Institute of Engineering & Technology, Lucknow
Provisional Student Registration Form
Even Semester of Session 2022-2023
Year of Admission 2022-2023
Course Bachelor of Technology
Computer Science and
Branch
Engineering (AI))
Semester 2
Lateral Entry Admission? No
Enrollment No Roll No 2200521520008
Personal Details
Student's Name Anshuman Mishra Name in Unicode Hindi अंशुमन मिश्रा
Date Of Birth 12/07/2004 Gender Male
Father's Name Pankaj Mishra Father's Profession Teacher
Father's Annual Income 900000
Mother's Name Chhaya Mishra Mother's Profession Home Maker
Mother's Annual Income 0
Address
Guardian's Name Pankaj Mishra Guardian's Profession Teacher
Hno 175 Near mahila degree Father's/ Guardian's Email
Father's / Guardian's Address anshuman0427@yahoo.com
college Civil Lines Fatehpur ID
Country India State Uttar Pradesh
City/District Fatehpur , Pin Code-212601 Parent's mobile No: 8957276641
Hno 175 Near mahila degree
Communication Address Pin Code 212601
college Civil Lines Fatehpur
Country India State Uttar Pradesh
City/District Fatehpur Student Mobile No. 8957276641
Hno 175 Near mahila degree
Student's Permanent Address Pin Code 212601
college Civil Lines Fatehpur
Country India State Uttar Pradesh
City/District Fatehpur
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 Brahman
Actual Category General Sub category
Seat Allotted Under Category From Admission
General Emergency Contact No. 9452014687
Exam (If Applys)
Domicile of State Uttar Pradesh Admitted Through UPTAC
Roll No of Admission Exam(if Applys) 2.2031e+011 Is Fee Waiver? No
Disability No Type of Disability
Religion Hinduism Email Id anshuman0427@yahoo.com
Nationality India Hobbies Playing
Blood Group O+ Identification Mark Birth Mark on upper left hand
Registering As Student Type Regular Office ID: 2023000051
Other Information
Other Details (If Any)
Last 8 Digits of Aadhar No. XXXX5601 Is Residing In Hostel? No
Scholorship Details
Whether Receiving Any Scholorship? No
Name of Scholorship Being Received --
Class Year Wise Details of Scholorship Received or Year Amount (Rs.)
Receiving
Whether Applying For Post Matrix Scholorship of Name of Scholorship Being
UP Govt. or Any Other Scholorship (For Fresh No Applied (For Fresh --
Students) Students)
Subjects Taken
Sr. No. Group Code Subject Code Subject Name Subject Type
1 BAS202 Engineering Chemistry Theory
2 BAS203 Engineering Mathematics-II Theory
3 BAS205 Soft Skills Theory
4 BEC201 Fundamentals of Electronics Engineering Theory
5 BME201 Fundamentals of Mechanical Engineering Theory
6 BAS252 Engineering Chemistry Lab Practical
7 BAS255 English Language Lab Practical
8 BEC251 Basic Electronics Engineering Lab Practical
9 BVA251 Sports and Yoga Practical
10 BWS251 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: 02/05/2023
Student's Signature
Print Date: 26/06/2023 12:45:52 PM
Student's Signature At the Time of Reporting:
Roll No: 2200521520008
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".
