Registration Notice Jan 2018 s6h49
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Shaheed Bhagat Singh State Technical Campus Ferozepur Moga Road, Ferozepur-152004 REGISTRATION FORM FOR SEMESTER -- Jan-June, 2018 Hosteller/Day Scholar
Department Copy/Hostel Copy/Student Copy
To be filled by HOD/Competent Official (Tick the appropriate boxes) All documents attached Fee Payment Status Late Registration Fine Payment Status Registration Status
Yes Paid Not Applicable ed
Fee Category of Student
Tuition Fee Waiver
EWS
Registration Date No Pending Paid ed Provisionally SC/ST Post Matric
Pending Not ed General Fee
Signature and Stamp of HOD/Competent Official
Remarks, if any:
1.:Name of student ;……………………………….………….
Fix your posrt
2. University Roll Number:
Size Coloured
3. Course Name …………………
Photograph Here
4. Semester:……………….. 5. Fee and Fine Payment Details:
1.(Fee Details) Amount..................... Receipt No.:…………………….. Date......................................................... 2.(Late Registration Fine, if applicable) Amount .....................Receipt No.:…………… Date............................... 3. Pending Fee Details(if any)……………………………………………………………………………………………………………………………
6. Mobile Number:.......................................... 7. Number of Parents: 1 ............................. 2 ...................................... 8.
Is there a pending UMC case against you ? Yes/No (Tick one) If yes, attach affidavit in this regard in the prescribed format.
DECLARATION BY STUDENT I have checked that all the copies (Department Copy, Hostel Copy and Student Copy) of registration form are completely filled, with port size coloured photograph pasted on each copy. All the information filled by me in registration forms is correct. I have attached the following documents (Tick appropriate) with Department Copy of the form: (i) Copy of Fee Voucher/College Fee Receipt (ii) College Receipt of late fee, if applicable. (iii) Anti-ragging affidavits by the student and his/her parents separately in prescribed performa (iv) Copy of receipt of payment of pending dues (v) UMC Case affidavit, if applicable
Date
Signature of the Student
Shaheed Bhagat Singh State Technical Campus Ferozepur Moga Road, Ferozepur-152004 DETAINEE REGISTRATION FORM FOR SEMESTER ---- Jan-June, 2018
Hosteller/Day Scholar
ODA Copy/Department Copy/Student Copy
To be filled by HOD/Competent Official (Tick the appropriate boxes) All documents attached Fee Payment Status Not Needed Late Registration Fine Payment Status Registration Status
Yes Paid Not Applicable ed
Fee Category of Student
Tuition Fee Waiver
EWS
Registration Date No Pending Paid ed Provisionally SC/ST Post Matric
Pending Not ed General Fee
Signature and Stamp of HOD/Competent Official
Remarks, if any:
1. : :Name of student ;……………………………
Fix your posrt
2. University Roll Number:
Size Coloured
3. Course Name …………………
Photograph Here
4. Current Semester (Circle Appropriate):. II, IV, VI, VIII, X, XII, XIV
5. Fee and Fine Payment Details: (Only students of current semester X, XII and XIV require to pay fee) 1.(Fee Details) Amount..................... Receipt No.:………………………………. Date............................................... 2.(Late Registration Fine, if applicable) Amount
..................... Receipt No.:……………….. Date..........................
6. Mobile Number:.......................................... 2.....................................
7. Number of Parents: 1..................................... 8.
.
Is there a pending UMC case against you ? Yes/No (Tick one) If yes, attach affidavit in this regard in the prescribed format.
Semester of Course Detention Code
Theory/ Practical
Faculty Member Allotted (To be filled by Department)
DECLARATION BY STUDENT I have checked that all the copies (Academic Copy, Department Copy and Student Copy) of registration form are completely filled, with port size coloured photograph pasted on each copy. All the information filled by me in registration forms is correct. I have attached the following documents (Tick appropriate) with Department Copy of the form: (i) Copy of Fee Voucher; (ii) College Receipt of late fee and (iii) UMC Case affidavit, if applicable
Date
Signature of the Student
BANK COPY Jan 2018-June2018 SBSSTC,FZR (Shaheed Bhagat Singh State Technical Campus) Director SBSSTC, Ferozepur
Accont Name Bank Name No Branch IFSC CODE
HDFC BANK 50200019823642 FEROZEPUR CANTT HDFC0002783
DEPTT COPY Jan 2018-June2018 SBSSTC,FZR (Shaheed Bhagat Singh State Technical Campus) Director SBSSTC, Ferozepur
Accont Name Bank Name No Branch IFSC CODE
HDFC BANK 50200019823642 FEROZEPUR CANTT HDFC0002783
S SECTION COPY Jan 2018-June2018 SBSSTC,FZR (Shaheed Bhagat Singh State Technical Campus) Director SBSSTC, Ferozepur
Accont Name Bank Name No Branch IFSC CODE
HDFC BANK 50200019823642 FEROZEPUR CANTT HDFC0002783
STUDENT COPY Jan 2018-June2018 SBSSTC,FZR (Shaheed Bhagat Singh State Technical Campus) Director SBSSTC, Ferozepur
Accont Name Bank Name No Branch IFSC CODE
Student Name
Student Name
Student Name
Student Name
Father Name
Father Name
Father Name
Father Name
Roll No.
Roll No.
Category(pl Tick) Gen/Fee Waiver/SC & ST Semester& Branch
Category(pl Tick) Semester& Branch
Roll No.
Amount (In Words)
Amount (In Words)
Amount (In Words)
Amount (In Words)
By Cash/DD DD No. & Date Bank Name
By Cash/DD DD No. & Date Bank Name
By Cash/DD DD No. & Date Bank Name
By Cash/DD DD No. & Date Bank Name
Gen/Fee Waiver/SC & ST
Student Signature Received Amt
Category(pl Tick) Semester& Branch
Roll No. Gen/Fee Waiver/SC & ST
Student Signature Received Amt
Autho Signature
HDFC BANK 50200019823642 FEROZEPUR CANTT HDFC0002783
Category(pl Tick) Gen/Fee Waiver/SC & ST Semester& Branch
Student Signature Received Amt
Autho Signature
Student Signature Received Amt
Autho Signature
Autho Signature
If you have any problem please : Jatinder Singh ( Branch Manager): 93564-15612
If you have any problem please : Jatinder Singh ( Branch Manager): 93564-15612
If you have any problem please : Jatinder Singh ( Branch Manager): 93564-15612
If you have any problem please : Jatinder Singh ( Branch Manager): 93564-15612
Branch: 01632-242076
Branch: 01632-242076
Branch: 01632-242076
Branch: 01632-242076
BANK COPY Jan 2018-June2018 SBSSTC,FZR
DEPTT COPY Jan 2018-June2018 SBSSTC,FZR
SECTION COPY Jan 2018-June2018 SBSSTC,FZR
STUDENT COPY Jan 2018-June2018 SBSSTC,FZR
(Shaheed Bhagat Singh State Technical Campus)
(Shaheed Bhagat Singh State Technical Campus)
(Shaheed Bhagat Singh State Technical Campus)
(Shaheed Bhagat Singh State Technical Campus)
Accont Name Bank Name No Branch IFSC CODE
Director SBSSTC, Ferozepur
State Bank of India 65119587025 SBS College, Ferozepur SBIN0051175
Accont Name Bank Name No Branch IFSC CODE
Director SBSSTC, Ferozepur
State Bank of India 65119587025 SBS College, Ferozepur SBIN0051175
Accont Name Bank Name No Branch IFSC CODE
Director SBSSTC, Ferozepur
State Bank of India 65119587025 SBS College, Ferozepur SBIN0051175
Accont Name Bank Name No Branch IFSC CODE
Student Name
Student Name
Student Name
Student Name
Father Name
Father Name
Father Name
Father Name
Roll No.
Roll No.
Roll No.
Roll No.
Category(pl Tick)
Gen/Fee Waiver/SC & ST
Category(pl Tick)
Gen/Fee Waiver/SC & ST
Category(pl Tick)
Gen/Fee Waiver/SC & ST
Category(pl Tick)
Semester& Branch
Semester& Branch
Semester& Branch
Semester& Branch
Amount (In Words)
Amount (In Words)
Amount (In Words)
Amount (In Words)
By Cash/DD DD No. & Date Bank Name
By Cash/DD DD No. & Date Bank Name
By Cash/DD DD No. & Date Bank Name
By Cash/DD DD No. & Date Bank Name
Student Signature Received Amt
Student Signature Received Amt
Autho Signature
Student Signature Received Amt
Autho Signature
Director SBSSTC, Ferozepur
State Bank of India 65119587025 SBS College, Ferozepur SBIN0051175
Gen/Fee Waiver/SC & ST
Student Signature Received Amt
Autho Signature
Autho Signature
Department Copy/Hostel Copy/Student Copy
To be filled by HOD/Competent Official (Tick the appropriate boxes) All documents attached Fee Payment Status Late Registration Fine Payment Status Registration Status
Yes Paid Not Applicable ed
Fee Category of Student
Tuition Fee Waiver
EWS
Registration Date No Pending Paid ed Provisionally SC/ST Post Matric
Pending Not ed General Fee
Signature and Stamp of HOD/Competent Official
Remarks, if any:
1.:Name of student ;……………………………….………….
Fix your posrt
2. University Roll Number:
Size Coloured
3. Course Name …………………
Photograph Here
4. Semester:……………….. 5. Fee and Fine Payment Details:
1.(Fee Details) Amount..................... Receipt No.:…………………….. Date......................................................... 2.(Late Registration Fine, if applicable) Amount .....................Receipt No.:…………… Date............................... 3. Pending Fee Details(if any)……………………………………………………………………………………………………………………………
6. Mobile Number:.......................................... 7. Number of Parents: 1 ............................. 2 ...................................... 8.
Is there a pending UMC case against you ? Yes/No (Tick one) If yes, attach affidavit in this regard in the prescribed format.
DECLARATION BY STUDENT I have checked that all the copies (Department Copy, Hostel Copy and Student Copy) of registration form are completely filled, with port size coloured photograph pasted on each copy. All the information filled by me in registration forms is correct. I have attached the following documents (Tick appropriate) with Department Copy of the form: (i) Copy of Fee Voucher/College Fee Receipt (ii) College Receipt of late fee, if applicable. (iii) Anti-ragging affidavits by the student and his/her parents separately in prescribed performa (iv) Copy of receipt of payment of pending dues (v) UMC Case affidavit, if applicable
Date
Signature of the Student
Shaheed Bhagat Singh State Technical Campus Ferozepur Moga Road, Ferozepur-152004 DETAINEE REGISTRATION FORM FOR SEMESTER ---- Jan-June, 2018
Hosteller/Day Scholar
ODA Copy/Department Copy/Student Copy
To be filled by HOD/Competent Official (Tick the appropriate boxes) All documents attached Fee Payment Status Not Needed Late Registration Fine Payment Status Registration Status
Yes Paid Not Applicable ed
Fee Category of Student
Tuition Fee Waiver
EWS
Registration Date No Pending Paid ed Provisionally SC/ST Post Matric
Pending Not ed General Fee
Signature and Stamp of HOD/Competent Official
Remarks, if any:
1. : :Name of student ;……………………………
Fix your posrt
2. University Roll Number:
Size Coloured
3. Course Name …………………
Photograph Here
4. Current Semester (Circle Appropriate):. II, IV, VI, VIII, X, XII, XIV
5. Fee and Fine Payment Details: (Only students of current semester X, XII and XIV require to pay fee) 1.(Fee Details) Amount..................... Receipt No.:………………………………. Date............................................... 2.(Late Registration Fine, if applicable) Amount
..................... Receipt No.:……………….. Date..........................
6. Mobile Number:.......................................... 2.....................................
7. Number of Parents: 1..................................... 8.
.
Is there a pending UMC case against you ? Yes/No (Tick one) If yes, attach affidavit in this regard in the prescribed format.
Semester of Course Detention Code
Theory/ Practical
Faculty Member Allotted (To be filled by Department)
DECLARATION BY STUDENT I have checked that all the copies (Academic Copy, Department Copy and Student Copy) of registration form are completely filled, with port size coloured photograph pasted on each copy. All the information filled by me in registration forms is correct. I have attached the following documents (Tick appropriate) with Department Copy of the form: (i) Copy of Fee Voucher; (ii) College Receipt of late fee and (iii) UMC Case affidavit, if applicable
Date
Signature of the Student
BANK COPY Jan 2018-June2018 SBSSTC,FZR (Shaheed Bhagat Singh State Technical Campus) Director SBSSTC, Ferozepur
Accont Name Bank Name No Branch IFSC CODE
HDFC BANK 50200019823642 FEROZEPUR CANTT HDFC0002783
DEPTT COPY Jan 2018-June2018 SBSSTC,FZR (Shaheed Bhagat Singh State Technical Campus) Director SBSSTC, Ferozepur
Accont Name Bank Name No Branch IFSC CODE
HDFC BANK 50200019823642 FEROZEPUR CANTT HDFC0002783
S SECTION COPY Jan 2018-June2018 SBSSTC,FZR (Shaheed Bhagat Singh State Technical Campus) Director SBSSTC, Ferozepur
Accont Name Bank Name No Branch IFSC CODE
HDFC BANK 50200019823642 FEROZEPUR CANTT HDFC0002783
STUDENT COPY Jan 2018-June2018 SBSSTC,FZR (Shaheed Bhagat Singh State Technical Campus) Director SBSSTC, Ferozepur
Accont Name Bank Name No Branch IFSC CODE
Student Name
Student Name
Student Name
Student Name
Father Name
Father Name
Father Name
Father Name
Roll No.
Roll No.
Category(pl Tick) Gen/Fee Waiver/SC & ST Semester& Branch
Category(pl Tick) Semester& Branch
Roll No.
Amount (In Words)
Amount (In Words)
Amount (In Words)
Amount (In Words)
By Cash/DD DD No. & Date Bank Name
By Cash/DD DD No. & Date Bank Name
By Cash/DD DD No. & Date Bank Name
By Cash/DD DD No. & Date Bank Name
Gen/Fee Waiver/SC & ST
Student Signature Received Amt
Category(pl Tick) Semester& Branch
Roll No. Gen/Fee Waiver/SC & ST
Student Signature Received Amt
Autho Signature
HDFC BANK 50200019823642 FEROZEPUR CANTT HDFC0002783
Category(pl Tick) Gen/Fee Waiver/SC & ST Semester& Branch
Student Signature Received Amt
Autho Signature
Student Signature Received Amt
Autho Signature
Autho Signature
If you have any problem please : Jatinder Singh ( Branch Manager): 93564-15612
If you have any problem please : Jatinder Singh ( Branch Manager): 93564-15612
If you have any problem please : Jatinder Singh ( Branch Manager): 93564-15612
If you have any problem please : Jatinder Singh ( Branch Manager): 93564-15612
Branch: 01632-242076
Branch: 01632-242076
Branch: 01632-242076
Branch: 01632-242076
BANK COPY Jan 2018-June2018 SBSSTC,FZR
DEPTT COPY Jan 2018-June2018 SBSSTC,FZR
SECTION COPY Jan 2018-June2018 SBSSTC,FZR
STUDENT COPY Jan 2018-June2018 SBSSTC,FZR
(Shaheed Bhagat Singh State Technical Campus)
(Shaheed Bhagat Singh State Technical Campus)
(Shaheed Bhagat Singh State Technical Campus)
(Shaheed Bhagat Singh State Technical Campus)
Accont Name Bank Name No Branch IFSC CODE
Director SBSSTC, Ferozepur
State Bank of India 65119587025 SBS College, Ferozepur SBIN0051175
Accont Name Bank Name No Branch IFSC CODE
Director SBSSTC, Ferozepur
State Bank of India 65119587025 SBS College, Ferozepur SBIN0051175
Accont Name Bank Name No Branch IFSC CODE
Director SBSSTC, Ferozepur
State Bank of India 65119587025 SBS College, Ferozepur SBIN0051175
Accont Name Bank Name No Branch IFSC CODE
Student Name
Student Name
Student Name
Student Name
Father Name
Father Name
Father Name
Father Name
Roll No.
Roll No.
Roll No.
Roll No.
Category(pl Tick)
Gen/Fee Waiver/SC & ST
Category(pl Tick)
Gen/Fee Waiver/SC & ST
Category(pl Tick)
Gen/Fee Waiver/SC & ST
Category(pl Tick)
Semester& Branch
Semester& Branch
Semester& Branch
Semester& Branch
Amount (In Words)
Amount (In Words)
Amount (In Words)
Amount (In Words)
By Cash/DD DD No. & Date Bank Name
By Cash/DD DD No. & Date Bank Name
By Cash/DD DD No. & Date Bank Name
By Cash/DD DD No. & Date Bank Name
Student Signature Received Amt
Student Signature Received Amt
Autho Signature
Student Signature Received Amt
Autho Signature
Director SBSSTC, Ferozepur
State Bank of India 65119587025 SBS College, Ferozepur SBIN0051175
Gen/Fee Waiver/SC & ST
Student Signature Received Amt
Autho Signature
Autho Signature
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