JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Provisional Registration Form (First Year/Second Semester 2020-2021)
G. B. PANT INSTITUTE OF ENGINEERING & TECHNOLOGY PAURI GARHWAL – 246194 (Uttarakhand)
* Indicates required question
Email
*
Your email
1. Student’s Name
*
Your answer
2. College Identification No.
*
Your answer
3. University Roll Number
*
Your answer
4. University Enrollment Number
*
Your answer
5. Course
*
B. Tech
MCA
M. Tech
6. Branch
*
ECE
CSE
EE
ME
CE
BT
ME (Manuf. Engg.)
CSE (AI & ML)
MCA
M. Tech (DSP)
M. Tech (BT)
M. Tech (CSE)
M. Tech (Production Engg.)
M. Tech (Power System)
M. Tech (Infrastructure Engg.)
M. Tech (Geotechnology)
7. Year
*
I
8. Semester
*
II
9. Father’s Name
*
Your answer
10. Mother’s Name
*
Your answer
11. Date of Birth
*
MM
/
DD
/
YYYY
12. Gender
*
Female
Male
Other:
13. Identification Mark
*
Your answer
14. Category
*
Your answer
15. Sub Category
*
Your answer
16. Permanent Address (with pin code)
*
Your answer
17. Mailing Address (with pin code)
*
Your answer
18. Mobile No. (Self)
*
Your answer
19. Mobile No. (Father/Mother)
*
Your answer
20. Aadhar Number (Self)
*
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
