192017 Year of Course Branch Somes ‘Admission ‘Student's Name Date of Birth Father's Name Father's Annual Income Mother’ Mother's Annual Income Guard Fathor's / Guardian's Address =” Institute of Engineering & Technology, Lucknow Student Registratio 2015-2016 Bachelor of Technology (Chemical Engineering 7 Yes 150525100616, PHAGU LAL YADAV 2105/7994 SHRI RAM YADAV 224000 DEVANTI DEV! o ‘SHRI RAM YADAV VISHVASHARAIVA A BLOCK HOSTEL n Form ‘iD :- 2017002347 g Roll No Allotted 1505251906 Name in Unicode Hindi wor are age Gonder Male Father's Profession FARMER Mother's Profession HOUSE WIFE Guardian's Profession FARMER ROOM Father's) Guardian's aqujalyadav126@omall.com NUMBER 108 Email iD Country Inca State Uttar Pradesh CityPDistriet Lucknow, Pin Code-226021 Parent's mobile No: 9415125672 VISHVASHARAIVA A BLOCK HOSTEL ROOM Communication Address NUMBER 108 Pin Code 226021 Country Inia State Uttar Pradesh CityiDistriet Lucknow Student Mobile No, 9454259129 VILLAGE HITA KA PURA POST RASRA DIST ying Pin Code zine Country India State Uttar Pradesh City/Distrit Balla ‘s Local guardian's Local Guardian's Nar Local guar Whether Belongs To Minority? No Minority Details Belongs to Area Type Uroan caste AHIR ‘Actual Category osc Sub category Non-Creamy ‘Seat Allotted Under Category From Emergency Contact ‘SEE (¥ Applys) Be No. 7908698627 Domicile of State Uttar Pradesh ‘Admitted Through SEE ‘SEE Roll Noi Applys) 41108108 Is Fee Walver? No isa Yes Type of isabitty 2H hanclcapped in et Religion Hinduism Email id phagulalyadave4@gmaicom Nationality India Hobbies playing gossip Blood Group Ae Identification Mark MOLE ON CHEEK Other Details (if Any) (Other Inform ‘Aadhar No ‘307036097281 Is Residing in Hostel? Yos Hostel Name Vishweshraiya-A Hostel Room No. 106 Registering As Student Subject Choosen- Resi Regular ‘Sr. No.|Group Code| Subject Code ‘Subject Name [Subject Type] 1s (cHo72 [Environmental Polution Monitoring & Conia Theo 2 (ea [CHO73 [Process Utity ana Safety in Chemical Plants Theory 3 (CH701___ Process Modeling and Simulation [Theory a) \cH702 Plant Design and Economics [Theory 5 (OE (OEO71 [Entrepreneurship Development Theory 6 icH7s1 [CAD Lab Practical 7 (cH752 Project Practial 12wen017 3 ICH753__|Group Discussion ane Seminar Practical @ (CH754__lIndustal Training Viva-Voce Practical 10 (6. (GP701 |General Proficiency Practical Declaration undertake thatthe information furnished is tue to the best of my knowledge and belie. shall bear the consequences if any of them are found to be wrong, ‘Student's Signature 22