PROVISIONAL REGISTRATION FORM

APPLICANT PERSONAL INFORMATION

NAME AMARKANT
FATHER'S NAME SANTOSH KUMAR SINHA
MOTHER'S NAME REKHA SINHA
DATE OF BIRTH 30/05/1999 00:00:00
GENDER M
PROGRAM B.Tech-CSE EXAM TYPE N
ROLL NO 1606052 REG FORM ENTRY YEAR 2018
ENROLLMENT NO 160445 BRANCH B.Tech-CSE

REGISTERED COURSES

Course Code Course Title Smester Redg. Type

2PH101 Engineering Physics sem 2-B N
3EC103 Digital Logic and Circuits sem 3 H
3PH103 Material Science & Technology sem 3 H
4CH104 Green Technology (Environmental Science) sem 4 N
4CS107 Computer Organization & Architecture sem 4 N

FEE PAYMENT DETAILS

PAYMENT MODE ONLINE PAYMENT DATE 29/05/2019 15:29:00

TRANSACTION ID 874491 BANK NAME ALLAHABAD
AMOUNT 1000.00
Take a printout of the form and submit it to your department/faculty advisor.
This registration is provisional and subjected to verification from concerned department/academic section.

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Student Signature Department/Faculty Advisor HOD