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(RE-REGISTRATION FORM)

Re-Registration for
4
Semester
Enrollment No A50504821025
Name MR AARIGA GOVIND REDDY
Program BCA
Batch 2021-2024
Date of Birth 18/06/2003
E-Mail ID govind180603@gmail.com
6-138/B, VENIGANDLA, GUNTUR DIST
GUNTUR
Contact Address
GUNTUR(Andhra Pradesh)
Pin code 522509
Phone 7815999649
Mobile 7815999649
Fax NA
Father's Name AARIGA NAGIREDDY
6-138/B, VENIGANDLA, GUNTUR DIST GUNTUR
Parmanent Address
GUNTUR(Andhra Pradesh)
Pin code 522509
Phone 7815999649
Fax NA
Place of stay during this Semester (Non-Hostellers)
Address
City
Pin
Telephone
Mobile
E-mail

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))
:

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