Date: 10-07-2023

NMIMS GLOBAL ACCESS-SCHOOL FOR CONTINUING EDUCATION

Re-Registration Form

STUDENT INFORMATION

Student No: 77121231668 Semester No: 5

Student Name: Pradumn Agarwal Gender: Male

Date of Birth: 22 / July / 2002 Email Address: pradumn722@gmail.com

Mobile Number: 9837454904 Address: Parul Fertilizers company, Nainital

Road Baheri, , Near durga

hotel, Bareilly, Uttar

Pradesh, 243201, India

Information Center: Jaipur - Mansarovar Program: Bachelor of Commerce

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 :