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Ch. Brahm Prakash Govt. Engineering College Jaffarpur, Delhi-110073
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REGISTRATION FORM (For the students of 2nd/4th/6th/8th Semester commencing from 6th January 2020) (B.Tech Civil/IT Programme/Mechanical)
Name of the Student
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Your answer
Aadhar No.
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Your answer
GGSIPU Enrollment No.
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Your answer
Branch
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Choose
Civil
IT
Mechanical
Year
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Ist Year
2nd Year
3rd Year
4th Year
Mobile No. for call/SMS (10 digits)
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Your answer
Mobile No. for Whatsapp
Your answer
E-mail
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Your answer
Date of Birth
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MM
/
DD
/
YYYY
Gender
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Choose
Male
Female
Other
Category
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Choose
General
SC
ST
OBC
EWS
Religion
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Choose
Hindu
Sikh
Buddist
Jain
Christian
Parsi
Muslim
Others(pls. specify)
Person with Disability (PWD)
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Choose
Yes
NO
Permanent Address with Pin code
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Your answer
Local Address with Pin code
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Your answer
State
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Your answer
Father's Name
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Your answer
Father's Telephone/Mobile No.
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Your answer
Father's Profession with Office Complete Address (postal Address) & Contact No.
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Your answer
Mother's Name & phone No.:
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Your answer
Mother's Profession with office complete Address(Postal Address)
Your answer
Name, Relationship and Address of Local Guardian (mandatory for outstation students) if any
Your answer
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