THAPAR INSTITUTE OF ENGINEERING & TECHNOLOGY, PATIALA
(Deemed-to-be-University)
DISSERTATION /THESIS SUBMISSION FORM (ME/M.TECH/MSc/MA)
Department / School
:
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Name of student
:
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Roll No.
:
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Father’s name
:
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Address for Communication
:
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Session and Year of Admission
:
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Status (Regular / Part-time)
:
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Date of change of status
:
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(with date if applicable)
Sr.
Course No. Title of the Course
Grade /
No.
Marks
1.
2.
3.
4.
5.
6.
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9.
10.
11.
12.
Topic of the Dissertation / Thesis
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Name of the Supervisor
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Dissertation /Thesis Exam. Fee Receipt no. _________________________Date___________
Signature of student
Signature of Supervisor
Bank A/c detail for deposit of Thesis submission fee of Rs. 500/Bank Name
:
ICICI Bank Ltd.
Beneficiary Name
:
THAPAR INSTITUTE OF ENGINEERING & TECHNOLOGY, PATIALA
Bank Account No.
:
398101000011
IFSC code
:
ICIC0003981
Note: Thesis submission fee can also be paid via paytm.com under “Pay your Fees”