Ch. Brahm Prakash Govt. Engineering College Jaffarpur, Delhi-110073
REGISTRATION FORM (For the students of 3rd/5th/7th Odd Semester) (B.Tech Civil/IT/ENV/Programme for the Academic Year 2017-18)
Name of the Student
GGSIPU Enrollment No.
Branch
Semester in which registration required
Mobile No. for call/SMS
Mobile No. for Whatsapp
Date of Birth( dd/mm/yyyy)
Gender
Category
Belong with Minority Community
Minority communities
Person with Disability (PWD)
Permanent Address with Pin code
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
Name, Relationship and Address of Local Guardian (mandatory for outstation students)
Aadhar'/UID No. of the student
Credited Marks obtained (sum of obtained marks X Credit )
1st Semester
2nd Semester
3rd Semester
4th Semester
5th Semester
6th Semester
7th Semester
Undertaking
Required
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Additional Terms