(REGISTRATION FORM)
Programme Enrolled For GDBA
Academic Session 2023-2026
Admission Category NS
Full Name of the Student NAILA TAHREEN
Father's Name MOHD ABDUL HANEEF
Father's Mobile No 9959040555
Father's Occupation Self Employed
Mother's Name FOUZIA BEGUM
Mother's Mobile No 9550189555
Mother's Occupation Not Working
Nationality Indian
Date of Birth 15/10/2005
Gender Female
Category Gen
Emergency Contact No 9550189555
Correspondence Address
Address SREE NILAYA STERLING COURT 1KAKATIYA HILLS AVENUE 4 ROAD NO 9
City HYDERABAD
State Telangana
Country India
Pin 500033
Tel 9100042555
Fax
Mobile 9100042555
Email naila.tahreen7788@[Link]
Permanent Address [Address of Parents]
Address SREE NILAYA STERLING COURT 1KAKATIYA HILLS AVENUE 4 ROAD NO 9
City HYDERABAD
State Telangana
Country India
Pin 500033
Tel. 9100042555
Fax
Local Guardian(s) to be contacted in emergency
Full LG Name NA
Address NA
City NA
State NA
Pin NA
Tel. NA
Mobile No NA
Email NA
Place of stay during this Semester (Non-Hostellers) NA
Address NA
City NA
Pin NA
Telephone NA
Mobile NA
Details of educational Qualification(from high School onwards)
Name of Qualifying Exam Year of Passing School/College Board/University Subjects/Stream Percentage Class/Divison/Grade
Xth 2021 C.B.S.C - - 0.00 C
XIIth 2023 T.S.B.I.E - C.E.C 0.00 A
Any type of sickness that you are prone to and the line of treatment
Any particular Doctor to be contacted in case of your sickness
Full Dr Name
Address
City
State
Pin
Tel.
Mobile No
Email
Your Blood Group B+ve
Upload Signature
UNDERTAKING
I hereby solemnly affirm and declare that the information made and furnished by me in the Registration-cum-Enrollment Form is true and correct. Further, I
am being admitted to the above stated programme entirely on my request and I agree to abide by all the rules and regulations of the Institution / University
which I have read and understood. I was given opportunity to clarify any doubts I had and I shall not hold the Institution / University responsible for any gaps
in my understanding about the same. In the event of suppression or distortion of any fact like educational qualification, nationality etc. made in the
Registration-cum-Enrollment Form, I understand that my admission is liable to be cancelled.
I have full knowledge of the fact that in case my attendance in any course is below than the required attendance as per University Policy/relevant Regulatory
Body, whichever is higher, I will be debarred from appearing in examination of the course(s). I shall abide by the attendance rules of the University/relevant
Statutory Body, whichever are higher, and have understood that ONLY physical presence/online active presence in the class will be considered as attendance. I
have also understood the importance of marks associated with attendance.
I have uploaded/submitted all requisite documents which are to be verified by the Institution. I have gone through the rules of provisional registration and fully
understand that in the event of my failure to submit to the Institution / University, appropriate documentary proof of my meeting the eligibility requirement as
specified for my programme of study, my admission to Amity University Hyderabad will be cancelled
Verified that the contents of this undertaking are true to the best of my knowledge and nothing which has been stated is false and nothing has been
concealed or misstated therein. I understand and agree to the above
Date : 31/07/2023
Date______________________
Place______________________
(Signature of Student)
Office Seal
(Name & Signature of the Verifying Faculty)
Date______________________
For official use
Enrolment no. allotted
Date______________________
Place______________________
(Signature of Authorised Officer)