Provisional Registration Form

* REQUIRED FIELDS
Date :

STUDENT PERSONAL DETAILS


STUDENT EDUCATIONAL DETAILS


STUDENT BANK DETAILS


STUDENT REGISTRATIONS DETAILS

-----------------------Registration Requested For *-----------------------
1
2
3
4
5
6
7
8
9
10
11
12
------------------ SGPA(CBCS Branch) of Particular Semester *-----------------
SEMESTER-1
SEMESTER-2
SEMESTER-3
SEMESTER-4
SEMESTER-5
SEMESTER-6
SEMESTER-7
SEMESTER-8
------------------ CGPA(CBCS Branch) at the end of*-----------------
SEMESTER-2
SEMESTER-3
SEMESTER-4
SEMESTER-5
SEMESTER-6
SEMESTER-7
SEMESTER-8
------------------CREDIT EARNED *-----------------
Total of 1st Year
Total of 2st Year
Total of 3rd Year

STUDENT FEE DETAILS

FEES SUBMITTED *

STUDENT SIGNATURE