Student's Copy
NATIONAL INSTITUTE OF TECHNOLOGY PATNA
Form(s) with one set of enclosure be submitted to faculty Advisor of the Department
Session: Date of Submission :
Details of fees deposited : By DD/Challan Roll No
DD/Receipt No.: Enrolment No.:
Total Amount Rs.: Dept./Branch:
Bank: Semester:
Date of Deposit: Program: Ph.D / M.Tech / M.Tech-DD /
B.Tech / B.Arch. / Int. MSc.
Name : In CAPITAL letter as in Matriculation (10th Certificate)
(in English}
Name in HINDI (in HINDI)
Date of Birth :
Address for Correspondence:
Phone No. (With STD code):
Mobile No.:
E-mail ID:
Request for Course Registration : S.No Course
Code Course Title(s) L-T-P Credit
1.
2.
3.
4.
6..
7.
Online Course opted through (SWAYAN, MOOC, NPTEL) 8.
9.
10
Backlog course(s) with "X" Grade being offered in current Semester and Branch 1.
2.
3
Non-Collegiate candidate : Backlog Courses ("F" or "I" grade) with Internal marks as of previous End semester Exam :
1.
2.
Student's Signature Faculty Advisor's Signature HOD's Signature Enclosure(s): Proof of payment of registration fee.
1.
Department’s Copy
NATIONAL INSTITUTE OF TECHNOLOGY PATNA
Form(s) with one set of enclosure be submitted to faculty Advisor of the Department
Session: Date of Submission :
Details of fees deposited : By
DD/Challan Roll No
DD/Receipt No.: Enrolment No.:
Total Amount Rs.: Dept./Branch:
Bank: Semester:
Date of Deposit: Program:
Ph.D / M.Tech / M.Tech-DD / B.Tech / B.Arch. / Int. MSc.
Name : In CAPITAL letter as in Matriculation (10th Certificate)
(in English}
Name in HINDI (in HINDI)
Date of Birth :
Address for Correspondence:
Phone No. (With STD code):
Mobile No.:
E-mail ID:
Request for Course Registration : S.No Course
Code Course Title(s) L-T-P Credit
1.
2.
3.
4.
5.
6..
7.
8.
9.
10.
Backlog course(s) with "X" Grade being offered in current Semester and Branch 1.
2.
3.
Non-Collegiate candidate : Backlog Courses ("F" or "I" grade) with Internal marks as of previous End semester Exam :
1.
2.
Student's Signature Faculty Advisor's Signature HOD's Signature Enclosure(s): Proof of payment of registration fee.
2.
Dean’s Copy
NATIONAL INSTITUTE OF TECHNOLOGY PATNA
Form(s) with one set of enclosure be submitted to faculty Advisor of the Department
Session: Date of Submission :
Details of fees deposited : By DD/Challan Roll No
DD/Receipt No.: Enrolment No.:
Total Amount Rs.: Dept./Branch:
Bank: Semester:
Date of Deposit: Program:
Ph.D / M.Tech / M.Tech-DD / B.Tech / B.Arch. / Int. MSc.
Name : In CAPITAL letter as in Matriculation (10th Certificate)
(in English}
Name in HINDI (in HINDI)
Date of Birth :
Address for Correspondence:
Phone No. (With STD code):
Mobile No.:
E-mail ID:
Request for Course Registration : S.No. Course
Code Course Title(s) L-T-P Credit
1.
2.
3.
4.
5.
6..
7.
Online Course opted through (SWAYAN, MOOC, NPTEL) 8.
8. 9.
10.
Backlog course(s) with "X" Grade being offered in current Semester and Branch 1.
2.
3.
Non-Collegiate candidate : Backlog Courses ("F" or "I" grade) with Internal marks as of previous End semester Exam :
1.
2.
Student's Signature Faculty Advisor's Signature HOD's Signature
Enclosure(s): Proof of payment of registration fee.
3.
