Professional Documents
Culture Documents
Web Form No
Web Form No
WA010003
PROGRAMME: ____________
SEMESTER: Spring/Autumn 2011
1.
No.
Registration
Roll No.
2. Please narrate the courses along with course code which you intend to take in this semester:
i. ____________________________________________
ii. ____________________________________________
iii.____________________________________________
iv. ___________________________________________
v. ____________________________________________
vi.____________________________________________
(Tick in the relevant block)
Mr.
Ms.
3. Name:
(NAME IN CAPITAL LETTERS)
4. Father's Name:
(CAPITAL LETTERS)
5. Fee deposited Rs: ____________ (Rupees ____________________________________________________only)
Vide Bank Challan No._____________ Dated: _____________ Bank Branch ______________________________
Note: Please attach the original copy of Challan Form Copy No # 1.
6. Mailing Address (If wants to change otherwise no need to mention) _____________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
Student Signature ________________________
7. FOR OFFICIAL USE.
DISTT
TEH
Bank Code
PRO EDU
OCUP
LVL
CLUS
S.T
L.F
F.T
FEE