Exam Form 2021

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6/3/2021

SANT GADGE BABA AMRAVATI UNIVERSITY


EXAMINATION APPLICATION FORM
 SUMMER 2021
Type of Programme UG
Name of Course / Level B.E in ELECTRONICS & POWER (CGS) - Semester - VI
Branch (B.E in ELECTRONICS & POWER (CGS))
Siddhivinayak Technical Campus School of Engineering and research
Name of College/Institute
Technology, Shegaon-(388)
College Area Rural
Enrollment No
PRN No

PERSONAL DETAILS
1. Full Name Of The Applicant: RUSHIKESH DNYANESHWAR RAVANKAR
2. Gaurdian's/Husband's Full Name: Mr. DNYANESHWAR WAMANRAO RAVANKAR
3. Mother's Full Name: Mrs. URMILA
4. Correspondence Address: AT-WARWAT BAKAL,POST-WARWAT BAKAL,TA-
(With Pin Code) SANGRAMPUR ,444202
5. Permanent Address: AT-WARWAT BAKAL,POST-WARWAT BAKAL,TA-
(With Pin Code) SANGRAMPUR ,444202
6. E-mail-ID  : rushikeshrawankar1999@gmail.com 7. Contact No.  : 9156576059
8. Date of Birth: 4/5/1999 9. Applicant Gender: MALE
10.Category: OBC 11.Religion: HINDU
12.Mother Tongue: MARATHI 13.Medium of Instruction: English
14.Differently NO 15.Nationality: Indian
Abled/Divyang:
Subjects offered:  
SUBJECT CODE SUBJECT NAME PAPER TYPE THEORY PRACTICAL
10561 Electrical Power-I Compulsory Paper -- --
10562 Optimisation Techniques Compulsory Paper -- --
10563 Power Electronics Compulsory Paper -- --
10564 Computer Aided Machine Design Compulsory Paper -- --
10858 Automobile Engineering Optional Paper -- --
10565 Electrical Energy Utilisation Compulsory Paper -- --
10568 Power Electronics-I Lab Compulsory Paper -- PRACTICAL
Computer Aided Machine Design
10569 Compulsory Paper -- PRACTICAL
Lab
10570 Electrical Energy Utilisation Lab Compulsory Paper -- PRACTICAL

Date: Applicant Signature

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6/3/2021

 
Student's Declaration :
  SUMMER 2021
REGULAR
Name of Examination :  (B.E in ELECTRONICS & Medium :  English
POWER (CGS))
Semester :  Semester - VI.
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   770 /-
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