KIET School of Engineering & Technology, Ghaziabad Reg.

No:
Summer School: ..........................(2017)
Registration Form (Department Copy)
Name

University Roll No.

Program: B. Tech Semester:

Department:

Summer Course Title:

Registration fee:

Resident: Hostler/Non-Hostler Hostel Required Yes No

Email ID Mobile no.

Date: Student Signature_____________________

Do you have Laptop ( Yes/No) If Yes, Pls. write the Configuration ____________________

Reg. No:

Registration Form (Student Copy)

Name

University Roll No:

Program:B. Tech Semester:

Department:

Summer Course Title:

Registration fee:

Resident: Hostler/Non-Hostler Hostel Required Yes No

Date: Coordinator Signature_____________________

Do you have Laptop ( Yes/No) If Yes, Pls. write the Configuration ____________________