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Exam Form (3)

The document is a provisional registration form for a student named Satish, who is enrolled in the Metallurgical and Materials Engineering program at the National Institute of Technology, Durgapur. It includes personal details, registration and exam session information, course details, and fee payment information for both registration and hostel/mess services. The registration is provisional and subject to verification by the relevant department or academic section.
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0% found this document useful (0 votes)
2 views

Exam Form (3)

The document is a provisional registration form for a student named Satish, who is enrolled in the Metallurgical and Materials Engineering program at the National Institute of Technology, Durgapur. It includes personal details, registration and exam session information, course details, and fee payment information for both registration and hostel/mess services. The registration is provisional and subject to verification by the relevant department or academic section.
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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NATIONAL INSTITUTE OF TECHNOLOGY, DURGAPUR

Mahatma Gandhi Avenue, Durgapur - 713209, INDIA

PROVISIONAL REGISTRATION FORM ENTRY


Applicant Name SATISH

Father's Name DASHAI

Mother's Name RAJMATI DEVI

DOB. 02/03/2001 Registration Form No. 0921U1044872

Program METALLURGICAL AND MATERIALS ENGINEERING

Exam Session JAN_JUN_2025 Semester sem 8

Reg No. 21U10448 Roll No. 21MM8038

Course Code Course Title Credit Paper Type

CEO852 RELIABILITY ENGINEERING 3 T

MMS851 PROJECT - II 5 P

MMS852 PROJECT SEMINAR 1 P

MMS853 VIVA VOCE 1 P

EEO841 BIOMEDICAL INSTRUMENTATION 3 T

REGISTRATION FEE DETAILS


Payment Mode ONLINE Date of Payment 10/01/2025

Ref / Trans. ID. 9818614714733 Bank Name SBI Amount 13800

HOSTEL / MESS FEE DETAILS


Hostel Name RABINDRA NATH TAGORE HALL OF RESIDENCE (HALL-3)

Ref / Trans. ID. 9818614485312 Date of Payment 10/01/2028


Amount 3654 Bank Name SBI Room No. 103

Student Signature Warden UG/PG Cordinator/HOD


* Take a printout of the form and attach payment slip of Inst. Registration fee and Hostel / Mess fee and
submit it to your department / warden / faculty advisor.
** This registration is provisional and subjected to verification from concerned department / academic
section.

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