Provisional Registration Form (First Year/Second Semester 2020-2021)
G. B. PANT INSTITUTE OF ENGINEERING & TECHNOLOGY PAURI GARHWAL – 246194 (Uttarakhand)
Email *
1. Student’s Name *
2. College Identification No. *
3. University Roll Number *
4. University Enrollment Number *
5. Course *
6. Branch *
7. Year *
8. Semester *
9. Father’s Name *
10. Mother’s Name *
11. Date of Birth *
MM
/
DD
/
YYYY
12. Gender *
13. Identification Mark *
14. Category *
15. Sub Category *
16. Permanent Address (with pin code) *
17. Mailing Address (with pin code) *
18. Mobile No. (Self) *
19. Mobile No. (Father/Mother) *
20. Aadhar Number (Self) *
A copy of your responses will be emailed to the address you provided.
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