(RE-REGISTRATION FORM)

Re-Registration for
7
Semester
Enrollment No A21511119015
Name MR ABHISHEK BANSAL
Program B.A.,LL.B (H)
Batch 2019-2024
Date of Birth 15/09/2001
E-Mail ID NA
H. NO. 177/5 H.B. COLONY, NAHAN, SIRMOUR,
H.P.
Contact Address
Sirmaur(Himachal Pradesh)
Pin code 173001
Phone 8580625353
Mobile NA
Fax NA
Father's Name ASHWANI BANSAL
H. NO. 177/5 H.B. COLONY, NAHAN, SIRMOUR, H.P.
Parmanent Address
Sirmaur(Himachal Pradesh)
Pin code 173001
Phone 8580625353
Fax NA
Place of stay during this Semester (Non-Hostellers) In Amity Hostel
Address
City
Pin
Telephone
Mobile
E-mail
Hobby Club N/A

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))