPER TYPE SELECT SUBJECT

Optional Paper 7AG6-60.2 Environmental Engineering and Disaster Management(T)

Optional Paper 7EE5-11 Wind and Solar Energy Systems(T)

Subjects

Applicant Signature Date :

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.

Student Declaration :

Name Of Course/Level Name Of College/Institute

Roll No

Enrollment No 18E1EAECM45P015

Engineering College, Ajmer

18EEAEC015

B. Tech. Electronics & Communication Engineering - Semester - VII

2. Father's/Husband's Full Name:

3. Mother's Full Name:

7. Date of

1. Full Name Of The Applicant:

5. E-mail-ID :

11.Differently 9.Category:

4. Address:

PERSONAL DETAILS

6.Contact No

10.Medium of 8. Applicant gender

English

MALE

15-1-2002

GN

BRAJBHAN SINGH SHIVKUMAR SINGH USHA DEVI

VILLAGE PATRIKA,POST KHERIYA,TEH-JASRANA

SUBJECT CODE SUBJECT NAME PAPER TYPE SELECT SUBJECT

Optional Paper 7EC5-11 VLSI Design(T)

Subjects

Applicant Signature Date :

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.

Student Declaration :

Name Of Course/Level Name Of College/Institute

Roll No

Enrollment No 18E1EAECM40P022

Engineering College, Ajmer

18EEAEC022

B. Tech. Electronics & Communication Engineering - Semester - VII

2. Father's/Husband's Full Name:

3. Mother's Full Name:

7. Date of

1. Full Name Of The Applicant:

5. E-mail-ID :

11.Differently 9.Category:

4. Address:

PERSONAL DETAILS

6.Contact No

10.Medium of 8. Applicant gender

English

MALE

31-7-2000

GN

HEMESH SHARMA SUSHIL SHARMA KIRTI SHARMA

H. NO. 730/31 BALUPURA ROAD,NAGRA

SUBJECT CODE SUBJECT NAME PAPER TYPE SELECT SUBJECT

Optional Paper 7EC5-11 VLSI Design(T)

Subjects

Applicant Signature Date :

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.

Student Declaration :

Name Of Course/Level Name Of College/Institute

Roll No

Enrollment No 18E1EAECM10P067

Engineering College, Ajmer

18EEAEC067

B. Tech. Electronics & Communication Engineering - Semester - VII

2. Father's/Husband's Full Name:

3. Mother's Full Name:

7. Date of

1. Full Name Of The Applicant:

5. E-mail-ID :

11.Differently 9.Category:

4. Address:

PERSONAL DETAILS

6.Contact No

10.Medium of 8. Applicant gender

English

MALE

04-2-2001

SC

VISHVJEET KUMAR MAHESH KUMAR SUNITA DEVI

WARD NO. 4, ADARSH COLONY,NEAR POWER HOUSE

SUBJECT CODE SUBJECT NAME PAPER TYPE SELECT SUBJECT

Optional Paper 7AG6-60.2 Environmental Engineering and Disaster Management(T)

Optional Paper 7EC5-11 VLSI Design(T)

Subjects

Applicant Signature Date :

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.

Student Declaration :

Name Of Course/Level Name Of College/Institute

Roll No

Enrollment No 18E1EAECM40P069

Engineering College, Ajmer

18EEAEC069

B. Tech. Electronics & Communication Engineering - Semester - VII

2. Father's/Husband's Full Name:

3. Mother's Full Name:

7. Date of

1. Full Name Of The Applicant:

5. E-mail-ID :

11.Differently 9.Category:

4. Address:

PERSONAL DETAILS

6.Contact No

10.Medium of 8. Applicant gender

English

MALE

29-10-1999

GN

YUSUF CHRIST GEORGE AJIT GEORGE

SANGEETA VICTOR

VINAYAK NAGAR, MADAR,AJMER

SUBJECT CODE SUBJECT NAME PAPER TYPE SELECT SUBJECT

Optional Paper 7EC5-11 VLSI Design(T)

Subjects

Applicant Signature Date :

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.

Student Declaration :

Name Of Course/Level Name Of College/Institute

Roll No

Enrollment No 18E1EAITM40P018

Engineering College, Ajmer

18EEAIT018

B. Tech. Information Technology - Semester - VII

2. Father's/Husband's Full Name:

3. Mother's Full Name:

7. Date of

1. Full Name Of The Applicant:

5. E-mail-ID :

11.Differently 9.Category:

4. Address:

PERSONAL DETAILS

6.Contact No

10.Medium of 8. Applicant gender

English

MALE

22-7-1998

GN

KAUSTUBH KUMAR REVASIA MAHESH KUMAR

MADHU SHRI SANGHMITRA B 190 ZINC NAGAR,CHITTORGARH

SUBJECT CODE SUBJECT NAME PAPER TYPE SELECT SUBJECT

Compulsory 7IT4-01 Big Data Analytics(T)

Compulsory 7IT7-40 Seminar(P)

Subjects

Applicant Signature Date :

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.

Student Declaration :

Name Of Course/Level Name Of College/Institute

Roll No

Enrollment No 18E1EAMEM10P031

Engineering College, Ajmer

18EEAME031

B. Tech. Mechanical Engineering - Semester - VII

2. Father's/Husband's Full Name:

3. Mother's Full Name:

7. Date of

1. Full Name Of The Applicant:

5. E-mail-ID :

11.Differently 9.Category:

4. Address:

PERSONAL DETAILS

6.Contact No

10.Medium of 8. Applicant gender

English

MALE

06-1-2001

SC

INDER BAWAL HARJI RAM BAWAL KAMLA DEVI

RAMDEV GALI KOT BALIYAN,TEH BALI,PALI

SUBJECT CODE SUBJECT NAME PAPER TYPE SELECT SUBJECT

Optional Paper 7ME5-11 I. C. Engines(T)

Subjects

Applicant Signature Date :

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.

Student Declaration :

Name Of Course/Level Name Of College/Institute

Roll No

Enrollment No 18E1EAMEM30P053

Engineering College, Ajmer

18EEAME053

B. Tech. Mechanical Engineering - Semester - VII

2. Father's/Husband's Full Name:

3. Mother's Full Name:

7. Date of

1. Full Name Of The Applicant:

5. E-mail-ID :

11.Differently 9.Category:

4. Address:

PERSONAL DETAILS

6.Contact No

10.Medium of 8. Applicant gender

English

MALE

17-4-2000

OBC

PULKIT CHOUHAN GOPAL SINGH CHOUHAN SUSHILA CHOUHAN

266/2, LOHALGAL ROAD,JAWAHAR NAGAR

SUBJECT CODE SUBJECT NAME PAPER TYPE SELECT SUBJECT

Optional Paper 7ME5-11 I. C. Engines(T)

Subjects

Applicant Signature Date :

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.

Student Declaration :

Name Of Course/Level Name Of College/Institute

Roll No

Enrollment No 18E1EAMEF40P060

Engineering College, Ajmer

18EEAME060

B. Tech. Mechanical Engineering - Semester - VII

2. Father's/Husband's Full Name:

3. Mother's Full Name:

7. Date of

1. Full Name Of The Applicant:

5. E-mail-ID :

11.Differently 9.Category:

4. Address:

PERSONAL DETAILS

6.Contact No

10.Medium of 8. Applicant gender

English

FEMALE

20-6-1999

GN

REKHA SHARMA OMPRAKASH SHARMA ANITA DEVI

WARD NO 12 RAMGARH SIKAR,SIKAR

SUBJECT CODE SUBJECT NAME PAPER TYPE SELECT SUBJECT

Optional Paper 7ME5-11 I. C. Engines(T)

Subjects

Applicant Signature Date :

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.

Student Declaration :

Name Of Course/Level Name Of College/Institute

Roll No

Enrollment No 18E1EAMEM10P072

Engineering College, Ajmer

18EEAME072

B. Tech. Mechanical Engineering - Semester - VII

2. Father's/Husband's Full Name:

3. Mother's Full Name:

7. Date of

1. Full Name Of The Applicant:

5. E-mail-ID :

11.Differently 9.Category:

4. Address:

PERSONAL DETAILS

6.Contact No

10.Medium of 8. Applicant gender

English

MALE

18-12-1999

SC

SOURAV JONWAL HUKAM CHAND JONWAL GARIMA DEVI

DHANDHAWALI,KARAULI

SUBJECT CODE SUBJECT NAME PAPER TYPE SELECT SUBJECT

Optional Paper 7ME5-11 I. C. Engines(T)

Subjects

Applicant Signature Date :

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.

Student Declaration :

Name Of Course/Level Name Of College/Institute

Roll No

Enrollment No 18E1EAMEM40P075

Engineering College, Ajmer

18EEAME075

B. Tech. Mechanical Engineering - Semester - VII

2. Father's/Husband's Full Name:

3. Mother's Full Name:

7. Date of

1. Full Name Of The Applicant:

5. E-mail-ID :

11.Differently 9.Category:

4. Address:

PERSONAL DETAILS

6.Contact No

10.Medium of 8. Applicant gender

English

MALE

02-2-2000

GN

UJJAWAL JAIN ANURAG JAIN SEEMA JAIN

PRAGATI NAGAR 45 AJMER,AJMER

SUBJECT CODE SUBJECT NAME PAPER TYPE SELECT SUBJECT

Optional Paper 7ME5-11 I. C. Engines(T)

Subjects

Applicant Signature Date :

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.

Student Declaration :

Name Of Course/Level Name Of College/Institute

Roll No

Enrollment No 19E1EAMEF10P200

Engineering College, Ajmer

19EEAME200

B. Tech. Mechanical Engineering - Semester - VII

2. Father's/Husband's Full Name:

3. Mother's Full Name:

7. Date of

1. Full Name Of The Applicant:

5. E-mail-ID :

11.Differently 9.Category:

4. Address:

PERSONAL DETAILS

6.Contact No

10.Medium of

8. Applicant gender

FEMALE

31-1-2001

SC

CHETNA KUMARI DILIP KUMAR BHAGWATI 1174/26

SUBJECT CODE SUBJECT NAME PAPER TYPE SELECT SUBJECT

Optional Paper 7ME5-11 I. C. Engines(T)

Subjects

Applicant Signature Date :

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.

Student Declaration :