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ReRegistrationForm
( E- EGI
A IO N FO M)
Enrollment No.
A30601910005
siddhu.ra apudi87@gmail.com H.No:6-94/6/2, Plot No:110, Chanda Nagar, HUDA Colon , H de rabad(Andhra Prade sh)
500050
Phone
08647220418, 04023031705
Mobile
9703533817
Fa
R JANARDHAN RAO H.No:6-94/6/2, Plot No:110, Chanda Nagar, HUDA Colon , H de rabad(Andhra Prade sh) 08647220418, 04023031705
Pin code
500050
Phone
Fa
Place of sta during this Se me ste r (Non-Hoste lle rs) With Pare nt Address Cit Pin T elephone e-mail Guardian O wn Arrange me nt
H.No:6-94/6/2, Plot No:110, Chanda Nagar, HUDA Colon , H de rabad 500050 08647220418,04023031705 Mobile 9703533817
siddhu.ra apudi87@gmail.com
Date of pa ment of fees and fee receipt number : ______________________________ Ple ase attach fe e re ce ipt. Are You sta ing in hostel ______________________________ If Yes, Room No. ______________________________
1/30/12
ReRegistrationForm
I understand that m 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 certif that I do not have an pa ment of dues to AGV and I have met all academic deadlines till now
Date : _____________________________
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