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Application Number:: (Autonomous Institute Under VTU, Belgaum and UGC, New Delhi)

as requested and summarizes the essential information from the document in 3 sentences or less.

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0% found this document useful (0 votes)
31 views

Application Number:: (Autonomous Institute Under VTU, Belgaum and UGC, New Delhi)

as requested and summarizes the essential information from the document in 3 sentences or less.

Uploaded by

Kumar Saheb
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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PES INSTITUTE OF TECHNOLOGY

( Autonomous Institute under VTU, Belgaum and UGC, New Delhi ) APPLICATION FORM FOR SEE : AUGUST, 2013

Application Number :
USN : 1PI10ME129

2013/S/05098

Program :

B.E.

Semester:

Summer

Name of the Candidate :

Shreyas Venkatraman

ENROLLED SUBJECTS :
1. 2. 10ME356 10ME301 Dynamics and Design Laboratory Design of Machine Elements - I

Any Other Subjects, Please Specify

Total Fee paid ( in words ) Challan/Receipt No. with date

Regular Fee: Penal Fee:

460

Are you exempted from payment of fees If yes, please Tick

Yes

No Total Fee:

SC ST Category-1 [ Documentary evidence to be provided ] Address for correspondence with phone number: Shreyas Venkatraman, C/o, Mr.Ramamurthy Venkataraman ,# D102, Renaissance, Brindavan Apartments, Survey # 13, Uttarahalli Main Road, ,Bangalore - 560061.,Ph: 40952939 / 9886427434 Ph.no:Ph: 40952939 / 9886427434 CERTIFICATE

Signature of candidate with date

This is to certify that Mr/Ms SHREYAS VENKATRAMAN bearing USN 1PI10ME129 is a student of the college and he/she may be permitted to register for the examination. He/She shall satisfy the conditions of admission requirements and minimum attendance as prescribed by the University before writing the examinations, failing which his/her application may rejected.

Date: Signature of the HOD with seal Signature of the Principal with college seal

INSTRUCTIONS TO THE CANDIDATE * Fee paid includes Application fee, Examination fee and Grade card fee. * Please verify the details printed above and then affix your signature * Kindly intimate the Office of Dean (Evaluation) immediately in case of any discrepancy noticed in the matter printed above.

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