consent2015.docx_1426667132803

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Dr B R AMBEDKAR NATIONAL INSTITUTE OF TECHNOLOGY G T Road Bye Pass, Jalandhar 144011(Punjab) India 10 th Convocation 4 April 2015 (CONSENT FORM FOR ATTENDING THE CONVOCATION) Name :_________________________ Programme : (BTech/MTech/MSc/PhD): ________________ Roll No. :_________________ Year of Passing:____________________ Branch :________________ NoDues Cleared: Yes/No Whether attending the Convocation ________ (Yes) ___________ (No) (Please Tick) Current Postal Address: ____________________________________________________________________________________ ____________________________________________________________________________________ Pin Code: ____________ E Mail id: ____________________ Mobile _______________ (Signature of the Candidate) PS: Please ensure that you have cleared all the institute dues and deposited the NoDues certificate in Academic Section. x For any type of queries related to BTech/MTech/MSc/PhD please contact Mrs Sarita/Mr Sunil Arora/Mrs Raminder Kaur/Mrs Pratibha Mehta/Mr Bhupinder Singh or call at 01812690301, 3082000 Ext1711, 1712. Note: ¾ Interested Candidates will have to attend a compulsory dress rehearsal on 3 April 2015 at 2:30 pm, failing which, they will not be allowed to attend the convocation under any circumstances. ¾ Due to shortage of accommodation in the Institute Guest House, no request for accommodation in the Institute Guest House will be entertained. ¾ No guest will be allowed inside the Convocation Hall. ¾ The consent form must be sent to Academic Section through email at [email protected]

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  • DrBRAMBEDKARNATIONALINSTITUTEOFTECHNOLOGY

    GTRoadByePass,Jalandhar144011(Punjab)India

    10thConvocation4April2015

    (CONSENTFORMFORATTENDINGTHECONVOCATION)

    Name:_________________________

    Programme:(BTech/MTech/MSc/PhD):________________

    RollNo.:_________________YearofPassing:____________________

    Branch:________________ NoDuesCleared:Yes/No

    WhetherattendingtheConvocation________(Yes)___________(No)(PleaseTick)

    CurrentPostalAddress:

    ____________________________________________________________________________________

    ____________________________________________________________________________________

    PinCode:____________ EMailid:____________________ Mobile_______________

    (SignatureoftheCandidate)

    PS: Please ensure that you have cleared all the institute dues and deposited the NoDuescertificateinAcademicSection.

    For any type of queries related to BTech/MTech/MSc/PhD please contact Mrs Sarita/Mr Sunil Arora/Mrs

    RaminderKaur/MrsPratibhaMehta/MrBhupinderSinghorcallat01812690301,3082000Ext1711,1712.

    Note:

    InterestedCandidateswillhavetoattendacompulsorydressrehearsalon3April2015at2:30pm,failingwhich,theywillnotbeallowedtoattendtheconvocationunderanycircumstances.

    DuetoshortageofaccommodationintheInstituteGuestHouse,norequestforaccommodationintheInstitute

    GuestHousewillbeentertained.

    NoguestwillbeallowedinsidetheConvocationHall.

    TheconsentformmustbesenttoAcademicSectionthroughemailatconvocations@nitj.ac.in