You are on page 1of 1

1/12/2020 DIV Contents

(RE-REGISTRATION FORM)
Re-Registration for
4
Semester
Enrollment No A30606418049
Name MR ABHISHEK SINGH
Program BBA
Batch 2018-2021
Date of Birth 30/03/2000
E-Mail ID NA
PLOT NO:12 SAVITRI NIVAS M R R COLONY
SITARAMPURAM BOWENPALLY
Contact Address
HYDERABAD(Telangana)
Pin code 500011
Phone 8247838298
Mobile 8247838298
Fax 0
Father's Name SANTOSH SINGH
PLOT NO:12 SAVITRI NIVAS M R R COLONY SITARAMPURAM
BOWENPALLY
Parmanent Address
HYDERABAD(Telangana)
Pin code 500011
Phone 8247838298
Fax 0
Place of stay during this Semester (Non-Hostellers) With Parents
Address plot no. 12 savitri nivas Mari ram reddy colony bowenpally
City Hyderabad
Pin 500011
Telephone 04027755783
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 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
certify that I do not have any payment of dues and I have met all academic deadlines till now
Date : _____________________________
(Signature of the Student)
((Name & Signature of the Verifying Faculty))

1/1

You might also like