DATA AND NO-DUES FORM SESSION : 2022-2023

College : Lakshmi Narain College of Technology and Science

Course and Class : ELECTRONICS & COMM. ENG.(B.Tech) - B.Tech. EC SEM 5, Section : A Year
- 3rd
Batch : 2020-2021 EnrollmentNo : 0157EC201064 Scholar No : 53-20-004
Student Name : Mr. RAJAT TIWARI
Father's Name Shri : MADAN MOHAN TIWARI
Mother's Name Smt : MAYA TIWARI

Father's Mobile No : 8871224715 If Change Verified - Yes/No

Mother's Mobile No : 8871224715 If Change Verified - Yes/No
Present Address : F-301 FUTURE ONE APARTMENT SARJAR SOCIETY DANISH
KUNJ KOLAR ROAD,BHOPAL-462042 Madhya Pradesh

If Address Change
Local Address : F-301 FUTURE ONE APPARTMENT SARJAR SOCIETY
DANISH KUNJ KOLAR ROAD,BHOPAL-462022 Madhya Pradesh

If Address Change
Previous Session Fees Detail Student ID - 11112022621
Session Fee Details of Fees Receipt With Date Remarks
2022-2023 51000.00,Online Payment(Fee Rec.:923 Dt.16-Jul-2022 V.No.: 92
2021-2022 49000.00,Fee Rec.:1201 Dt.20-Aug-2021 V.No.: 1199
49000.00,Online Payment(Fee Rec.:3456 Dt.28-Feb-2022 V.No.:
2020-2021 10000.00,Fee Rec.:1214 Dt.14-Oct-2020 V.No.: 1213
42500.00,Fee Rec.:1217 Dt.14-Oct-2020 V.No.: 1216
49000.00,Fee Rec.:3117 Dt.16-Mar-2021 V.No.: 3114

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 : 7987555309 If Change Signature of Student

Signature of Mentor Signature of HOD

Date

Student Name : RAJAT TIWARI Enrollment Number : 0157EC201064

Student-ID : 11112022621 Batch : 2020-2021 Scholar No : 53-20-004

Course : ELECTRONICS & COMM. ENG.(B. Class : B.Tech. EC SEM 5 - A

Tech)
All Data Verified by (Concern Mentor Name) Mr./Ms.
Year : 3rd

Fees May Be Accepted (Seal & Signature of Mentor) (Mentor Name)