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Reporting Form GKS

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gurkamalpreetsingh1962002
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19 views3 pages

Reporting Form GKS

Uploaded by

gurkamalpreetsingh1962002
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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Student Reporting Form

(For Students – Term2025-2026)


Token Number: CTU/ /SRF/
Student Details
Full Name GURKAMALPREET SINGH Regn. Number 72313932

Mobile 8360730510 Email [email protected]


B.SC. Medical Radiology and Imaging 2023
Programme Name Technology. (Honours) Batch / Year

Program Type Diploma [ ] UG [] PG [ ] Doctorate [ ] Other [ ]

School Name School of Health Sciences

Semester IV Study Mode Regular [ ] Part-time [ ]


Father Name HARPREET SINGH Mother Name JASWINDER KAUR
Mobile 8360730510 Mobile 9814707124
Home Address VILLAG ARRICHAN TESIL PAYAL
City LUDHIANA Zip Code 141421

State PUNJAB Country INDIA

Student Reporting
Student ID [ ] Offer Letter [ ] Acceptance Letter [ ] Fee Receipt [ ]
Proof

Student Reporting Clearances at School Level


A) Documentation Clearance(mandatory) – Student Section
Signature & Date
Is Documentation
Requirement File Reference Number Checked By (Student
Complete (Y/N)
Section)
Admission
Documentation
B) Facilities (Hostel , Transportation) (as applicable)
Requirement Facility Details Fee Status Checked By Signature & Date
Hostel Room No:
Hostel/ Mess Mess / Food :

Transportation Route:
(if applicable) Pickup-point:
C) Accounts Requirements (mandatory) – Accounts
Requirement Transaction Reference No. / Fee Paid Remarks (if/any) Checked By Signature & Date
Account Fee
Clearance

Class Coordinator Sign : Name & UID: Dated:

OfficeUse Only
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - School Copy - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Student Name:
Registration No.:
Course:
Sem: Batch: HoS Sign with Stamp Class Incharge Sign

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Student Copy - - - - - - - - - - - - - - - - Term - 20 -


Clearance Status (tick ): A: [ ] B: [ ] C: [ ]
Class Incharge Sign : Regn Number: Dated:

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