4/11/2019 Print Registration Form

Veer Bahadur Singh Purvanchal University, Jaunpur

वीर बहादरु संह पव
ू ाचल व व व यालय, जौनपरु
अ यथ पंजीकरण फाम वष – 2018-2019

B.TECH.(VI-
SEMESTER)
FORM NO. 290719996 COURSE APPLIED FOR STUDENT TYPE REGULAR
COMPUTER
SCIENCE

STUDENT NAME MOHAMMAD JAVED GENDER : MALE

FATHER'S / HUSBAND NAME MOHAMMAD JIBARIL MOTHER'S NAME NAZAMA KHATUN

NAME OF COLLEGE 001 - VEER BAHADUR SINGH PURVANCHAL UNIVERSITY JAUNPUR

AADHAR 673478496801 CASTE MUSLIM

DATE OF BIRTH 10/09/1998 CATEGORY : OBC RELIGION : ISLAM

MOBILE NO. 7317714876 SUB CATEGORY NOT APPLICABLE

NATIONALITY: INDIAN ENROLLMENT NO.:PU17/476

SUBJECT/PAPER OPTED

S.NO. SUBJECT PAPER PAPER NAME

1 COMPUTER SCIENCE I INDUSTRIAL MANAGEMENT
II COMPUTER NETWORK
III SOFTWARE ENGINEERING
IV COMPILER DESIGN
IX COMPILER LAB
V WEB TECHNOLOGY
VI INFORMATION SECURITY AND CYBER LAWS
VII COMPUTER NETWORK LAB
VIII WEB TECHNOLOGY BASED SOFTWARE ENGINEERING LAB
X SEMINAR
XI GENERAL PROFICIENCY
DETAILS OF PREVIOUS YEAR EXAMINATION

EXAMINATION NAME YEAR ROLL NUMBER COLLEGE/UNIVERSITY OBTAINED MARKS MAX MARKS
B. TECH. 5TH SEM 2019 175566 UNSIET VBSPU JAUNPUR 661 1000

NAME AND COMPLETE MAILING ADDRESS OF CANDIDATE

MOHAMMAD JAVED C/O MOHAMMAD JIBARIL

AFFIX HERE
YOUR RECENT
PASSPORT SIZE ADDRESS: VILL SULTANPUR DARWESH ALI POST MURADGANJ DISTT JA ,
PHOTOGRAPH POST OFFICE : MURADGANJ , DISTRICT/CITY : JAUNPUR

STATE : UTTAR PRADESH

DECLARATION BY THE CANDIDATE

MOHAMMAD JAVED ON THURSDAY, APRIL 11, 2019 SOLEMNLY DECLARE THAT ALL THE INFROMAMTION PROVIDED IN THE FORM NO 290719996 IS TRUE TO THE BEST OF MY
KNOWLEDGE AND BELIF. IF ANY INFROMATION IS FOUND TO BE INCORRECT, MY CANDIDATURE CAN BE CANCELLED

(SIGNATURE OF THE CANDIDATE)

CERTIFICATE BY THE DEAN /HOD/ PRINCIPAL

CERTIFIED THAT SHRI/KM/SMT. MOHAMMAD JAVED IS BONAFIED STUDENT OF THE COLLEGE / UNIVERSITY. ALL THE DOCUMENTS OF QUALIFYING EXAMINATIONS MENTIONED IN
FORM NO. 290719996 HAVE BEEN VERIFIED AND FOUND CORRECT. THE CANDIDATE IS ELIGIBLE FOR THE APPLIED EXAMINATION AND DURATION OF THE COURSE IS NOT
EXCEEDING NOT MORE THAN SIX YEAR FOR UNDER GRADUATE COURSES AND FOUR YEARS FOR POST GRADUATE COURSES

DATE

SIGNATURE OF OFFICE ASSISTANT (DEAN /HOD/ PRINCIPAL SIGNATURE WITH SEAL)

001 - VEER BAHADUR SINGH PURVANCHAL UNIVERSITY
JAUNPUR

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