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Provisional Registration Form Entry: Applicant Personal Information

This document contains a provisional registration form for Swarnali Soren, an electrical engineering student at a university. The form provides her personal details like name, date of birth, religion, caste, and program details. It lists the regular courses she is registered for in semester 5, including courses like Electrical Machines II, Control Systems, and Power Electronics. It also shows her open elective course preferences. Finally, it includes payment details, with an online payment of Rs. 7,350 made on July 7, 2019 through a bank transaction. The form requires signatures from the student, department advisor, and head of department to confirm the provisional registration.

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Swarnali Soren
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0% found this document useful (0 votes)
66 views2 pages

Provisional Registration Form Entry: Applicant Personal Information

This document contains a provisional registration form for Swarnali Soren, an electrical engineering student at a university. The form provides her personal details like name, date of birth, religion, caste, and program details. It lists the regular courses she is registered for in semester 5, including courses like Electrical Machines II, Control Systems, and Power Electronics. It also shows her open elective course preferences. Finally, it includes payment details, with an online payment of Rs. 7,350 made on July 7, 2019 through a bank transaction. The form requires signatures from the student, department advisor, and head of department to confirm the provisional registration.

Uploaded by

Swarnali Soren
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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PROVISIONAL   REGISTRATION   FORM   ENTRY

Registration Form No - 0217U1019713


APPLICANT PERSONAL INFORMATION

NAME SWARNALI SOREN

FATHER'S NAME SWAPAN SOREN

MOTHER'S NAME ANJALI SOREN

DATE OF BIRTH 30/12/1998


RELIGION   Hinduism
GENDER Female
CASTE/CATEGORY   ST

PROGRAM  ELECTRICAL ENGINEERING PROGRAM-SESSION 2017 -  2021

ROLL NO  EXAM TYPE JUL_DEC_2019  


17EE8025
Reg Form Entry Year 2019
BRANCH 02

ENROLLMENT NO 17U10197

SEMESTER sem 5 REGULAR COURSES


Course Code Course Title Credit PaperType
CHO542 FUELS COMBUSTION 3 T
EEC501 ELECTRICAL MACHINES - II 4 T
EEC502 CONTROL SYSTEMS 4 T
EEC503 POWER SYSTEMS - II 4 T
EEC504 POWER ELECTRONICS 4 T
ECS581 DIGITAL ELECTRONICS LABORATORY 1.5 P
EES551 CONTROL SYSTEMS LABORATORY 1.5 P
EES552 ELECTRICAL MACHINES LABORATORY - I 1.5 P

OPEN OPEN COURSE CODES


ELECTIVE
COURSES   Paper Name : Credit : Add Course

Change
Preference COURSE COURSE TITLE CREDIT
CODE Order
1 ECO540 MECHATRONICS 3 ▲▼
2 BTO540 MINERAL BIOTECHNOLOGY 3 ▲▼
3 CSO542 DATABASE MANAGEMENT SYSTEM 3 ▲▼
4 CEO540 NUMERICAL METHODS IN ENGINEERING 3 ▲▼
5 CHO542 FUELS COMBUSTION 3 ▲▼
6 HSO541 STATISTICAL TECHNIQUES FOR ECONOMICS 3 ▲▼
7 HSO542 CULTURE AND COMMUNICATION 3 ▲▼
8 PHO541 THIN FILM TECHNOLOY 3 ▲▼
9 MEO541 EXPERIMENTAL METHODS AND ENGINEERING 3 ▲▼
10 MMO541 BASIC MANUFACTURING PROCESS 3 ▲▼
11 MAO542 LINEAR ALGEBRA 3 ▲▼

REGISTRATION      FEE      DETAILS

Date of
PAYMENT MODE ONLINE   07/07/2019
Payment(DD/MM/YYYY)
Challan/Cheque/DD/RTGS/NEFT DUB5924936
BANK NAME   State Bank of India  
NO
AMOUNT 7350 NAD ID(NAD ID must  
start with a character
then 11 digit.If you
have not NAD ID then
leave the field Blank
and do not put
acknowledgement no)
 

*  Take a printout of the form and submit it to your department/faculty advisor.


** This registration is provisional and subjected to verification from concerned department/academic section.

------------------------ ------------------------ ------------------------


Student Signature Department/Faculty Advisor HOD 

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