7/11/2018 ReRegistrationForm (RE-REGISTRATION FORM) Re-Registration for Semester 7 Enrollment No. A2305415015 Name MR KARAN BUSRI Program B.Tech (MAE) Batch 2015-2019 Date of Birth
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  7/11/2018 ReRegistrationForm 1/2 (RE-REGISTRATION FORM)  Re-Registration for Semester 7 Enrollment No. A2305415015  Name MR KARAN BUSRI Program B.Tech (MAE) Batch 2015-2019 Date of Birth 18/05/1997 E-Mail ID Contact Address A-33 SECTOR 34 A-33 SECTOR 34 NOIDA(Uttar Pradesh) Pin code 201301 Phone 9717374824 Mobile 9910160978 Fax Father's Name ASHISH Parmanent Address A-33 SECTOR 34 A-33 SECTOR 34 NOIDA(Uttar Pradesh) Pin code 201307 Phone 9717374824  Fax 9717374824 Aadhaar No 266098132315Place of stay during this Semester (Non-Hostellers)With ParentGuardianOwn Arrangement Address A-33 sector 34 City NOIDA Pin 201307 Telephone 9717374824 Mobile 9910160978  e-mail Date of payment of fees and fee receipt number : ______________________________ Please attach fee receipt. 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 Re-registration for the Semester mentioned above is provisional and it will stand cancelled in case I do notfulfill the requirements for promotion to the same as per the AUUP Regulations (Regulation No-1 on subject Conduct of Examinations, Scheme of Evaluation and Discipline among Students in Examinations). I also certify that I do not have any paymentdue to AUUP and I have met all academic requirements till now. I shall abide by all rules and regulations of Amity University as per my undertaking in registration form. I have also thoroughly read and understood the Policy Guidelines for Information Security. I understand the contents, and I agree tocomply with the said Policy. I further understand that should I commit any violation of this policy, my access privileges may berevoked and disciplinary action and / or appropriate legal action may also be taken against me.  7/11/2018 ReRegistrationForm 2/2  Date : _____________________________  Place : _____________________________   (Signature of the Student) e of the Student)   Office Seal  Date : _____________________________   (Name & Signature of the Verifying Faculty)


Jul 12, 2018
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