Examination/Enrolment Form Session: 2022-23

(Candidates will be enrolled in Graphic Era (Deemed to be) University only after producing Migration Certificate (in Original)
from the University / Education Board Studied earlier)
Note To Be Filled Only By First Semester Students

Admission No. 22392177

To,
The Registrar Roll No.
Graphic Era (Deemed to be) University
Enroll. No. GE-

I am applying for Enrolment as a regular student of the university as per details given below. Kindly allot me Enrolment
Number for this University.
1. Full Name of the Student (CAPITAL LETTERS) ADITI NEGI

(As per High School Certificate)

2. Full Name of the Student (In Hindi) 

3. Permanent Address HOUSE NO -3 NEAR GEETA BHAWAN BAURARI, Tehri, Uttarakhand,

India, 249001

4. Present Address HOUSE NO -3 NEAR GEETA BHAWAN BAURARI, Tehri, Uttarakhand,

India, 249001

5. Father's / Husband's (if married) Name MEHARBAN SINGH NEGI

6. Mother's Name(Mrs.) PINKI NEGI

7. Date Of Birth (As per High School Certificate) 20/09/2001 Father Annual Income 700000

8. Year Of Passing Intermediate (12th) Exam 2019

9. Student Mobile No. 7618346949 10. Father Mobile No. 9411380281

11. Caste / Category General Handicapped No KM No

12. Name Of the Exam Passed...............................................................University/Board..........................................

Year ......................... Institution/College........................................................................................................

Signature .................................................
Issuing Authority for Migration Certificate
* For Office Use Only :

Migration Certificate No. ........................................ Date .............................University.............................................

........................................................................................................................................................... Received
Migration Fee Rs. ........................................ Receipt No. .......................... Date ..................................... deposited.
Signature ..................................

................................................. ..................................................................
Signature Of the Forwarding Authority Signature Of the Student
(with Seal)(Please Dont Use Facsimile Stamp) (Complete Signature)
Forms with fascimile stamp are not acceptable. Course Master of Computer Application
Year/Sem 1