(Mentor Copy)

DATA AND NO-DUES FORM SESSION : 2023-2024

College : School of Computer,Science and Technology
Course and Class : B.Tech.- CSE Artificial Intelligence & Machine Learning - B.Tech.-CSE A.I.M.L.- 3
rd Semester, Section : A Year - 2nd
Batch : 2022-2023 EnrollmentNo : LNCCBTC11194 Scholar No : 1509-22-106
Student Name : Mr. ARJUN DEVGUN
Father's Name Shri : MANINDER SINGH DEVGUN Category :GEN
Mother's Name Smt : RAJINDER KAUR DEVGUN

Father's Mobile No : 9399738403 If Change Verified - Yes/No

Mother's Mobile No : If Change Verified - Yes/No
Permanent Address : 116 guru nanak pura capital petrol pump ke pass govindpura huzur,bh
opal-462023 Madhya Pradesh
If Address Change
Local Address : ,-

Bus Stop E-Mail : astromaninder8681@gmail.com

If Address Change
Previous Session Fees Detail Student ID - 11111524158
Session Fee Details of Fees Receipt With Date Remarks
2023-2024 56100.00,Academic Fee / ARJUN DEVGUN / MANINDER SINGH D
2022-2023 50000.00,Fee Rec.:21827 Dt.03-Nov-2022 V.No.: 16505
3500.00,Fee Rec.:21882 Dt.04-Nov-2022 V.No.: 16556
5000.00,Fee Rec.:22019 Dt.07-Nov-2022 V.No.: 16675
54700.00,Online Payment(Fee Rec.:32796 Dt.27-Mar-2023 V.No.:

All the information given by me in form and on accsoft2 is true and the best of my knowledge.I shall

Maintain attendance of 75% in theory and practical in each semester.

Student's Mobile No : 6262176544 If Change Signature of Student

Signature of Mentor Signature of HOD

Date

(Account Copy)
Name of college :School of Computer,Science and Technology

Student Name : ARJUN DEVGUN Enrollment Number : LNCCBTC11194

Father Name : MANINDER SINGH DEVGUN
Student-ID : 11111524158 Batch : 2022-2023 Scholar No : 1509-22-106
Course : B.Tech.- CSE Artificial Intelligence & Class : B.Tech.-CSE A.I.M.L.- 3rd Semester
Machine Learning Year - 2nd A
All Data Verified by (Concern Mentor Name) Mr./Ms.
Fees May Be Accepted (Seal & Signature of Mentor)