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MAULANAAZADNATIONALINSTITUTEOFTECHNOLOGYBHOPAL462051(AnInstituteofNationalImportance)

REGISTRATIONFORMSessionEven20142015

ClasstowhichRegistrationSought:BTechScholarNo 121114134Semester VIDepartment ELECTRONICS&COMMUNICATIONENGINEERINGCandidateName MS.PRIYAGARGScholarNo 121114134 Category UNRESERVEDFather's/GuardianName

MR.PRAMODKUMARGARG

ResidentialStatus HOSTELLER

PresentAddressHostelNo.:7RoomNo.:D70054ContactNo. 9012297415 Email prism_8945@yahoo.comPreviousExaminationAppeared:

S.No NameofExamination SGPAObtained Month&Yearlastappeared Result

1 I 9.07 November2012 Pass

2 II 8.22 May2013 Pass

3 III 8.66 November2013 Pass

4 IV 8.34 May2014 Pass

5 V 8.99 November2014 Pass

5

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7

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9

FeePaidRs. 22025 ICollectNo DU09681149 Dated 05012015

SignatureofStudent

EligibilityCheckedfor:BTECHELECTRONICS&COMMUNICATIONENGINEERINGVISem

ASST.REGISTRAR(Admission)

Enclosurestobeenclosed:1.Feesubmissionreceipt2.CopyofMarksheets

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MAULANAAZADNATIONALINSTITUTEOFTECHNOLOGYBHOPAL462051(AnInstituteofNationalImportance)

OnlineReceipt

OnlineSubmissionofRegistrationFormDated:07/01/2015Name MS.PRIYAGARGScholarNo 121114134Foradmissionin:Degree BTECHDepartment ELECTRONICS&COMMUNICATIONENGINEERINGSemester: VIFeeAmount 22025ICollectNo DU09681149PaymentDate 05012015DateofSubmission 07/01/2015

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