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BOARD OF TECHNICAL EDUCATION, UTTAR PRADESH LUCKNOW

ENROLLMENT / EXAMINATION FORM FOR OLD STUDENT SEMESTER EXAMINATION / ANNUAL

EXAMINATION 2017
GANDHI POLYTECHNIC , MUZAFFAR NAGAR (119)
PASSED IN SECOND YEAR STUDENT OF BTE PREVIOUS ANNUAL SYSTEM MAIN COURSE EXAM( FIFTH
SEMESTER)

STUDENT TYPE

BRANCH

NAME

FATHER'S NAME

MOTHER'S
DATE OF BIRTH 15/08/1998
NAME
CATEGORY SUB-CATEGORY NONE
GENDER MOBILE NO. 9837648025

DECLARATION: THIS IS TO BE CERTIFIED THAT THE ABOVE INFORMATION IS CORRECT TO MY BEHALF

Status:Form Approved By Student.
Status:Form Approved By College.

STUDENT SIGNATURE PRINCIPAL / DIRECTOR SIGNATURE & SEAL

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