Student Registration Number:____________
Course : TQ / ATQ / Diploma / Degree
Name of Swadhyay Kendra:
_____________________Semester : 1/ 2/ 3
/ 4/ 5/ 6 / 7/ 8
Address:________________________________________________________
________________________________________________________________
___________ ___________
___________ ___________ Pin ___________
Phone No:____________________
Mobile No: _________________________
Email Id:________________________________
Subject Name:_________________________________________
________________
I hereby declare that the
attached assignment is my own work
Signature :_____________ Date: ___________
__________
________________________________________________________________
For Office Use only:
Remark by Guide (only for Re-admission Students):_____________________
________________________________________________________________
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