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Date: 09-06-2022

NMIMS GLOBAL ACCESS-SCHOOL FOR CONTINUING EDUCATION

Re-Registration Form

STUDENT INFORMATION

Student No: 77121974725 Semester No: 3

Student Name: Ashish Kumar Singh Gender: Male

Date of Birth: 22 / December / 1994 Email Address: ashishsinghstp93@gmail.com

Mobile Number: 8076849190 Address: Village and Post- Indrauli,,

Sitapur, , NA, Sitapur, Uttar

Pradesh, 261001, India

Information Center: Noida - Noida - Sector 18 Program: MBA (Information Technology and

Systems Management)

I hereby solemnly declare that the information furnished by me in this application is true to the best of my knowledge and belief.

If any information found incorrect at any stage of my study, the University reserves its right to cancel my admission and no fees

shall be refunded to me.

Date : Signature :

Place :

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