SUPPLEMENTARY EXAMINATION-2015-16
ID No……..………….
Registration Form
MALAVIYA NATIONAL INSTITUTE OF TECHNOLOGY JAIPUR 302017
Provisional Registration Form for Supplementary Examination by UG students
(For students of 2011 & prior batches only)
PERSONAL
Student ID
Name (in CAPITAL)
Department
Mobile No.:
E-mail
COURSE REGISTRATION
CGPA scored up-till this semester Even Semester 2015-16:
Course
Code
Course Name
Credit
Previous
Grade
Awarded
(Complete
History)
*Give Details of Exam
including Year,
Semester, Name of
Teacher who taught
You
Back exam/
Improvement
(specify)
* Attach grade sheet of all exams that you have appeared in up till now. In case you have not received
all the grade sheets mention that also and attach whichever have been issued to you till date.
Head of Fee
Fee amount (Rupees)
(To be deposited through ERP login only)
Registration and Examination Fee
Rs. 5000.00
Online transaction number
UNDERTAKING
I have fulfilled the attendance requirements in the regular semester for the registered course/s in supplementary examination. I
………………………………………… student ID ……………………….state that I will be bound by rules of MNIT Jaipur during
the examination at MNIT Jaipur.
Date.......................
Date:
Signature of the Candidate
Signature and Name of DUGC Convener (Approved by DUGC Convener)
Dealing Assistant (Academic Section)