MANAV RACHNA INTERNATIONAL UNIVERSITY FACULTY OF ENGINEERING & TECHNOLOGY REGISTRATION FORM FOR STUDENTS SESSION: December 2016 to May 2017
A) Particulars of Student(To be filled by Student Only) Name __________________________________ Roll No.________________________________ Programme_____________________ Semester___________________ Section_____________ Contact Details Phone (Landline)_______________________Mobile ________________________ Correspondence Address__________________________________________________________ _____________________________________________________________________________ Email_________________________________________________________________________
B) No Dues Report (only for those who have outstanding dues) It is certified that nothing/(Rs_________ ) is/ are due to be deposited by ____________ Roll No. ____________ in respect of Academic fee, Hostel fee, Transport fee and other charges including fine till date. Signature of Official of CAD Name:
C) Report by Class Mentor
Mr. /Ms. __________________________________________ Roll No. ___________________ of ______________Programme ____Semester has signed undertaking himself/ herself and by parents/ guardians (in respect of attendance criteria and promotion scheme after ___ semester onwards) and got no dues certificate from CAD. He/She therefore may be registered provisionally for the current academic semester starting from 26th December 2016 in _________________ Class/Semester. I have also verified the contact/phone no. of student and his/her parents by making call on those numbers personally.
Signature of Class Mentor Name Designation
Checked & Verified
Mr./ Ms. ___________________________ Roll no. _____________ has been provisionally registered for _____ semester in ___________________ programme at Faculty of Commerce & Business Studies (MRIU) for academic session ______________. Signature of HoD Name:
Date:
UNDERTAKING (By Student)
Date: __________
I, ___________________________ Son/ daughter of Sh. _____________________________ Roll No. ___________________of _____ semester______________ programme solemnly affirm and declare
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