Malaviya National Institute of Technology,JLN Marg Jaipur - 302017

(Seventh Convocation 2012)

Form No. MNIT/CON/12/1244 The Dean, Academic Malaviya National Institute of Technology Jaipur-302017 Sub: Appliction for receiving Degree in the annual Convocation to be held on 04-11-2012. Dear Sir, With refrence to your Letter No. No. F.4(P) 16/Acdm/MNIT/2012 this is to inform you that :-

FORM-A

(A) I shall attend the Convocation Rehearsal on 04-11-2012 at 9.00 a.m. and shall also be present at the Convocation-2012 to be held on Sunday 04-11-2012 to receive my Degree in person. A fee of Rs. 250/- is being remiited in favour of Registrar, MNIT, Jaipur payable at jaipur vide bank Draft No. 173139 dated 25-10-2012 drawn on State Bank of India alongwith this letter.
Yours Faithfully

(Signature of the student)

Dated Name of the student Gender ID No. Examination Passed Department Address City State Pin Code E-Mail Address Mobile No.

: 26-10-2012 : Mehran Qureshi : Male : 2007UAR101 : B.Arch. : Architecture : Fair Banks Colony Lane no: 5, Rawalpora : Srinagar : Jammu and Kashmir : 190005 : qureshi.mehran@gmail.com : 9718794244

Name of guest to be invited

(To be limited to two guest per candidate) Will you have geust accompanying for ceremony? Whether accomodation is required for yourself in hostel? : No : No (Signature of Student)

Whether accomodation is required for accompanying persons? : No

Dated : ..............
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