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64582

The document is an examination application form for a B.Tech Computer Science and Engineering student named Satabdi Saikia, who is a repeater for the 2nd semester in the year 2025. It includes personal details, subjects registered for examination, and a declaration regarding the truthfulness of the information provided. The application is submitted to the Controller of Examinations at Assam Science and Technology University through Dhemaji Engineering College.

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Satabdi Saikia
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6 views2 pages

64582

The document is an examination application form for a B.Tech Computer Science and Engineering student named Satabdi Saikia, who is a repeater for the 2nd semester in the year 2025. It includes personal details, subjects registered for examination, and a declaration regarding the truthfulness of the information provided. The application is submitted to the Controller of Examinations at Assam Science and Technology University through Dhemaji Engineering College.

Uploaded by

Satabdi Saikia
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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Form No: ASTU/EX/64582

A.S.T.U. Sl. No.

FILLED IN EXAMINATION APPLICATION FORM FOR


PROGRAM: B.Tech Computer Science and SEMESTER: 2 (Repeater) EXAMINATION YEAR: 2025 Even
Engineering

To,
The Controller of Examinations,
Assam Science and Technology University, Guwahati
(Through the Principal/ Director of Dhemaji Engineering College, Dhemaji)

Sir,
I request the permission to appear myself at the ensuing Examinations with following particulars duly filled in:

DATE: 28-05-2025 08:18:11 PM

Program Name: B.Tech Computer Science and Engineering Program Code: 0107

Subjects in which he/ she registered to be examined in B.Tech Computer Science and Engineering, Semester 2
(Repeater) .

SL. No. PAPER CODE PAPER NAME


1 CS181106 Problem Solving through Programming using C
2 MA181202 Mathematics-II

1. Category of student Repeater 2. Sex Female 3. Caste OBC

4. Medium of Examination English 5. Examination Roll No 233010007044

6. ASTU Registration No 010230123 Of 2023

7. Name of the Candidate SATABDI SAIKIA

8. Father's Name DILIP CH SAIKIA

9. Mother's Name ANU BORA

10. Contact No (M) 8822341365

11. College/ Institute Dhemaji Engineering College, Dhemaji

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12. Nationality INDIAN

13. Local Guardain's Name DILIP CH SAIKIA

14. Present Address 15. Permanent Address


House/Ward No: NONOI PANIGAON PUTANIMUKH House/Ward No: NONOI PANIGAON PUTANIMUKH
Vill/Town: NONOI PANIGAON PUTANIMUKH Vill/Town: NONOI PANIGAON PUTANIMUKH
PO: NONOI PO: NONOI
Dist: NAGAON Dist: NAGAON
State: ASSAM State: ASSAM
Pin: 782101 Pin: 782101
Country: India Country: India

DECLARATION OF THE CANDIDATE


If any of the statements made as above in the application are found to be not true, or if it appears as such in the opinion
of the University, I have in any way contravened by the provisions of the University Rules and Regulations relating to
the Degree examination, my admission to the examination will be liable for cancellation at any time at the discretion of
the University authority before or after the examination/results.

Date: 28-05-2025 08:18:11 PM Yours Faithfully

Place:______________

(SATABDI SAIKIA)
CERTIFICATE
1. I certify that the particulars furnished by the above named candidate have satisfied me that he/ she passed all
qualifying examinations and fulfilled all the requirements under the regulations to be eligible to appear above
mentioned examination.
2. He/ She has completed all the other requirements including evaluation of the grading system upto mid-semester
examination and the minimum requirement of attendance as per the program regulation.
3. I certify that his/ her conduct and progress in studies have been satisfactory during the course of study in this
College/ Institution within the framework of A.S.T.U. Regulations.
4. Further, it is certified that this College/ Institution had been granted affiliation by the Assam Science and
Technology University, Guwahati.
Principal/ Head of the College/ Institution

..............................

Payment Status: Not Paid Status Date: 28-05-2025 08:18:11 PM

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