(RE-REGISTRATION FORM)

Re-Registration for Semester 8

Enrollment No A3923015031
Name MR SHIVAM KAPOOR
Program BBA + MBA (Dual)
Batch 2015-2020
Date of Birth 10/05/1996
E-Mail ID shivamkapoor.1991@gmail.com
126 new gandhi nagar
Contact Address
ghaziabad(Uttar Pradesh)
Pin code 201001
Phone 9910820773
Mobile 9910820773
Fax NA
Father's Name BHAVNESH KAPOOR
126 new gandhi nagar
Parmanent Address
ghaziabad(Uttar Pradesh)
Pin code 201001
Phone 9910820773
Fax NA
Place of stay during this Semester (Non-Hostellers)
Address
City
Pin
Telephone
Mobile
E-mail

Date of payment of fees and fee receipt number : ______________________________ 

Are You staying in hostel ______________________________ If Yes, Room
No. ______________________________
Are you having any evaluation pending for the previous semester
_____________________________________________
If yes, mention the course(s) and reasons for it________________________________________________

I understand that my Re-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 AUUP Regulations (Regulation No-1 on subject Conduct of Examinations, Scheme of
Evaluation and Discipline among Students in Examinations).I also certify that I do not have
any payment due to AUUP and I have met all academic requirements till now.I shall abide by
all rules and regulations of Amity University as per my undertaking in registration form.
I have also thoroughly read and understood the Policy Guidelines for Information Security. I
understand the contents, and I agree to comply with the said Policy.I further understand that
should I commit any violation of this policy, my access privileges may be revoked and
disciplinary action and / or appropriate legal action may also be taken against me.
Date : _____________________________
(Signature of the Student)
((Name & Signature of the Verifying Faculty))