1. Roll No._____________ Category.
BOARD OF TECHNICAL EDUCATION, RAJASTHAN, JODHPUR
EXAMINATION FORM
EXAM.CENTRE
EXAM./YEAR
Affix Your
Latest Passport
BRANCH
Photograph
SPN
NAME
Photo Should be
FATHER'S NAME Attested by H.O.D.
Subject(s) to be offered for Examination Regular or Ex.
Student's Signature
Regular Subject
Elective Subject
THEORY
Ex Subject
PRACTICAL
I declare that
All details furnished above are correct. I am not appearing for any other Examination
and there was / is no UFM registered against me.
Student's Signature
Examination Form has been checked by me and student is eligible to appear in this
Examination as per rules.
Signature of H.O.D. Principal's Signature
To Be Filled By The Institution To Be Filled in Examination Hall Only
Deposited Rs. ________________________
Vide Receipt No.________ Date ________
Student's Signature
Challan/DD No.________________________
Signature is Verified
Mode of Fee :- Normal/Late
Supdt./Addl. Supdt