NATIONAL INSTITUTE OF TECHNOLOGY CALICUT

REGISTRATION CHIT, NO DUES CERTIFICATE FROM HOSTEL & LIBRARY and DECLARATION
PART A: REGISTRATION CHIT
WINTER SEMESTER 2016

1. Name :..
2. Branch :..

Roll No:..

I hereby declare that I have earned required number of credits and completed required minimum courses under the Curriculum as per
the B.Tech /B.Arch./M.Tech/M.Sc/MCA/MBA/Ph.D regulations applicable to my admission. In case this is found to be false at any
later stage my registration can be cancelled, even without any notice to me.

Signature of the 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 his/ her as on this date.
Chief Warden

FROM PART B: NO-DUES CERTIFICATE LIBRARY

Certified that Mr./Ms. . Roll No. has paid all the Library charges
dues from his/ her as on this date.
Librarian

DECLARATION BY THE STUDENTS

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 form 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 and handing over to the Police.

Date:

Signature of the student

Counter Signature of Parent/Guardian

Note:1.Course registrations print out from DSS may be taken on the reverse side of this form TO SAVE PAPER.
2. Sinature of the Parent Guardian may be taken later, if not possible on the registration date.