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The document is a re-registration form for a student named Mr. Tanmay Bhargava, enrolled in the M.C.A. program for the 2024-2026 batch. It includes personal details such as contact information, permanent address, and father's name, along with sections for fee payment and hostel accommodation. The student acknowledges that their registration is provisional and certifies that all academic requirements have been met.

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Tanmay Bhargava
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0 views2 pages

DIV Contents

The document is a re-registration form for a student named Mr. Tanmay Bhargava, enrolled in the M.C.A. program for the 2024-2026 batch. It includes personal details such as contact information, permanent address, and father's name, along with sections for fee payment and hostel accommodation. The student acknowledges that their registration is provisional and certifies that all academic requirements have been met.

Uploaded by

Tanmay Bhargava
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

(RE-REGISTRATION FORM)

Re-Registration for
4
Semester
Enrollment No A217145024009
Name MR TANMAY BHARGAVA
Program M.C.A.
Batch 2024-2026
Date of Birth 18/01/2002
E-Mail ID bhargavatanmay1801@[Link]
G-1,115, LAJPAT NAGAR, JAGATPURA ,JAIPUR
Contact Address
JAIPUR(Rajasthan)
Pin code 302017
Phone 9509156058
Mobile NA
Fax NA
Father's Name PRAVEEN BHARGAVA
3-JA-1, JAWAHAR NAGAR,JAIPUR
Parmanent Address
JAIPUR(Rajasthan)
Pin code 302004
Phone 9509156058
Fax NA
Place of stay during this Semester (Non-Hostellers)
Address
City
Pin
Telephone
Mobile
E-mail
Hobby Club N/A

Date of payment of fees and fee receipt number : ______________________________


Are You staying in hostel ______________________________ If Yes, Room
No. ______________________________
Are you having any evaluation pending for the previous semester
_____________________________________________
If yes, mention the course(s) and reasons for it________________________________________________

I understand that my registration for the Semester mentioned above is provisional and it will
stand cancelled in case I do not fulfill the requirements for promotion to the same as per the
academic regulation.I also certify that I do not have any payment of dues and I have met all
academic deadlines till now
Date : _____________________________
(Signature of the Student)
((Name & Signature of the Verifying Faculty))

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