(Mentor Copy)

DATA AND NO-DUES FORM SESSION : 2023-2024

College : Lakshmi Narain College of Technology
Course and Class : ELECTRONICS & COMMUNICATION ENGINEERING - Electronics and Comm
. Eng.B.Tech - 8 Sem, Section : A Year - 4th
Batch : 2019-2020 EnrollmentNo : 0103EC191199 Scholar No : 03-19-145
Student Name : Ms. YASHVEE CHOURAGARHE
Father's Name Shri : YAMUNAPRASAD CHOURAGA Category :OBC
Mother's Name Smt : SEEMA CHOURAGARHE

Father's Mobile No : 8964997272 If Change Verified - Yes/No

Mother's Mobile No : 6262856283 If Change Verified - Yes/No
Permanent Address : WARD NO. 4 SHIVAJI WARD MAIN ROAD CHICHOLI,BETUL-
460330 Madhya Pradesh
If Address Change
Local Address : FLAT NO.306 Nikhil nestles Hoshangabad road,BHOPAL-460220
Madhya Pradesh
Bus Stop E-Mail : yashveechouragarhe@gmail.com

If Address Change
Previous Session Fees Detail Student ID - 11156925681
Session Fee Details of Fees Receipt With Date Remarks
2022-2023 60500.00,Online Payment(Fee Rec.:1332 Dt.05-Jul-2022 V.No.: 13
58500.00,Online Payment(Fee Rec.:8052 Dt.29-Dec-2022 V.No.: 79
2021-2022 58500.00,Fee Rec.:10926 Dt.06-Aug-2021 V.No.: 2100
58500.00,Online Payment(Fee Rec.:16721 Dt.10-Feb-2022 V.No.: 7
2020-2021 58500.00,Fee Rec.:2170 Dt.27-Aug-2020 V.No.: 2169
58500.00,Fee Rec.:7798 Dt.05-Mar-2021 V.No.: 7795
2019-2020 58500.00,Fee Rec.:5407 Dt.02-Aug-2019 V.No.: 5393
58500.00,Fee Rec.:9526 Dt.03-Jan-2020 V.No.: 9509

All the information given by me in form and on accsoft2 is true and the best of my knowledge.I shall

Maintain attendance of 75% in theory and practical in each semester.

Student's Mobile No : 6262856283 If Change Signature of Student

Signature of Mentor Signature of HOD

Date

(Account Copy)
Name of college :Lakshmi Narain College of Technology

Student Name : YASHVEE CHOURAGARH Enrollment Number : 0103EC191199

Father Name : YAMUNAPRASAD CHOURAGARHE
Student-ID : 11156925681 Batch : 2019-2020 Scholar No : 03-19-145
Course : ELECTRONICS & COMMUNICATION Class : Electronics and Comm. Eng.B.Tech -
ENGINEERING Year - 4th 8 Sem A
All Data Verified by (Concern Mentor Name) Mr./Ms.
Fees May Be Accepted (Seal & Signature of Mentor)