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  • Advt 30nov2011 1

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    sohu_7274
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    The document is a registration form for the 2012 convocation ceremony at Charotar University of Science and Technology. It requests information about the student's degree program, contact details, and payment for attending the ceremony in person or in absence. The form collects the student's name, ID number, program details, contact information, preferred attendance option, number of guests, and payment amount. It must be signed and submitted with payment by demand draft by the specified deadline.

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    The document is a registration form for the 2012 convocation ceremony at Charotar University of Science and Technology. It requests information about the student's degree program, contact details, and payment for attending the ceremony in person or in absence. The form collects the student's name, ID number, program details, contact information, preferred attendance option, number of guests, and payment amount. It must be signed and submitted with payment by demand draft by the specified deadline.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    6 views1 page

    Advt 30nov2011 1

    Uploaded by

    sohu_7274
    The document is a registration form for the 2012 convocation ceremony at Charotar University of Science and Technology. It requests information about the student's degree program, contact details, and payment for attending the ceremony in person or in absence. The form collects the student's name, ID number, program details, contact information, preferred attendance option, number of guests, and payment amount. It must be signed and submitted with payment by demand draft by the specified deadline.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    CHAROTAR UNIVERSITY OF SCIENCE AND TECHNOLOGY

    CONVOCATION - 2012

    REGISTRATION FORM

    LastDate:- 03/12/2011

    PART - I STUDENT INFORMATION


    1. Student Name :, 3. Gender :-

    2. Student ID No. :4. Degree

    :-

    5. Institute

    :-

    6. Faculty

    :-

    7. Branch

    :-

    8. Month & Year of Admission

    :-

    9. Month & Year of Completion

    :-

    10. CGPA :-

    Affix recent
    passport
    size photo

    11. Class Awarded :-

    PART - II STUDENT
    STUDENTCORRESPONDENCE
    CORRESPONDENCEINFORMATION
    INFORMATION(Write
    (WriteininCapital
    CapitalLetters)
    Letters)
    12. Address

    : ______________________________________________________________________________
    : __________________________________________________________________ ____________
    City :- _________________________________, Pin Code :-____________________
    State :-________________________________, Country :- _____________________
    Phone (R.) :- __________________________, (O.):- _________________________
    (M) :- ______________________________________________
    E-Mail Address :- ______________________________________________

    PART - III INSTRUCTION FOR PAYMENT OF FEES AND GUEST CHARGE


    1.
    2.
    3.

    Fees for IN PERSON is `. 500/- and fees for IN ABSENCE is `. 1000/I will receive the Degree IN PERSON
    or IN ABSENCE
    ( Please tick (P) mark any one)
    I will bring ______ guests with me.
    (Amount. `)

    4.

    In Presence : `. 500
    In Absence :
    `.1000
    Guest Charges : `.250 x ____
    Total `.
    I remit the fees along with Guests Charge (if any) `. _____________/- by way of Demand Draft No. ____________
    Date : _____________, Drawn on ______________________ in favour of The Registrar, Charotar University of
    Science and Technology, payable at Anand.

    PART - IV DECLARATION
    I have read & understood the instructions carefully and undertake to abide by the same.
    ________________________________
    Students Signature

    Date : ___________________

    PART - V FOR OFFICE USE ONLY


    Receipt No. ____________________________ , Date : __________________ `. _______________

    Form Checked By.

    Form Received By

    Receiving Date :_________________

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