The image is a photograph of a document from the British Columbia Institute of Technology Midterm Examination. The document is titled "Student Name" and has the name "Dennis S. Hurd" written at the top. Below the name, there is a section titled "Instructor" and "Term/Year: 2001". 

The document appears to be a form for a student named Dennis S. Hurst, who is an instructor. The form has fields for the student's name, date, course, and total number. There is also a note that reads "Subject: Communication" and a section for the subject to be allotted to 3 hours.

At the bottom of the document, there are two lines of text, one for the date and the other for the course. The text is written in black ink on a white background.