(RE-REGISTRATION FORM)
Re-Registration for
5
Semester
Enrollment No A21521523026
Name MS PUJA DEBNATH
Program BBA LL.B. (H)
Batch 2023-2028
Date of Birth 05/11/2004
E-Mail ID pujadnath.07@[Link]
NORTH SONAICHORI
Contact Address
BELONIA(Tripura)
Pin code 799155
Phone 8787393585
Mobile 8787393585
Fax NA
Father's Name SAJAL DEBNATH
NORTH SONAICHORI
Parmanent Address
BELONIA(Tripura)
Pin code 799155
Phone 8787393585
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))