ASANSOL ENGINEERING COLLEGE

VIVEKANANDA SARANI, ASANSOL – 5

EVEN SEMESTER REGISTRATION FORM - 2020

1. Name of the student:

Recent Passport
2. Guardian’s Name: Size Photo of
student
3. Department: 4. Semester:

5. Roll No: 6. Registration No:

7. Permanent Address:

Student’s Contact No.: Parent’s Contact No.:

Email ID of Student:
8. SGPA up to last published semester results:
1st 2nd 3rd 4th

5th 6th 7th 8th

9. College fee cleared up to the semesters (Write Yes/No in the box):

1st 2nd 3rd 4th

5th 6th 7th 8th

I, ………………………………………………… hereby declare that I will abide by the rules and regulations of
MAKAUT and be present in all classes except in case of extreme valid reasons. It is also declared that my attendance
will not be less than 75% in all theory and lab classes. If my attendance is found to be less than 75% I will not be
allowed to appear at class test examination as well as University Semester examination and will not be provided hostel
facility.
Date:

SIGNATURE OF SUPERVISOR SIGNATURE OF STUDENT

SIGNATURE OF HOD SIGNATURE OF PARENT

Note: 1. Semester Registration Form submission in their respective Dept.: 06.01.2020 to 17.01.2020

2. Fine will be implemented Rs.50.00 per day for late submission of Semester Registration Form.
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Received the Semester Registration Form from………………………………………….Dept. of ………………..
on date …………….
Signature of Supervisor