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GOVERNMENT ENGINEERING COLLEGE , HASSAN
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STUDENT PROCTOR SYSTEM FORM
Name of the Student
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USN
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Father's / Mother's name
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Mobile number:
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Landline number
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E-mail id
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Department
Electronics and Communication
Computer Science
Mechanical
Civil
Residential Address
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Stays in Hostel?
Yes
No
(If a hostelite) Room No. & Hostel address with Hostel Phone number :
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Enter the marks semester wise :
First semester
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Second semester
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Third semester
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Fourth semester
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Fifth semester
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Sixth semester
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Seventh semester
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If failed in any subject enter the subject code and subject name
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Remarks (To be entered by the proctor only)
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