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NATIONAL INSTITUTE OF TECHNOLOGY KARNATAKA, SURATHKAL

COURSE REGISTRATION FORM

(Student Copy)

Reg No.: 13621813ME123 Dept.: Mechanical Semester & Programme: VII - B Tech

Name of Student.: Ashwin Ramanujam Fee Receipt No.: Fee Structure not alloted

Sl. No. Course No. Course Title CreditsCourse Instructor's

Name

Signature of

Instructor

1 ME401 Mechanical Lab-II 1

2 ME440 Practical Training 2

3

4

5

6

7

8

9

10

Signature of Student* Signature of Faculty Advisor*Signature of HOD*

with Seal

Date: 05-May-2016 06:09:10 AM

D / U / cU / W - options

Sl. No. Course No. Course Title Credits D/U/cU/WSignature of

Faculty Advisor

Signature of

Instructor

1

2

3

4

5

6

7

8

9

10

D:Drop U:Audit cU:Credit-Audit Conversion W:Withdrawal

Signature of Student** Signature of Faculty Advisor**Signature of HOD**

with Seal

# It is mandatory for a student to preserve this card as a proof of his / her registration till the end of the programme.

* To be signed by the student as soon as he/she completes the registration of all the courses and by the faculty advisor, the HOD after the last day of

late registration announced in the academic calendar.

** To be signed by the student, faculty advisor and the HOD at the end of each semester afterverifying the options exercised by the student and to be

returned to the student at the end of the semester.

#

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