SEMESTER FREEZE FORM

Name ________________________________________________________________________
Father Name___________________________________________________________________
CMS __________________________________________________________________________
Program_______________________________________________________________________
Freeze Amount_________________________________________________________________
Admission Date ________________________________________________________________
Class Start From_________________________________Last Date________________________
Total Number Of Classes_________________________________________________________
Contact Number _______________________________________________________________
Contact Number________________________________________________________________
Reason________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

__________________ _______________
F&D Department Program Incharge
_________________ _______________
Manager Academics Principal/ Director
**************************PLEASE DO NOT LOSE THIS RECEIPT- STUDENT COPY***************

Serial No: ___________

Received Date : __________________

Student Services Signature: _______________

Note:

 All certificates/ letters & extract of results will be provided to the students with in two working days.

 Urgent transcript/ degree will be provided within 7 working days.

 Student name and father name should be correctly mentioned in block letters.

Please do not lose the student copy in order to process request