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New Semester STUDENT REGISTRATION FORM

The document is a Student Registration Form for the academic session 2023-2024, requiring personal, academic, and parental details from the student. It includes sections for student identification, academic performance, address, and parental information, along with a declaration of accuracy. The form also contains spaces for signatures of the student, class coordinator, and head of department for verification purposes.

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varunmandral.bcr22309
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51 views2 pages

New Semester STUDENT REGISTRATION FORM

The document is a Student Registration Form for the academic session 2023-2024, requiring personal, academic, and parental details from the student. It includes sections for student identification, academic performance, address, and parental information, along with a declaration of accuracy. The form also contains spaces for signatures of the student, class coordinator, and head of department for verification purposes.

Uploaded by

varunmandral.bcr22309
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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STUDENT REGISTRATION FORM

ACADEMIC SESSION 2023 – 2024


Self Attested
(Odd / Even Semester) Photo

Admission No.: ____________________ University Roll Number: __________________


Program /Course:___________________ Current Semester No. :_____________________

Student Details

Name of Student :______________________________________________________________________


D.O.B:___________________ Aadhar No:_______________________________________________
Mobile No(s): ________________________________________________________________________
Email Id: ____________________________________________________________________________

Academic Details

Year of Marks
Class Board Medium Division Subjects Taken
Passing Percentage
XII

IMS Pass Marks Back Paper Details Remarks


Performance (Y/N) % No of Back Subject code (Back Clearing Details)
1st Sem
2nd Sem
3rd Sem
4th Sem
5th Sem
6th Sem
7th Sem
8th Sem

Address Details

Correspondence Address:________________________________________________________________
_____________________________Pinocode________________________________________________
Permanent Address:____________________________________________________________________
_____________________________Pincode_________________________________________________

Page No. 1
Name of Student: ______________________________________ Admission No: ____________________

Parents Details

Father’s Name:____________________________ Qualification: ______________________________________


Occupation: _____________________________Designation: ______________________________________
Company/Organization ______________________________________Mobile No:______________________
Email ID: _________________________________________________________________________________
Mother’s Name:_____________________________ Qualification: ____________________________________
Occupation: _______________________________Designation: ____________________________________
Company/Organization ______________________________________Mobile No:______________________
Email ID: _________________________________________________________________________________

Hostel Accommodation Yes/No:___________________________________________________

Clearance from:__________________ Clearance from: __________________


Library Accounts

I do hereby verify and declare that the above information given by me is 100% true and correct. I will be
responsible for any discrepancy. I will attend the classes regularly and will fulfill the University norms.

Date of Registration ………………. Signature of the Student …………………..

Name & Signature of the Class Coordinator

Signature of HOD

For Office Use Only

……………………………… has been registered in …………….. (Course) ,……….. Semester in the academic

session 20……...-20……...

Signature Class Coordinator

Page No. 2

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