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Jaypee University of Information
Technology
(Established by H.P. State Legislative Vide Act No. 14 of 2002)
REGISTRATION FORM
5th
Convocation for 2011,2012,2013,2014 Pass out Batch B.Tech, M.Tech,
M.Pharma and PhD on- 24th November 2014
1.
Name in English (In Capital Letters)____________________________
2.
Enrolment Number__________________________________
3.
Department______________________________________
4.
Programme of Study: B. Tech./M.Tech/M.Pharma/Ph.D _______
5.
Current Mailing Address___________________________________
6.
Current Mobile No______________________
7.
E-mail __________________________
8.
Term Deposit:
9.
Arrival Detail:_________________________
10.
Departure Schedule:______________________________
11.
Convocation Dinner 24th Night:
12.
Any other Information:___________________________
Rs. 1500/- (At the time of Registration)
Attending / Not Attending
Signature
Information to be provided on email
:
vinay.srivastava@juit.ac.in
Latest by 17th November 2014
:
atul.pooni@juit.ac.in
Note: Reporting Time 7.00AM on 24th November 2014, Those who have taken Degree are
required to bring their Degrees in Originals to be presented in the Convocation.