Permanent Address
Permanent Address
Permanent Address
1 / 1
Registration No.
Father's Name
Gender
Self Mobile
Self E-Mail
Resident No
Office
Mobile
E-Mail
Permanent Address
Town/City
District
State/UT
Country
Pin/Zip
3010070130
Bhupinder Singh Chaak
M
9915932732
01832452437
0
9815778159
KOTLI NASIR KHAN
KHAPER KERI
Amritsar
Others
Punjab
India
143105
Father's Telephone No:
Program Name
BCA-MCA(Dual Degree) (140 )
Student Details :-
Hostel Detail
26-Feb-1988
Date of Birth
Kulbir Kaur
Mother's Name
Address
Address
Town/City
District
State/UT
Country
Pin/Zip
Correspondence Address (if different from Permanent
KOTLI NASIR KHAN
KHAPER KERI
Others
Amritsar
Punjab
India
143105
Resident No
Mother's Telephone No:
Office
Mobile
E-Mail
01832452437
0
Details of hostel facilty of the University availed du
Hostel(on campus/off campus) __________________
Room No ________________Seater _____________
Sandeep Singh Chaak
Student Name
Batch Year
2007
Leet Student
No
Registration No.
3010070130
Transportation Detail
Pickup Station
Route Number
Status
Remarks
University/Board
Stream
Exam Name
Qualification Detail
Section.
D37D1
Remarks if Any :
Availing Laundary Facility
Availing Food Facility
Hostel Name
Room Type
RoomNo
Food remarks if Any :
Laundary remarks if Any :
Remarks if Any :
Aggregate Attendance:
Friday, December 3, 201
0
Printed On
Full Signature of the Student
Date.........................
Place........................