GOVERNMENT OF BIHAR

DEPARTMENT OF SCIENCE & TECHNOLOGY

STATE BOARD OF TECHNICAL EDUCATION, BIHAR

EXAMINATION FORM - SEM II

Registration Number : 1362516056
Name of Institution : Braj Kishor Narayan Singh Govt. Polytechnic, Gopalganj Institute Code : 136
Name of Branch : Mechanical Engineering Branch Code : 25
Roll Number : 211362516056 Aadhaar No. :
Student Name : RAJ KUMAR SINGH Date of Birth : 10-Nov-1999
Father Name : HARESH SINGH Contact No. : 7547044773
Email : rajkumar044773@gmail.com Submission Date : 07-May-2017
.
Subject Type Subject Code Subject Title
Theory 1601201 Communication Skills-II
Theory 1601202 Engg. Mathematics
Theory 1601203 Applied Science
Theory 1601204 Engg. Mechanics
Theory 1601205 Engg. Drawing
Practical 1601206 Communication Skills (Language Lab)
Practical 1601207 Applied Science
Practical 1601208 Engineering Mechanics
Sessional 1601209 Engineering Drawing
Sessional 1601210 Workshop Practice
Sessional 1601211 Development of Life
Sessional 1601212 Professional Practice

Declaration
I hereby declare that the above information is true to the best of my knowledge and I am filling the examiantion form for backlog(Carry) papers
of Semester I and II (if any), other wise my chance shall be lapsed as per Exam Rule 3 and 6.

Signature of Candidate
Verification

1. This is to certify that the above information filled by the student has been verified and found correct. The requisite examination fee has
been deposited by the student.
2. This is to certify that this candidate RAJ KUMAR SINGH has maintained a good conduct, attended 75% of Lectures, Sessional and
Practical classes of each subject, satisfactory and completed all Sessional, Terminal and Practical work and marks has been upload/ sent to
the board; has satisfied the condition laid down by the Regulation of Board for appearing at the Board Examination as Regular/Ex-student.

Date :
Principal Signature & Seal

1. This examination form is valid for Sem II only. You have to fill sepreate examination form for other semester.
2. Please submit, Your Exam form till 10-May-2017 to Principal of concerned institute, other wise your Exam form will be
NOTE
cancelled.
3. Please submit, Exam Fee Rs 750 for SC, ST, Physically Handicapped, Female (all category) and Rs 1000 for others.