Jaypee University of Information Technology (Established by H.P. State Legislative Vide Act No. 14 of 2002) REGISTRATION FORM 5th Convocation for 2011,2012,2013,2014 Pass out Batch B.Tech, M.Tech, M.Pharma and PhD on- 24th November 2014 1. Name in English (In Capital Letters)____________________________ 2. Enrolment Number__________________________________ 3. Department______________________________________ 4. Programme of Study: B. Tech./M.Tech/M.Pharma/Ph.D _______ 5. Current Mailing Address___________________________________ 6. Current Mobile No______________________ 7. E-mail __________________________ 8. Term Deposit: 9. Arrival Detail:_________________________ 10. Departure Schedule:______________________________ 11. Convocation Dinner 24th Night: 12. Any other Information:___________________________ Rs. 1500/- (At the time of Registration) Attending / Not Attending Signature Information to be provided on email : [email protected] Latest by 17th November 2014 : [email protected] Note: Reporting Time 7.00AM on 24th November 2014, Those who have taken Degree are required to bring their Degrees in Originals to be presented in the Convocation.
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