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0% found this document useful (0 votes)
39 views2 pages

About Blank

Uploaded by

deeppratap67890
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Institute of Engineering & Technology, Lucknow

Provisional Student Registration Form


Even Semester of Session 2023-2024
Year of Admission 2023-2024
Course Bachelor of Technology
Branch Mechanical Engineering

Semester 2

Lateral Entry Admission? No

Enrollment No Roll No 2300520400027

Personal Details
Student's Name DEEPANSHU PRATAP SINGH Name in Unicode Hindi दीपांशु प्रताप सिंह
Date Of Birth 06/07/2005 Gender Male
Father's Name MADHVENDRA PRATAP SINGH Father's Profession FARMER
Father's Annual Income 60000
Mother's Name ASHA DEVI Mother's Profession HOUSE WIFE
Mother's Annual Income 0

Address
Guardian's Name MADHVENDRA PRATAP SINGH Guardian's Profession FARMER
ward no 09 Abdulkalam Nagar Father's/ Guardian's Email
Father's / Guardian's Address deeppratap67890@gmail.com
rampur misri hata kushinagar ID
Country India State Uttar Pradesh
Kushinagar (Padrauna) , Pin Code-
City/District Parent's mobile No: 7355681743
274203
ward no 09 Abdulkalam Nagar
Communication Address Pin Code 274203
rampur misri hata kushinagar
Country India State Uttar Pradesh
City/District Kushinagar (Padrauna) Student Mobile No. 6394887733
ward no 09 Abdulkalam Nagar
Student's Permanent Address Pin Code 274203
rampur misri hata kushinagar
Country India State Uttar Pradesh
City/District Kushinagar (Padrauna)
Local Guardian's Name and Add. Local guardian's Mobile No.

Admission Details
Whether Belongs To Minority Community? No Minority Details
Belongs to Area Type Urban Caste kshatriya
Actual Category OBC Sub category Non-Creamy
Seat Allotted Under Category From Admission
General Emergency Contact No. 7355681743
Exam (If Applys)
Domicile of State Uttar Pradesh Admitted Through UPTAC
Roll No of Admission Exam(if Applys) 230310184211 Is Fee Waiver? No
Disability No Type of Disability
Religion Hinduism Email Id deeppratap870@gmail.com
Nationality India Hobbies playing cricket
Blood Group O+ Identification Mark a mole on left hand
Registering As Student Type Regular Office ID: 2023001522

Other Information
Other Details (If Any)
Last 8 Digits of Aadhar No. XXXX9721 Is Residing In Hostel? Ýes
Hostel Name Ramanujam Hostel Room No. S-1

Scholorship Details
Whether Receiving Any Scholorship? Yes
UP Post Matric Scholorship Other
Name of Scholorship Being Received than Intermediate & Fee
Reimbursement
Class Year Wise Details of Scholorship Year Amount (Rs.)
Received or Receiving First Year 0
Whether Applying For Post Matrix Scholorship Name of Scholorship Being
of UP Govt. or Any Other Scholorship (For No Applied (For Fresh --
Fresh Students) Students)

Subjects Taken
Sr. No. Group Code Subject Code Subject Name Subject Type
1 IAS202 Engineering Chemistry Theory
2 IAS203 Engineering Mathematics-II Theory
3 IAS205 Soft Skills Theory
4 IEC201 Fundamentals of Electronics Engineering Theory
5 IME201 Fundamentals of Mechanical Engineering Theory
6 IAS252 Engineering Chemistry Lab Practical
7 IAS255 English Language Lab Practical
8 IEC251 Basic Electronics Engineering Lab Practical
9 IVA251 Sports and Yoga Practical
10 IWS251 Workshop Practice 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.

Registration Date: 08/03/2024


Student's Signature
Print Date: 07/08/2024 07:26:38 PM

Student's Signature At the Time of Reporting:

Roll No: 2300520400027

Seal and Signature of Head of Seal and Signature of Dean


Seal and Signature of Faculty Advisor
Department Acadmics

Signature of Staff Who Have Received This Application:


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 (Except Fresh Students and Ex-Students)
2. Dean Academics Sir

You Can Check Status of Your Registration on ERP From Menu Option "Check Registration Status".

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