REGISTRATION FOR UG/PG/PH.D Academic Registration Card Enrollment No.

09119010

INDIAN INSTITUTE OF TECHNOLOGY ROORKEE

Spring Semester Registration for 2010-2011 Page 1 of 3

STUDENT COPY
1. Full Name (in Capital Letters): ANUJ KUMAR
2. Program: B.Tech. (Production and Industrial Branch: IN Year: Second
Engineering)
Specialization in case of M.Tech/M.Sc: Deptt: MI(Mechanical & Sem: 4
3. Bhawan: Industrial Engineering)
Room No:
Photo
4. Category: SC Date of Birth: 24/11/1991
5. Physically Disabled (P.D.): No
6. Bank Account No: 30833536542
7. Name of Bank: SBI-IIT ROORKEE
8. Mobile/Phone No. (If any): 9456441080 RESIDENT/NON RESIDENT
9. E-Mail : anujkume@gmail.com
10. Nationality: INDIAN Blood Group: AB+
11. Marital Status: Unmarried Male/Female: M
12. Father's Name: VED PRAKASH HARIT Occupation: TEACHING
13. Designation: Phone No:
Office Address: For Office Use
14. Mother's Name: SHEELA RANI
Registered on:
15. Permanent Home Address: NAI BASTI,MOHALLA JAHANGIRABAD BULANDSHAHR ,UTTAR
Date: 31-Dec-2010
District: City: Pin: 0 Phone No:
16. Local Guardian(if any):
Address:
Phone No:

Declaration: I undertake to abide by all the rules, regulations and standing orders for students in vogue from time to time.

Signature of the Student

REGISTRATION FOR UG/PG/PH.D Academic Registration Card Enrollment No. 09119010

INDIAN INSTITUTE OF TECHNOLOGY ROORKEE

Spring Semester Registration for 2010-2011 Page 2 of 3

INSTITUTE COPY
1. Full Name (in Capital Letters): ANUJ KUMAR
2. Program: B.Tech. (Production and Industrial Branch: IN Year: Second
Engineering)
Specialization in case of M.Tech/M.Sc: Deptt: MI(Mechanical & Sem: 4
3. Bhawan: Industrial Engineering)
Room No:
Photo
4. Category: SC Date of Birth: 24/11/1991
5. Physically Disabled (P.D.): No
6. Bank Account No: 30833536542
7. Name of Bank: SBI-IIT ROORKEE
8. Mobile/Phone No. (If any): 9456441080 RESIDENT/NON RESIDENT
9. E-Mail : anujkume@gmail.com
10. Nationality: INDIAN Blood Group: AB+
11. Marital Status: Unmarried Male/Female: M
12. Father's Name: VED PRAKASH HARIT Occupation: TEACHING
13. Designation: Phone No:
Office Address: For Office Use
14. Mother's Name: SHEELA RANI
Registered on:
15. Permanent Home Address: NAI BASTI,MOHALLA JAHANGIRABAD BULANDSHAHR ,UTTAR
Date: 31-Dec-2010
District: City: Pin: 0 Phone No:
16. Local Guardian(if any):
Address:
Phone No:

Declaration: I undertake to abide by all the rules, regulations and standing orders for students in vogue from time to time.

Signature of the Student

REGISTRATION FOR UG/PG/PH.D Academic Registration Card Enrollment No. 09119010

INDIAN INSTITUTE OF TECHNOLOGY ROORKEE

Spring Semester Registration for 2010-2011 Page 3 of 3

FINANCE & A/C COPY