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(RE-REGISTRATION FORM)
Re-Registration for
2
Semester
Enrollment No A21810325003
Name MS SNIGDHA GHOSH
Program M.A. (English)
Batch 2025-2027
Date of Birth 17/01/2004
E-Mail ID NA
VIVEKANANDA ROAD, BARASAT, NORTH
24 PARGANAS
Contact Address
KOLKATA [CALCUTTA](West Bengal)
Pin code 700124
Phone 9143782673
Mobile NA
Fax NA
Father's Name BANIBRATA GHOSH
VIVEKANANDA ROAD, BARASAT, NORTH 24 PARGANAS
Parmanent Address
KOLKATA [CALCUTTA](West Bengal)
Pin code 700124
Phone 9143782673
Fax NA
Place of stay during this Semester (Non-Hostellers) In Other Hostel
Address F-402 Amity University Rajasthan Campus Faculty Block
City Jaipur
Pin 303002
Telephone 9748790417
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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