Dr B R AMBEDKAR NATIONAL INSTITUTE OF TECHNOLOGY

G T Road Bye Pass, Jalandhar -144011(Punjab) India

10th Convocation - 4 April 2015

(CONSENT FORM FOR ATTENDING THE CONVOCATION)

Name : Ranveer Dhawan

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

Roll No. :10104064 Year of Passing: 2014

Branch :ECE No-Dues Cleared: Yes/No - Yes Cleared

Whether attending the Convocation _____YES _Attending__ (Yes) (Please Tick)

Current Postal Address: Dhawan Niwas, House No 3405 , Ward No 13, MAMERAN ROAD ELLENABAD,

PIN 125102 Sirsa , Haryana

Pin Code: 125102 E Mail id: ranveerdhawan@gmail.com Mobile +919643155457

(Signature of the Candidate)

PS: Please ensure that you have cleared all the institute dues and deposited the No-Dues

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 0181-2690301, 3082000-

Ext-1711, 1712.