Akshaya Institute of Technology, Tumakuru-06

Registration form for the Academic Year 2020-2021

Name of the Student Kushal HS

USN 1AK17CS009
Branch CSE
Semester V
Father Name Suresh H
Mother Name Yashoda HR

Scheme of study as per VTU

Regulations 2010 2015 2017 2018

Registering for the Odd

Semester of the Academic Year 3rd Sem 5th Sem 7th Sem
2020-2021
Campus Hostel Required Yes No

Fee Paid Details Amount: 35000.0 Date: 07/08/2020

Receipt No:17072

Bank Loan Facility Required Yes No

Signature of the Student: Signature of the Parent/ Guardian

Signature of Class Teacher Signature of HOD Signature of Principal-

Important Note: The registration must be completed on or before 30.09.2020 by sending the filled-in registration form to the
concerned HOD/proctor and by paying the prescribed college fee for the academic year 2020-21. At least 50% of the college
fee must be paid before registration. Cash discount of Rs.4000/- is offered to those students who pay the full fee in one
installment on or before 30.09.2020. For further details the students may contact the proctors. Registration forms received
after 30.09.2020 will not be considered for enrollment for the academic year 2020-2021.