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Student Registration

B.Tech. UTPC Registration Form
     
Enrollment Number * :
Roll Number * :
Email-id * :
First Name * :
     
Middle Name :
Last Name :
Gender * :
Male Female      
D.O.B. * : Example (dd.mm.yyyy)
Father's Name * :
Mother's Maiden Name * :
Present  Address with pin code * :
Permanent¬† Address with pin * code   :
Phone/Mobile No. of Parent/Guardian * :
Resi Mob.  
Mobile No. of student * :
Mob.        
Course being pursued * :
All Subjects taught *
(Please mention the full name of the subject)
:
Sem-1 Sem-2 Sem-3 Sem-4
Sem-5 Sem-6 Sem-7 Sem-8
Branch * :
No. of Backlogs (If any) :
Sem-1 Sem-2 Sem-3 Sem-4
Sem-5 Sem-6 Sem-7 Sem-8
Year of Passing :
CGPA :
Sem-1 Sem-2 Sem-3 Sem-4
Sem-5 Sem-6 Sem-7 Sem-8
10 +2 , Name of School & City * :
Board * :
Aggregate Percentage * :
10th, Name of School & City * :
Board * :
Aggregate Percentage * :
Any other degree/diploma :
Working Experience (if any) :
     
   
Topic Project Details Organisation Project Summery
Project/ Training (After 2nd Semester) if any :
Project/ Training (After 4th Semester) if any :
Project/ Training (After 6th Semester) if any :
Interested in Higher study :
     
   
     
   
I hereby undertake that all the data submitted by me is true. *