1.
Name of the applicant: GAUTAM DAS
2. Roll No.: 212310001020
3. Registration No: 002023121 4. Year of Registration: 2021
5. Semester: 6 6. Session: 2024 Even
7. Name of the Programe: [Link] Civil Engineering
8. Subject details for Re-Evaluation (Maximum three papers per semester):
Sl Name of the Subject Subject Code Regular/ Grade
Repeater
1 Structural Design-II CE181603 Regular F
9. Institute Name: Golaghat Engineering College, Golaghat
10 Communication Address: Fathers Name: SONARAM DAS
. House No: Atreya home
Town/Vill: Pulibar tiniali golaghat
PO: Golaghat
Dist: Golaghat
State: Assam
Pin: 785621
Country: India
11 Contact No: 8011306356
.
12 Fee Details:
.
The fee for Re-evaluation of answer script is Rs. 500 /- per SUBJECT/PAPER, which is to be paid either
through demand draft, drawn in favour of ASSAM SCIENCE AND TECHNOLOGY UNIVERSITY payable
at the S.B.I, AEC Branch, Guwahati, or through ONLINE PAYMENT section of University Website
([Link]). Online deposit receipt is to be submitted in case of online payment (along with re-
evaluation form)
a) No. of Subject(s): 1 X 500 = Total, Rs 500.00
b) Demand Draft No. / Online Transaction No: 164335670764
c) Date of Demand Draft / Online Transaction: 29-10-2024
d) Issuing Bank / Name of the Bank:
DECLARATION OF THE CANDIDATE
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If any of the statements made as above in this application is found to be not true, or if it appears as such in the
opinion of the University that I have in any way contravened by the provisions of the University Rules, my
application for re-evaluation for subject(s) will be automatically cancelled.
Date: 29-10-2024 Full Signature of the Student
CERTIFICATE
I certify that the particulars furnished by the applicant (Student) are true and I forward his/her application for
necessary action from your end.
Further it is certified that this college/institution has granted permission for the necessary reevaluation in
conformity with the University rules and regulations.
Proncipal/ Head of the College/ Institution
Golaghat Engineering College, Golaghat
Office Seal
Date:
(This form will not be accepted without Seal & Signature of the Principal/Head of the
College/Institution)
NOTE:
i) Re-Evaluation will be done only if the application is forwarded through the Principal/Director of the
concerned College /Institute, where the candidate has appeared the examination.
ii) No application for re-evaluation will be accepted if the application is received after the last date as
declared.
iii) Request for re-evaluation will be accepted for a maximum of three subjects/papers in a semester.
iv) Re-Evaluated marks will be considered for calculation of Grade point
v) Re-evaluation applications will be accepted only for Theory papers.
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