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1191728, 612 PM DIV Contents
le
(RE-REGISTRATION FORM)
Re-Registration for
Semester 6
Enrollment No A50504820006
‘Name MR MAYANK SAINI
Program BCA
Batch 2020-2023
Date of Birth 28/01/2000
E-Mail ID [email protected]
314/7 SECTOR 7 URBAN ESTATES
Contact Address GURUGRAM
GURGAON(Haryana)
Pin code 122001
Phone 9354763608
Mobile 9354763608
Fax. NA
Father's Name BAKSHI RAM SAINI
314/7 SECTOR 7 URBAN ESTATES GURUGRAM
Parmanent Address
GURGAON (Haryana)
Pin code 122001
Phone 9354763608
Fax NA
Place of stay during this Semester (Non-Hostellers)
Address
City
Pin
Telephone
Mobile
E-mail
Date of payment of fees and fee receipt number
Are You staying in hostel If Yes, Room
No.
Are you having any evaluation pending for the previous semester
If yes, mention the course(s) and reasons for it
Tunderstand that my registration for the Semester mentioned above is provisional and it will stand cancelled in
case I do not fulfill the requirements for promotion to the same as per the academic regulation.I also certify that
Ido not have any payment of dues and I have met all academic deadlines till now
Date
(Signature of the Student)
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((Name & Signature of the Verifying Faculty))
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