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Ch. Brahm Prakash Govt. Engineering College Jaffarpur, Delhi-110073
REGISTRATION FORM (For the students of 2nd/4th/6th/8th Even Semester) (B.Tech Civil/IT/ENV/Programme for the Academic Year 2016-17)
All the field are Mandatory
Name
GGSIPU Enrollment No.
Branch
Semester in which registration required
Mobile No. for call/SMS
Mobile No. for Whatsapp
Email ID
Date of Birth( dd/mm/yyyy)
Permanent Address with Pin code
Correspondence Address with Pin code(if different from Permanent Address)
Father's Name
Father's Telephone/Mobile No.
Father's Profession with Office Complete Address & Contact No.
Mother's Name & phone No.:
Mother's Profession with office complete address & contact no.
Name, Relationship and Address of Local Guardian (mandatory for outstation students)
Aadhar'/UID No. of the student
Cumulative CPI(not arithmetic average)
1st year
2nd Year
3rd year
Details of Back-Papers of even semester (along with Subject code)
in case of no back paper, type 'NIL'
2nd Semester
4nd Semester
6th Semester
Undertaking
Required
Submit
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