%PDF-1.6
%
1 0 obj
<>
endobj
4 0 obj
<>stream
2021-07-08T10:18:10+05:30
2021-07-08T10:18:09+05:30
2021-07-08T10:18:10+05:30
Canon
application/pdf
uuid:abfa52e1-8409-4260-9422-5f8afb172cef
uuid:d242300d-c284-43ef-9670-cdea86623a46
endstream
endobj
2 0 obj
<>
endobj
5 0 obj
<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>/Type/Page>>
endobj
8 0 obj
<>stream
NATToNAL rNsrrrurE oF rEcH-"i::: KURUKSHETRA M6^.REGISTMTION FORM 4=YAc, lemic Year: 2o2l-22 odd semF-l Even sem.f-l(ptease rick in the Bo -tglt\1
1. Programme; - B.Tech. f-_] rrl.rech. [---] rttsn Fl rrlca [--__]
Ilranch/Specialization
Registration for the Semester (Plbase tick in the table below)
2.3.
1st
2"d
3.d
4th
5rh
6th
7rh
8th
4. Particulars of the student
i)iiJiii)
iu) Father's Name
Name (ln Block LettersUategory (Pleasc fick )Roll No.
cenerat f-.l oBCT__l sc/srT-l PwD f--l EWSf'l
Email ID
v)vi)
student's Mobile No,
Address for Communication
5. Hosteller [Yes/No)
Parent's Mobile No
Hostel No.
Room No.Triple
Double f-__l
Hostel Seater (Please Tick) Single
Applicable for only B. Tech. Prosrammes ( Sr. No. 06 & 07)
6. Income Category tPlease l ick )
Below 1 Lakh l*--__l s l"t tt
f---_l Greater than 5 lakhf -_l
7. Annual Family Income from all sources lFor students claiming fee concession)
[Attached Annual fan]ily jncoDle certificate should be in the name of Head of the family for financial Year 2020-21, certificatenrust be issued after 1( April 2021 in Hindi/English only from respective State Govt. authority)
Income Certiiicate No.
Dated
(Please refer general conditions of Income Certificate attached with this form)
8. Please mention Fee Deposit Details in given table Fee Amount Rs.
(COPY OF I.-E E DEPOSITOD
WITH THE FORM)
9. DeclarationI solemnly declare that all rhc particulars filled as above are correct and that in case of any discrepancy fbund thereinsubsequently at any stage, I shall be responsible for the consequences arising out of it.
Date
Signature ofStudent
Not applicdble in current semesterLibrarianSignature with Seal4 Applicobte for hosteller students only
For office use onl-vCertified that there are no dues pending against the student.
*Hostel Warden #Asstt. Registrar /Prof. | /C (Accounts)Signature with Seal - Signature with Seal
# Not spplicdble for ICCR students
Notei-The registration forms are to be submitted online in the respective departments/schools.The registrdtionform will be forwarded by concerned department/school to the ofrce of the Dean (Acodemic) aftgrverification by Accounts section.
endstream
endobj
6 0 obj
<>
endobj
7 0 obj
<>stream
xy<$4m$NEYC;Y1l="$eKؗ}~{wxg9s>Y9>g?ΦZjj 8c`t" 25IY-Ej7tH(>4E[iA.]Г; B%%# P?_ JB
%##% RFL)x` y>^2|2+ B*RMiY۪jZw71ylkgExWI)i3q¢7jj?}04}dϱ3KwvAIHI,CH| gFR2nqݘx$B)a>RJl\z>ḢͿy?|0RR{A! #9h(K Cyݹr{y<i9FJHX.}t8H!.E Js Ag@Shu8wpJ;XU cCM,XR 4{Z+CwvLɾrڟg"gC
,X]\==z';=lAr'#IUO\;ɵkj@z3 d!H, _sBߴϫUU`li2n#r=1 knٹ刬i
uwLɤ ?"9 w~n$Vu|ǜ:H'b*'}
~28=;ɐ=uiKh'~iڿܿ#_y~`$sߟ`?z0L9BM'~'!ap>ءR?NL)azv _CӡnlP4M4\ O D)
&OG$]F*7JlP9VG2"M/U'I} yqN ?Gq~pNCîk#]GLy-h2L?Ai;}5_De]пHܝǍ]lV)čā}4:t4[).ZxwOQ?dns
ÿfp=kl=lC=vp0|?"(#7P((D&@^@R?/@Ӷ7B"v iVv
GpvO O ֽz?k<M&frSgE[8g-\ M?S:7A{Q#w3$`塚M]f:]jo njJl-*8Mr
{4G6O9`];P@9ؙPH@EKF Lh$鱃?B:n`i!Ä 0(e5;.-@ ad LI-2Avk@@Z ;La}CHx/suz8`˂UT >0L 19r@TUr hK:e`t 7}<I`63 iVQ`W-7
ʍvp
e w;X4nyO|b
b%]\W :(rDƒM`m1Vp2`/@&Y1h2 >ij
u&S~-s4$z7gH@ Z75%+Hl&*Vu>&TE
e띪Ȃs럚הu
#ؼs%1#.NNLX(\S0ƒ |63@7I,r7VYcE6LK6]F}ZFJGg"c_ĀP2aLE@|(9gYsEXv{q$&C"H0ŒXAP?F诣@kA" >:(CԼ $HS@~"9j12a}l$⯟5 ECz9c As6@g0W0'd`3q`'Yahn$
p[{(e,ih"'!J8V4AUcɌVҸqFHEA+80`E?^jEu%- aɈcI0 #&((3Zkw@,Ifa$3I9Z p툋,dHAX+ #I$nj E
H*`XM B2b^483OvDk{؞6RBAgȁHD ,>Vb#gyb3 ;mZ*|v0
m+4d_
C-H'Gx-k]U0 1] ئ3쁂,.d(
2@nAF@bAZւ` Gai?ICAK~dK W5sd$D$SL(*-=G
0()Ъ@B1f#a4dB *Џi@7RR3k@CcQ'`p@266CÒ*nۀpɀԙJtr8..I˯[f7*s`JfWhRJ;8O&h.vՆX(ߠέ]Axr!.d}B/45?½3dUX _