Regular Exam Form

SYMBIOSIS SKILLS AND PROFESSIONAL UNIVERSITY
(SSPU)
Undergraduate Examination Form - B.Tech (Construction)
PRN Number 2300401012 Form No. R2405S2300401

012
Examination Center Symbiosis Skills and Professional University (SSPU), Kiwale, Pune - 412101.
1. School Code & Name 4 - School of Construction Engineering & Infrastructure Management
To,
The Controller of Examinations
Symbiosis Skills and Professional
University, Kiwale, Pune.
2. Signature of the candidate in running hand,
Respected Sir / Madam, within the box only.
I request permission to present myself at the ensuing B.Tech (Construction) 2 Semester / 2024 (Main) examination to be held in the
month MAY/June and year 2024. I furnish my details as stated below.
3. Candidate's name in Capital Letters
First Name MOHAMMAD Middle Name SARAFAT
Surname SAIF ALI
4. Date of Birth 10 Jun 2002 5. Gender Male
6. Mother Name Hajra khatoon 7. Father Name Mohammad Sarafat

8. Candidate's mailing address in Capital Letter Only.
RUNAL SPACIO, E-101, RAVET.
PUNE, MAHARASHTRA, INDIA - 412101
9. Email Id. saifalimd137@gmail.com 10. Mobile No. 8999547332
11. I will be appearing for the following papers:-
Regular Papers
Sr No Sem Paper Name Paper Code Theory Practical
CA ESE CA ESE IA
1 2 Applied Physics APSC2102 Y Y Y Y Y
2 2 Applied Mathematics - II APSC2104 Y Y Y Y Y
3 2 Construction Materials CNST2102 Y Y Y Y Y
4 2 Internship - I CNST2103 Y
5 2 Basics of Electrical and Electronics Engineering ENGG2105 Y Y Y Y Y
6 2 Workshop Practices ENGG2108 Y Y Y
7 2 Life Coping Skills IDSC102 Y
Abbreviation: CA - Continuous Assesment / ESE - End Semester Exam / IA - Industry Assesment
Name of Exam Coordinator : Signature Exam Coordinator
Form No. R2405S2300401012 / Generated on : 04 May 2024 14:22:39 Page No. 1 / 2

12. Declaration by the Candidate
I am aware that, I have to fulfil criteria of attendance as prescribed by the University, failing which I shall be held "Not Eligible"
1) and will not be allowed to appear for examination. I will be allowed only after completion of following conditions.
A) Attended 100% practical & Skills.
B) Attended minimum 75 % required theory lecture.
C) Attended all Unit tests.
2) I have paid academic fess & I don¶t have any dues.
3) I will complete my internship as prescribed in academic calendar.
I hereby declare that I have gone through the syllabus as prescribed and adopted by the University and relevant rules off the
Head of Passing which are applicable for the examination for which I am appearing and I accept the same without any
4) challenge (wherever applicable).
5) I have filled online feedback form for all faculty members for all the subjects in this semester.
I shall be responsible if my application form is rejected for any errors, wrong or incomplete entries made by me in the
6) examination form.
7) I am not defying the criteria of the admission order.
8) I am not admitted to the course after the cut-off date declare by the University for Grant of terms.
I further declare that I am neither a regular student of any other University nor appearing in any other examination as a regular
9) student.
I certify that this examination form has been filled by me and the information given therein is correct and I shall be personally
10) responsible for the same if proved false later on.
Place: Pune
Date: 04 May 2024 Signature of Candidate in running hand
13. Certificate by Account

Certified that the student has paid both the instalments and there are no dues against PRN No. 2300401012
Name : MOHAMMAD SARAFAT SAIF ALI Program : B.Tech (Construction)
Place: Pune
Date: Signature & Seal of CFAO
14. Certificate by the Head Of School :

I certify:
1) Fulfill Attendance Criteria Yes No
That Shri/Smt./Kum. MOHAMMAD SARAFAT SAIF ALI is a bonafide student of this school, admitted to the B.Tech
2) (Construction) program in the Academic Session 2023. That his/her attendance is not less than as prescribed by
Examination Regulations up to submission of this application.
That the information furnished by the said candidate is verified from his/her documents and that the candidate is Eligible
3)
to appear for University Examination.
Place: Pune
Date : Signature & Seal of the HOS
15. Certificate by Registrar :

I certify:
1) That Shri/Smt./Kum. MOHAMMAD SARAFAT SAIF ALI had submitted all the required eligibility documents.
2) His/ Her all fees are cleared and nothing is outstanding as on date.
3) There are no any type of complaints about the said student.
Place : Pune
Date: Signature & Seal of Registrar
Form No. R2405S2300401012 / Generated on : 04 May 2024 14:22:39 Page No. 2 / 2

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SYMBIOSIS SKILLS AND PROFESSIONAL UNIVERSITY

Undergraduate Examination Form - B.Tech (Construction)

PRN Number 2300401012 Form No. R2405S2300401

3. Candidate's name in Capital Letters

First Name MOHAMMAD Middle Name SARAFAT

Surname SAIF ALI

4. Date of Birth 10 Jun 2002 5. Gender Male

6. Mother Name Hajra khatoon 7. Father Name Mohammad Sarafat

RUNAL SPACIO, E-101, RAVET.

PUNE, MAHARASHTRA, INDIA - 412101

9. Email Id. saifalimd137@gmail.com 10. Mobile No. 8999547332

11. I will be appearing for the following papers:-

Form No. R2405S2300401012 / Generated on : 04 May 2024 14:22:39 Page No. 1 / 2

13. Certificate by Account

14. Certificate by the Head Of School :

15. Certificate by Registrar :

Form No. R2405S2300401012 / Generated on : 04 May 2024 14:22:39 Page No. 2 / 2

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