Institute of Engineering & Technology, Lucknow
Provisional Student Registration Form
Acadmic Session: 2023-2024 -O
Year of Admission 2023-2024
Course Bachelor of Technology
Branch Mechanical Engineering
Semester 1
Office ID on ERP:-
Lateral Entry? No
2023000904
Enrollment No Roll No Allotted 2300520400031
Personal Details
Student's Name HIMANSHU Name in Unicode Hindi हिमांशु
Date Of Birth 01/01/2005 Gender Male
Father's Name HIRDESH KUMAR Father's Profession Contractor
Father's Annual Income Rs. 48000
Mother's Name SEEMA DEVI Mother's Profession Housewife
Mother's Annual Income Rs. 0
Address
Guardian's Name BOBY SINGH Guardian's Profession Teacher
Nagla himanchal buragaon Father's/ Guardian's
Father's / Guardian's Address hirdeshkumar123987@gmail.com
Gangeeree Email ID
Country India State Uttar Pradesh
City/District Aligarh , Pin Code-202134 Parent's mobile No: 7505222152
Nagla himanchal buragaon
Communication Address Pin Code 202134
Gangeeree
Country India State Uttar Pradesh
City/District Aligarh Student Mobile No. 7505222152
Nagla himanchal buragaon
Student's Permanent Address Pin Code 202134
Gangeeree
Country India State Uttar Pradesh
City/District Aligarh
Local guardian's Mobile
Local Guardian's Name and Add.
No.
Admission Details
Whether Belongs To Minority? No Minority Details
Belongs to Area Type Rural Caste Ahir
Actual Category OBC Sub category Non-Creamy
Seat Allotted Under Category (If Applys) OBC Emergency Contact No. 7505222152
Domicile of State Uttar Pradesh Admitted Through UPTAC
Entrance Roll No(if Applys) 230310150685 Is Fee Waiver? No
Disability No Type of Disability
Religion Hinduism Email Id hydbsg123987@gmail.com
Nationality India Hobbies Basketball football dance
Blood Group N/A Identification Mark A mole on forehead
Registering As Student
Other Details (If Any) Regular
Type
Other Information
Last * Digits of Aadhar No. 8115475 Is Residing In Hostel? Yes
Hostel Name Ramanujam Hostel Room No. 208
Scholorship Details
Whether Receiving Any Scholorship? No
Name of Scholorship Being Received -- Amount Per Year Rs. --
Whether Applying For Post Matrix Scholorship of Name of Scholorship
Yes UP scolership
UP Govt. or Any Other Scholorship? Being Applied
Subjects Choosen-
Sr. No. Group Code Subject Code Subject Name Subject Type
1 IAS101 Engineering Physics Theory
2 IAS103 Engineering Mathematics-I Theory
3 IAS104 Environment and Ecology Theory
4 ICS101 Programming for Problem Solving Theory
5 IEE101 Fundamentals of Electrical Engineering Theory
6 IAS151 Engineering Physics Lab Practical
7 ICE151 Engineering Graphics & Design Lab Practical
8 ICS151 Programming for Problem Solving Lab Practical
9 IEE151 Basic Electrical Engineering 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.
Student's Signature Student's Signature
Submission Date on ERP: 21/10/2023 Print Date: 21/10/2023 12:47:08 PM
Seal and Signature of Head Seal And Signature of
Seal and Signature of Faculty Advisor
of Department Dean Acadmics
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 Sir (Except Fresh Students)
2. Dean Academics Sir (All Students)
You Can Check Status of Your Registration on ERP From Menu Option "Check Registration Status".
