NATIONAL INSTITUTE OF TECHNOLOGY CALICUT

REGISTRATION SLIP, NO DUES CERTIFICATE FROM HOSTEL & LIBRARY AND DECLARATION

PART A: REGISTRATION SLIP

MONSOON SEMESTER 2015
Name:.Roll No:..
Branch:..
I hereby declare that I have earned required number of credits and completed required minimum course under the
curriculum as per the B. Tech/B. Arch regulation applicable to my admission. In case this is found to be false at my
later stage my registration can be cancelled even without any notice to me.

Signature of Student
The above student is allowed to register for . ..Semester
Signature
Faculty Advisor
Name
PART B: NO DUES CERTIFICATE FROM HOSTEL
Certified that Mr./Ms.Roll No..
has paid all the hostel charges/dues from him/her as on this date.
Chief Warden
PART C: NODUES CERTIFICATE FROM LIBRARY
Certified that Mr./Ms.Roll No..
has paid all the library dues from him/her as on this date.
Librarian
DECLARATION BY THE STUDENT
I .. Roll No.. hereby declare that I am
fully aware of the Conduct Rules of the Institute, the Ordinances and Regulations of my course. I also
aware of the fact that ragging in any from inside or outside the Hostel or Campus is a criminal offence
and if I am involved in any form of ragging, I am likely to be punished appropriately, which may include
expulsion from the Institute of handing over to the Police.
Date:.

Signature of the Student

Counter Signature of Parent/Guardian

Note:-

1. Course registration print out from DSS may taken on the reverse side of this form to SAVE PAPER.
2. Signature of the Parent/Guardian may be taken later, if not possible on the registration date