6/18/2021

Institute of Engineering & Technology, Lucknow

Provisional Student Registration Form

Even
 Semester of Session
2020-2021
Year of Admission 2020-2021  
Course Pre-Ph.D  
Branch Civil Engineering  
Lateral Entry Admission? No  

Enrollment No Roll No 1900520007201

Personal Details
Student's Name ANAND VERMA Name in Unicode Hindi आनंद वर्मा
Date Of Birth 01/01/1994 Gender Male
Father's Name BINDRA CHARAN VERMA Father's Profession AGRICULTURE
Father's Annual Income 54000
Mother's Name RAMVATI Mother's Profession HOUSEWIFE
Mother's Annual Income 0    
Address
Guardian's Name BINDRA CHARAN VERMA Guardian's Profession AGRICULTURE
VILL AZAMKHEDA
POST NYOTINI
Father's / Guardian's Address Father's/ Guardian's  Email ID anandverma3192@gmail.com
DISTT UNNAO 209841
Country India State Uttar Pradesh
City/District Unnao
, Pin Code-209841 Parent's mobile No: 9956565759
VILL AZAMKHEDA
POST NYOTINI
Communication Address Pin Code 209841
DISTT UNNAO 209841
Country India State Uttar Pradesh
City/District Unnao Student Mobile No. 8318584620
VILL AZAMKHEDA
POST NYOTINI
Student's Permanent Address Pin Code 209841
DISTT UNNAO 209841
Country India State Uttar Pradesh
City/District Unnao    
Local Guardian's Name and Add. Local guardian's Mobile No.
Admission Details
Whether Belongs To Minority Community? No Minority Details
Belongs to Area Type Rural Caste PASI
Actual Category SC Sub category
Seat Allotted Under Category From SEE (If Applys) Emergency Contact No. 8318584620
AKTU (For MTech/Pre-Phd
Domicile of State Uttar Pradesh Admitted Through
Students)
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SEE Roll No(if Applys) Is Fee Waiver? No
Disability No Type of Disability
Religion Hinduism Email Id 1900520007201@ietlucknow.ac.in
Nationality India Hobbies Playing Badminton
Blood Group O+ Identification Mark Mole on The Right Hand Arm
Registering As Student Type Regular Office ID: 2021000836
Other Information
Other Details (If Any)
Aadhar No 640991576241 Is Residing In Hostel? No
Scholorship Details
Whether Receiving Any Scholorship? Yes  
Homi Bhabha Research cum teaching
Name of Scholorship Being Received    
fellowship
Class Year Wise Details of  Scholorship Received or Receiving
Whether Applying For Post Matrix Scholorship of UP Govt. or Any Name of Scholorship Being Applied
No --
Other Scholorship (For Fresh Students) (For Fresh Students)
Subjects Choosen
Sr. No. Group Code Subject Code Subject Name Subject Type
1 E1 MTST051 Composite Materials Theory
2 E1 MTST202 Finite Element Methods Theory
Declaration      
I am aware that I have to attend all the classes as per University ordinance. If my attendance falls below 75%, I may be debarred from appearing in the examination for which I shall be
solely responsible.

I undertake that the information furnished is true to the best of my knowledge and belief. I shall bear the consequences if any of them are found to be wrong.

Registration Date:
14/06/2021

Student's Signature
Print Date:
18/06/2021 12:12:09 PM

Student's Signature At the Time of

  Reporting:  

ERP ID:-
2021000836 Roll No:
1900520007201
       
       
       
       
Seal and Signature of Head of Seal And Signature of Dean
Seal and Signature of Faculty Advisor  
Department Acadmics
       
       
Signature of Staff Who Have Received This Application:      
Note-

Dear Student,

Please Note That This is only Application For Registration. This Does Not Means That Your Registration is Completed. Your Registration Will Be
Completed When It is Authenicated By Following Officials on ERP-
1. HOD Sir (Except Fresh Students)
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2. Dean Academics Sir

You Can Check Status of Your Registration on ERP From Menu Option "Check Registration Status".

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