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Galgotias College of Engg & Tech

Campus : Plot-1,Knowledge Park-II


Greater Noida, G.B. Nagar-201306
+91-120-4513800
[email protected]

Registration Sheet Registration Date :


*16GCEBEC080*
D D M M Y Y Y Y

Adm. No 16GCEBEC080 Name MOHAMMED SHOAIB


Father Name SHEIKH NOORUDDIN Gender : Male DOB 05/04/1998

Permanent VILLAGE BANBIRA KUSHINAGAR/ City KushiNagar/ State Uttar F. Occupation


Address Pradesh /Pin 274401 F. Desg :

Present VILLAGE BANBIRA KUSHINAGAR/ City KushiNagar / State Uttar Mother Name UMMEHANI
Address Pradesh/Pin 274401 Mother
Occupation
Phone
Local Guardian

Net Fee Payable Rs. 0.00

Admitted Session :2016 Program BTECH(EC) Cur.Sem. Sem II Group EC-A2 Fee Cat. Counseling
Adm. Date 07/08/2016 Roll No 1609731054 Enroll. No Adm. Status: Active/Regular Adm. Through Counselling

Student Email : [email protected] Student Mobile 9818304920

Father's Email : Father's Mobile

Mother's Email : Mother's Mobile


L-Guardian Email : L-Guardian's Mobile
*Emergency Email : *Emergency

*Category : SC ST OBC Minority Gen a


Family Yearly Income :

Bonafide SC/ST students falling in exempt category who provide a valid income certificate of below Rs 2 lakhs and further whose tuition fee
is payable / reimbursed by the respective welfare board/competent authority is exempted from depositing the tuition fee to the extent of
eligibility. However in case of tuition fee amount is not received or received less than the fee, the concerned student would personally be
liable to deposit the same.
1: Kindly note that students will not be allowed to complete the registration untill all pending dues have been duly cleared.
2. Students are requested to report on schedule date with registration form duly filled. Registration process will not be completed
without payment of dues and submission of above information. No dues certificate must be obtained from accounts deptt.
** 3. Registration should be done on schedule date as notified failing which a fine of Rs. 200/- per day will be charged after the last
schedule date.
4. Student will not be allowed to attend classes untill their registration process is complete.

Declaration
I have gone through the above and important responsibilities mentioned at the back of the sheet. I shall abide by the rule and
regulation of the college and also fulfill the requirements as mentioned in the form. I shall maintain a good conduct in the college &
outside.
I declare that the above information is correct.

Schedule for Academic Session 2016-17 (Even Sem) Signature of Student

Year Course Registration On Classes Start On

All Year All Course 16th Jan 2017 17th Jan 2017

Registration Completion certified by Faculty Name Faculty Code Signature


Note: Ragging is an offence, if found indulging, you will be expelled from the institute.
As per the Hon. Supreme Court & UGC/AICTE Regulations that all students fill in as Anti Raging Affidavit,each
year. Affidavits can be filled ON Line : at www.antiragging.in OR www.amanmovement.org.

Report Generated By : Tarun On 07 Jan 2017 19:15:56 PM


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