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4 - Student Registration Form

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30 views1 page

4 - Student Registration Form

Uploaded by

sparshondassd
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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MAHARANA PRATAP COLLEGE OF PROFESSIONAL STUDIES

Form-R
……..
REGISTRATION FORSEMESTER [ODD] SESSION - 2024-25
st
Batch: 1 year admissionin20….. to passout year 20.....

COLLEGE CODE: KN-142

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STATUS (REGULAR/Re-ADMITTED):………………… FORM No (To be given By Registration Desk):…..................................

COURSE/PROGRAM:………….….…….BRANCH:………..SEM.:………SECTION:……………

ROLL NO:….…...……………………..D.O.B.(DD/MM/YY):….........…………….…...………….

NAME:…………………..…….....……...………………..…….........................……...………….. PHOTO

FATHER'S NAME:…..............…………….…………MOBILE NO:.…………………...………

MOTHER'S NAME:………..………………….……....MOBILE NO:.…………………...……… LOCAL

GUARDIAN'S NAME ( ONLY FOR OUTSTATION STUDENTS).....................................................

LOCAL GUARDIAN'S MOBILE No.(ONLYFOROUTSTATIONSTUDENTS)…..........................................

STUDENT'S MOBILE NO.…………….......…………….………………BLOOD GROUP:………...............…

EMAIL-ID(Personal):……………………………………...……….............................................................. RESIDENTTYPE:-D/H:

EMAIL-ID(College):……………………………………...................................................................……… [D]Day Scholar(Y/N) …........

LOCAL ADDRESS:…………………..…….……………………………………………….............………… [H] Hosteler (Y/N).................

…………...…………………….…………………………………………………………………………………………
Hostel Name:.........................
PIN CODE:…………........……………STATE…………………….
Room No…...........................

NOC from Account Department Yes................ No..............

AADHAAR CARD NO:…………………………………………………………………………………..

I undertake the responsibility to maintain a minimum of 90% attendance in all classes.

Date……………… Signature of Student……………………………..

To be checked by office personal on registration desk Documents


submitted
Copy of NOC issued by Accounts department/Fee Receipt
Copy of Hostel Allotment (Left it blank if Hostel is Not Applicable)
Copy of AADHAR (UID) card

Printout of High School & Intermediate Marksheet

Two Envelopes with 28/-stamp pasted on it.

REGISTRATION COMPLETION COUNTER SLIP FORM No:……….……


(To be filled by Student)

Mr. /Ms….. ……………...……Course ……….Branch/Year…..….…..has registered for……..… Semester session…….……...Roll.

No……………………………

Date……………………. Stamp Signature of Branch Coordinator

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