MANIPAL UNIVERSITY JAIPUR (torm-a_ TRATION FORM (uly Dee 2020) 2. Name of the student: Pulket Ni gam 1.1. National Academic Depository (NAD) 1D:_|4{ 10328 2, Name of Parents | A)Father’stome:_Ajary Ma higar nV ct cesn | Jalxueeeum | 8) Mother's Namez a | a: registration No._[ 4 4J022PL A.MobileNo, A)sel; WUS23ZFSFT | 8) Parents: PYS US % 22 SO 5. Total Credits earned up to last Examination:_[ 63 6. Program_ Bch Branch _Ch@MUGaL semester_F-_ section _— Courses to be registered for: | Course Name Course Code Credits | S.No. | |Pnocess plant: derign cE (Fol € |_% lErgneding CGrvtmict ard fTojeck Marajimar CE (Fo 2 \ (3 | chemica ole thdast Vuze ce (403 | #3 f 6. 7. | Procett dynamite ar) Cost CE(FO4 + ps | 8. 9. 41Tuak Das t <1 Total Credits - | | 9. Details of Fee Paid (amount of Rs. 2,30, 00° in favour of “Manipal University Jaipur” payable at Jaipur.) 01 pate:_20 + 0 | + 2020 Name of Bank: 10.1 nef I, ‘i ' onenee knowledge. Any false information would entail cancellation of my registration leclare that information filled above is correct to the best of my any time. Signature of HoD Signature of the Student Verified by Finance Section {Complete Payment/Partal Payment) “*Note: attach the Xerox copy of fees slip. Scanned with CamScanner