Galgotias College of Engineering and Technology

Plot No. 1, Knowledge Park, Phase II, Greater Noida, Uttar Pradesh 201306 , India

REGISTRATION FORM Registration Date : 01/08/2019

Adm No. : 19GCEBEC029 Name : Ayush Chaudhary

Father Name : Arvind Chaudhary Gender : MALE DOB : 01/11/2000

Permanent F. Occupation :
: E-30 Sector-3 Ansal Sushant City NH-58
Address F. Desg :
Present Mother Name : Meenu Chaudhary
: E-30 Sector-3 Ansal Sushant City NH-58
Address
Mother
Aadhar No. : 207464650950 :
Occupation

Net Fee Payable Rs. :

Admitted Session : 2019-2020 Program : BTECH Cur.Sem. : Sem I Group : EC-A Fee Cat. : General

Adm. Date : 2019-07-23 Roll No. : Enroll.No. : 19GCEBEC029 Adm.Status : Active/Regular

Student Email : ayushch01ac@gmail.com Student Mobile : 7906775150

Father's Email : Father's Mobile :

Mother's Email : Mother's Mobile :

*Emergency Email : *Emergency Mobile : 9760014125

*Category : OBC Family Yearly Income :

Bonafide SC/ST students falling in exempt category who provide a valid income certificate of below Rs. 2 lakhs and further whose tution fee is payable / reimbursed by the respective welfare board /
competent authority is exempted from depositing the tution fee to the extent of eligibility. However in case of tution fee amount is not received or received less than the fee, the concerned student
would personally be liable to deposite the same.
1. Kindly note that students will not be allowed to complete the registration untill all pending dues have been duly cleared.
2. Students are requested to report on schedule date with registration form duly filled. Registration process will not be completed without payment of dues and submission of above
information. No dues certificate must be obtained from acconts department.
**3. Registration should be done on schedule date as notified failing which a fine of Rs. 200/- per day will be charged after the lastschedule date.
4. Students will not be allowed to attend classes untill their registration process is complete.(Online Registration & Physical Reporting both)

Declaration
I have gone through the above and important responsibilities mentioned at the back of the sheet. I shall abide by the rule and regulation of the college and also fulfill
the requirements as mentioned in the form. I shall maintain a good conduct in the college & outside.I declare that the above information is correct.

Schedule for Academic Session : 2019-2020 Signature of Student

Year Course Online Registration On Classes Start On

Chemistry,Chemistry Lab,Maths-I,Programming for

Physical Reporting on July 22-23, 2019
1 problem solving,Computer Lab,Workshop Practice 01/08/2019
commencment of classes July 24,2019
Lab,Workshop T

Registration Completion certified by Faculty Name Faculty Code Signature

Note: Ragging is an offence, if found indulging, you will be expelled from the institute.As per the Hon.Supreme Court & UGC/AICTE Regulations that all students fill in as Anti Ragging
Affidavit,each year. Affidavits can be filled ON Line : at www.antiragging.in OR www.amanmovement.org.

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