Institute of Engineering & Technology, Lucknow

Provisional Student Registration Form

Even Semester of Session 2023-2024
Year of Admission 2023-2024
Course Bachelor of Technology
Branch Electrical Engineering

Semester 2

Lateral Entry Admission? No

Enrollment No Roll No 2300520200075

Personal Details
Student's Name UTKARSH MISHRA Name in Unicode Hindi उत्कर्ष मिश्र
Date Of Birth 22/04/2004 Gender Male
Father's Name AVINASH KUMAR MISHRA Father's Profession Self employed
Father's Annual Income 60000
Mother's Name ANJANA MISHRA Mother's Profession Teacher
Mother's Annual Income 600000

Address
Guardian's Name AVINASH KUMAR MISHRA Guardian's Profession Self employed
Demusa Goplahi Post Ghanti Father's/ Guardian's Email
Father's / Guardian's Address Avinashmishra1605@gmail.com
District Deoria ID
Country India State Uttar Pradesh
City/District Deoria , Pin Code-274705 Parent's mobile No: 9454662549
Demusa Goplahi Post Ghanti
Communication Address Pin Code 274705
District Deoria
Country India State Uttar Pradesh
City/District Deoria Student Mobile No. 7394856945
Demusa Goplahi Post Ghanti
Student's Permanent Address Pin Code 274705
District Deoria
Country India State Uttar Pradesh
City/District Deoria
Jitendra Kumar Tiwari 16F
Local Guardian's Name and Add. railway baraha colony alambagh Local guardian's Mobile No. 8805111497
lucknow 226005

Admission Details
Whether Belongs To Minority Community? No Minority Details
Belongs to Area Type Rural Caste Brahman
Actual Category Sub category
Seat Allotted Under Category From
General Emergency Contact No. 8577894264
Admission Exam (If Applys)
Domicile of State Uttar Pradesh Admitted Through UPTAC
Roll No of Admission Exam(if Applys) 230310779138 Is Fee Waiver? No
Disability No Type of Disability
Religion Hinduism Email Id Utkarshavinashmishra2204@gmail.com
Nationality India Hobbies
Blood Group B+ Identification Mark Black mark on right side of chest
Registering As Student Type Regular Office ID: 2023001464

Other Information
Other Details (If Any)
Last 8 Digits of Aadhar No. XXXX9312 Is Residing In Hostel? Ýes
Hostel Name Ramanujam Hostel Room No. 213
 Scholorship Details
Whether Receiving Any Scholorship? No
Name of Scholorship Being Received --
Class Year Wise Details of Scholorship
Year Amount (Rs.)
Received or Receiving
Whether Applying For Post Matrix Name of Scholorship Being
Scholorship of UP Govt. or Any Other No Applied (For Fresh --
Scholorship (For Fresh Students) Students)

Subjects Taken
Sr. No. Group Code Subject Code Subject Name Subject Type
1 IAS202 Engineering Chemistry Theory
2 IAS203 Engineering Mathematics-II Theory
3 IAS205 Soft Skills Theory
4 IEC201 Fundamentals of Electronics Engineering Theory
5 IME201 Fundamentals of Mechanical Engineering Theory
6 IAS252 Engineering Chemistry Lab Practical
7 IAS255 English Language Lab Practical
8 IEC251 Basic Electronics Engineering Lab Practical
9 IVA251 Sports and Yoga Practical
10 IWS251 Workshop Practice Lab Practical

Declaration
I am aware that I have to attend all the classes as per University ordinance. If my attendance falls below 75%, I may be debarred from appearing in
the examination for which I shall be solely responsible.
I undertake that the information furnished is true to the best of my knowledge and belief. I shall bear the consequences if any of them are found to
be wrong.

Registration Date: 08/03/2024

Student's Signature
Print Date: 23/04/2024 01:43:20 PM

Student's Signature At the Time of Reporting:

Roll No: 2300520200075

Seal and Signature of Head of

Seal and Signature of Faculty Advisor Seal and Signature of Dean Acadmics
Department

Signature of Staff Who Have Received This Application:

Note-
Dear Student,
Please Note That This is only Application For Registration. This Does Not Means That Your Registration is Completed.
Your Registration Will Be Completed When It is Authenicated By Following Officials on ERP-
1. HOD (Except Fresh Students and Ex-Students)
2. Dean Academics Sir

You Can Check Status of Your Registration on ERP From Menu Option "Check Registration Status".