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Registration Form Format

The document appears to be a registration form for a postgraduate program at Delhi Technological University. It collects personal information from the student like name, date of birth, address, category, nationality, subjects to be registered for the semester and signatures for approval from supervisor and coordinators.

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ANKUSH CHAUDHARY
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10 views

Registration Form Format

The document appears to be a registration form for a postgraduate program at Delhi Technological University. It collects personal information from the student like name, date of birth, address, category, nationality, subjects to be registered for the semester and signatures for approval from supervisor and coordinators.

Uploaded by

ANKUSH CHAUDHARY
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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DELHI TECHNOLOGICAL UNIVERSITY Affix recent

(Formerly Delhi College of Engineering) passport size


photograph
(cut whichever is not applicable)
MTech/ MBA/ PhD (…………………)
(Specialization)
(..........)Year/ Semester
PART TIME / FULL TIME; SPONSORED/ QIP
(cut whichever is not applicable)

1. Name (In Block Letter)…………………………………………...............................................……….....


2. DOB……………….…..3. University Roll No………………....……4. Reg.No. .....................................
5. Gender…….................., 6. Religion…............................………....7. Category………….........................
8 .Father’s Name……………………………...……9. Mother's name ....………......….............……………
10. Address (Present)………………………………………………………...................…………………...
…………………………………………………….........................… Pincode ……………………
11. Address (Permanent)……………………………………………..........…………………………………
…………………………………………..................................…….. Pin code…………………….
12. Mobile number………………….........…… 13. Physical disabled (If yes, Percentage)………………..
14. Email Id………………………………………15. Nationality……............…16. Marital Status………
17. Experience Teaching/ Research /Industry (In years)……………………………………………….

I wish to register for following subjects of I/II/III/IV semester in the suggested scheme of learning of M.Tech
Programme in (……………………………………..)Engineering during the Odd/Even Semester of 201_

Relevance with area of


Paper Code Title
research
TH1
TH2
TH3
TH4

............…………………………………
Date……………………… Signature of the Student

Registered in …………………………Programme at Department of……………….........................…………….

……………………………………. ………………………..…………
Signature of Supervisor Signature of DRC Chairman
Name: Name:
Date………………………… Date………………………….

AR Academics PG PG/ PhD (Coordinator)

Dean Academics PG

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