Sunder Deep Group of Institutions

NH-24, Delhi-Hapur Road, Dasna, Ghaziabad, U.P.

Ph. No. 0120-2763053, 27663054, Toll Free-1800 833 0080, website: www.sunderdeep.ac.in
Registration Form
Odd Semester 2020-21
Course……………. Semester……………….
Updated Personal Information
AKTU Roll No.:………………………
Name in English:……………………….. DoB:……………………………. Paste Latest
Email:………………………………………………….. Mobile:…………… Photograph

Blood Group:……………………………. Category:………………………..

Father’s Information:
Father’s Name………………………….. Occupation………………………
Father’s Mob. No……………………. Annual Income:………………….
Mother’s Information:
Mother’s Name…………………………. Occupation……………………………………………
Qualification: …………… .Mother’s Mob. No…………………….Annual Income:…….………
Address
Permanent Address:………………………………………………………………………………..
Local Guardian Name……………………………………..Mobile No.………………………….
Hosteller: Yes/No……………………… Hostel Room No. (If hosteller)……………………
Academic Information:
Total Marks Maximum %age/Grad
Examination Session Carry Over Paper
Obtained Marks e
th
12
Sem. 1
Sem. 2
Sem. 3
Sem. 4
Sem. 5

*Please tick:
Dues/Fee: Clear Not Clear
Amount of fee pending (if any)…………………………… Due Date:…………………...

*Please tick your choice:

(Sports Cultural Culinary Club Event Club Social Activities )

1. I certify that the information furnished above is correct to best of my knowledge and belief.
2. I assure to the management that I will abide by all the rules & regulation of the college/NCHMCT.
3. I will maintain discipline in the college & hostel at all time.
4. I am aware that I am liable to be expelled from the college/hostel if found indulging in undesirable activities.
5. I am aware that ragging is an offence in accordance with law of the land and FIR can be lodged by the college
against the students found indulge in ragging.

Date: Signature of Student

 Sunder Deep Group of Institutions
NH-24, Delhi-Hapur Road, Dasna, Ghaziabad, U.P.
Ph. No. 0120-2763053, 27663054, Toll Free-1800 833 0080, website: www.sunderdeep.ac.in

Class Mentor HOD Director