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SANT GADGE BABA AMRAVATI UNIVERSITY

EXAMINATION APPLICATION FORM
SUMMER 2024
Type of Programme UG
Name of Course / Level B.E in INFORMATION TECHNOLOGY - Semester - VI
Branch (B.E in INFORMATION TECHNOLOGY )
Name of College/Institute Anuradha College of Engineering, Chikhali-(320)
College Area Rural
Enrollment No
PRN No

PERSONAL DETAILS
1. Full Name Of The Applicant: HARSHAL RAJENDRA GARAD
2. Gaurdian's/Husband's Full Name: Mr. RAJENDRA DATTU GARAD
3. Mother's Full Name: Mrs. Savita
4. Correspondence Address: KHAIRAV,, ,443206
(With Pin Code)
5. Permanent Address: KHAIRAV,, ,443206
(With Pin Code)
6. E-mail-ID : [email protected] 7. Contact No. : 8767778708
8. Date of Birth: 28/12/2003 9. Applicant Gender: MALE
10.Category: OBC 11.Religion: HINDU
12.Mother Tongue: MARATHI 13.Medium of Instruction: English
14.Differently NO 15.Nationality: Indian
Abled/Divyang:

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Subjects offered:
SUBJECT CODE SUBJECT NAME PAPER TYPE THEORY PRACTICAL
Compulsory
17115 Compiler Design THEORY --
Paper
Compulsory
17116 Design & Analysis Of Algorithms THEORY --
Paper
Compulsory
17117 Artificial Intelligence THEORY --
Paper
17118 Cryptography & Network Security Optional Paper THEORY --
Compulsory
17124 Compiler Design Lab -- PRACTICAL
Paper
Design & Analysis Of Algorithms- Compulsory
17125 -- PRACTICAL
Lab Paper
Cryptography & Network Security - Compulsory
17126 -- PRACTICAL
Lab Paper
Compulsory
17127 Comp.Skill Lab - IV -- PRACTICAL
Paper
19024 Wireless Communication Optional Paper THEORY --

Date: Applicant Signature

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Student's Declaration :
SUMMER 2024
REGULAR
Name of Examination : (B.E in INFORMATION Medium : English
TECHNOLOGY )
Semester : Semester - VI.
Subject (Only for :
P.G.Exams)
Examination Centre :

a. As per provision of the ordinance No.1 of 1985 ,I have participated in the activities.
b. As is not permitted in the Ordinance, I am not appearing in any other Examination.
c. I solemnly affirm that the complete information given in this application form is true and correct.
If any information given in this form found to be false I shall be eligible for imposition of fine and
punishment & shall be personally responsible for any loss.
d. I understand that my application form shall be rejected or result of examination shall not be
declared in case of appearing any discrepancy/deficiency in this application form as well as for
non-compliance of the same within the stipulated time.

Date : Applicant Signature

( विद्यार्थ्यांने online सादर के लेल्या परीक्षा आवेदनपत्राची एक प्रत त्यांच्या महाविद्यालयात सादर के ल्यानंतरच
परीक्षा क्रमांक generate होईल )
CERTIFICATE OF PRINCIPAL
(For collegiate students only )

a. Certified that applicant student has been Enrolled in Sant Gadge Baba Amravati University and
he /she has fully complied all conditions and provisions prescribed in the concern Ordinance
and regulations and rules. There is no objection regarding his/her character which could be a
disqualification for appearing in the examination.
b. Original certificates/Marksheets/Degree/Diploma as an eligibility qualification issued by the
Board/University to this student are verified and he/she is eligible for admitting in this
examination.
c. This student has participated in the activities viz....................,as per provisions of Ordicance
No./1985.

Date: Principal -------------- (Sig. & Stamp)

FEE DETAIL (FOR OFFICIAL USE ONLY)

The Fee Amount to be Paid by Candidate is : RS 950 /-

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