ODD SEMESTER REGISTRATION FORM - 2003

1. Name of the student: MOHAN RAWAT

2. Department: BSC-PCM 3. Semester: 3

4. Roll No. : A172RF3 5. Registration No-A11007395

6. Guardian’s Name: HARI SINGH 7. Guardian’s contact no:

8. Permanent Address: P.O. Hanuman Chatti Uttarkashi

9. SGPA up to last published semester results:

1st 6.5 2nd 6.24 3rd 4th

5th 6th 7th 8th

10. College fee cleared up to the semesters (Write Yes/No in the box):
1st 2nd 3rd 4th

5th 6th 7th 8th

I, ……………………………………………………………………………. hereby declare that I will abide by

the rules and regulations of ….. and be present in all classes except in case of extreme valid reasons. It is also
declared that my attendance will not be less than 75% in all theory and lab classes. If any attendance is found
to be less than 75% I will not be allowed to appear in class test examination as well as University Semester
examination.
Date:

SIGNATURE OF STUDENT SIGNATURE OF PARENT

Forwarded by – Forwarded by –

Note: 1. Semester Registration Form must be submitted in their respective Dept.

2. Book Bank, Library and other facilities will not be available without submission of registration form.