Enroll
Enroll
M.E. Degree Programme through Modular Based Credit Banking Scheme ENROLLMENT FORM
(i) (ii) (iii) (iv) (v) (vi) (vii) (viii) Name in Block Letters Name of the Programme Month & Year of Admission Date of Joining Faculty Qualification & Discipline Designation Office Address : : : : : : : :
(ix)
Permanent Address
(x) (xi)
No. of Subjects registered in this semester Subject Details S.No. Subject Code
: : Title Credits
Total Credits (xii) Fee Details for the current semester DD. No.. Amount: : Date: Bank: ... DECLARATION I doing the M.E. Degree Programme through MBCBS 1. I state that I have submitted NOC form my employer* at
2. I am working as ...
3. As a faculty member I am still working in the same institution as mentioned in my application form* / the change of working place has been intimated to the office of the Director (CAE)* (* Strike off whichever is not applicable) Date: Place: Signature of the Principal with seal