(RE-REGISTRATION FORM)

Re-Registration for Semester 3

Enrollment No A11227819004
Name MR RAVI KUMAR
Program M.Sc. (EVS)
Batch 2019-2021
Date of Birth 16/12/1995
E-Mail ID NA
174 VPO SISWAL MANDI ADAMPUR
Contact Address
HISAR(Haryana)
Pin code 125052
Phone 8396059957
Mobile 8396059957
Fax NA
Father's Name RAM CHANDER
174 VPO SISWAL MANDI ADAMPUR
Parmanent Address
HISAR(Haryana)
Pin code 125052
Phone 8396059957
Fax NA
Place of stay during this Semester (Non-Hostellers) With Parents
Address 174 vpo siswal Siswal Siswal
City Hisar
Pin 125052
Telephone 8396059957
Mobile
E-mail

Date of payment of fees and fee receipt number : ______________________________ 

Are You staying in hostel ______________________________ If Yes, Room
No. ______________________________
Are you having any evaluation pending for the previous semester
_____________________________________________
If yes, mention the course(s) and reasons for it________________________________________________

I understand that my Re-registration for the Semester mentioned above is provisional and it
will stand cancelled in case I do not fulfill the requirements for promotion to the same as per
the AUUP Regulations (Regulation No-1 on subject Conduct of Examinations, Scheme of
Evaluation and Discipline among Students in Examinations).I also certify that I do not have
any payment due to AUUP and I have met all academic requirements till now.I shall abide by
all rules and regulations of Amity University as per my undertaking in registration form.
I have also thoroughly read and understood the Policy Guidelines for Information Security. I
understand the contents, and I agree to comply with the said Policy.I further understand that
should I commit any violation of this policy, my access privileges may be revoked and
disciplinary action and / or appropriate legal action may also be taken against me.
Date : _____________________________
(Signature of the Student)
((Name & Signature of the Verifying Faculty))