Ch. Brahm Prakash Govt. Engineering College Jaffarpur, Delhi-110073
REGISTRATION FORM (For the students of 2nd/4th/6th/8th Semester commencing from 6th January 2020) (B.Tech Civil/IT Programme/Mechanical)
Name of the Student *
Aadhar No. *
GGSIPU Enrollment No. *
Branch *
Year of Admission *
Mobile No. for call/SMS (10 digits) *
Mobile No. for Whatsapp
E-mail *
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Category *
Religion *
Person with Disability (PWD) *
Permanent Address with Pin code *
Local Address with Pin code *
State *
Father's Name *
Father's Telephone/Mobile No. *
Father's Profession with Office Complete Address (postal Address) & Contact No. *
Mother's Name & phone No.: *
Mother's Profession with office complete Address(Postal Address)
Name, Relationship and Address of Local Guardian (mandatory for outstation students) if any
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