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For Backloggers: Name

This document is a course registration form for backlogged students at the Indian Institute of Technology Guwahati. It collects student details like name, roll number, contact information, recent academic performance, courses to be registered for including course number, title, credits, and when the course was previously taken. Signatures are required from the student, faculty advisor, academic affairs staff, and data entry person. There are separate copies for the student, academic section, and faculty advisor/department.

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Mihir Kumar Mech
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104 views3 pages

For Backloggers: Name

This document is a course registration form for backlogged students at the Indian Institute of Technology Guwahati. It collects student details like name, roll number, contact information, recent academic performance, courses to be registered for including course number, title, credits, and when the course was previously taken. Signatures are required from the student, faculty advisor, academic affairs staff, and data entry person. There are separate copies for the student, academic section, and faculty advisor/department.

Uploaded by

Mihir Kumar Mech
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Indian Institute of Technology Guwahati

ACADEMIC SECTION’S COPY For Backloggers


PROGRAM
COURSE REGISTRATION FORM
Session: ODD / EVEN / SUMMER
Academic Year
(in capital letters only)
Name:

Roll Number Hostel IITG Email:


Name Room No. Other Email:
Recent CPI: Mobile Phone No.
(attach latest transcript)

Present home address for communication Address of the local guardian


(If not the same as in the last registration) (If not the same as in the last registration)

Phone: Phone:
Email: Email:

Sl. Course Course Title Credits Lastly done when: #Exam


No. No. Mention AY and Date/Time
Semester/ Term

Total Credits =

Signature of the student Signature of the Faculty Advisor (with date)


Date: Name:

Checked and put up for approval

Signature of dealing staff of Academic Affairs Section with date

Signature of ADoAA (in case of UG) / DoAA (in case of PG) with date

Course registration detail as above is entered in the database on ____________________.

Signature of Data Entry Person with date

# please write Mid Semester Examination Date/Time.


Indian Institute of Technology Guwahati
STUDENT’S COPY For Backloggers
PROGRAM
. COURSE REGISTRATION FORM
Session: ODD / EVEN / SUMMER
Academic Year
(in capital letters only)
Name:

Roll Number Hostel IITG Email:


Name Room No. Other Email:
Recent CPI: Mobile Phone No.
(attach latest transcript)

Present home address for communication Address of the local guardian


(If not the same as in the last registration) (If not the same as in the last registration)

Phone: Phone:
Email: Email:

Sl. Course Course Title Credits Lastly done when: #Exam


No. No. Mention AY and Date/Time
Semester/ Term

Total Credits =

Signature of the student Signature of the Faculty Advisor (with date)


Date: Name:

Checked and put up for approval

Signature of dealing staff of Academic Affairs Section with date

Signature of ADoAA (in case of UG) / DoAA (in case of PG) with date

Course registration detail as above is entered in the database on ____________________.

Signature of Data Entry Person with date

# please write Mid Semester Examination Date/Time.


. Indian Institute of Technology Guwahati
FACULT ADVISOR/DEPARTMENT’S COPY For Backloggers
PROGRAM
COURSE REGISTRATION FORM
Session: ODD / EVEN / SUMMER Academic Year
(in capital letters only)
Name:

Roll Number Hostel IITG Email:


Name Room No. Other Email:
Recent CPI: Mobile Phone No.
(attach latest transcript)

Present home address for communication Address of the local guardian


(If not the same as in the last registration) (If not the same as in the last registration)

Phone: Phone:
Email: Email:

Sl. Course Course Title Credits Lastly done when: #Exam


No. No. Mention AY and Date/Time
Semester/ Term

Total Credits =

Signature of the student Signature of the Faculty Advisor (with date)


Date: Name:

Checked and put up for approval

Signature of dealing staff of Academic Affairs Section with date

Signature of ADoAA (in case of UG) / DoAA (in case of PG) with date

Course registration detail as above is entered in the database on ____________________.

Signature of Data Entry Person with date


# please write Mid Semester Examination Date/Time.

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