GOVERNMENT INSTITUTE OF ELECTRONICS

SECUNDERABAD. A.P
(Autonomous)

EXAMINATION REGISTRATION FORM

(For Regular students)

Name of the student :

PIN No. :
Semester : Photo
graph
Branch of Engineering :
Shift :
Number of Credits :
Registration fee :
(No. of Credits x Rs.15/-)
Cost Memo of Marks : Rs.20/-
Total Amount :
I hereby certify that I am aware that payment of registration Fee does not entitle me to
sit/ appear for examination, unless I fulfill all other regulations of eligibility like
attendance etc., I am also aware that I have to forego the fee paid, if I am not eligible to
sit for the examination(s) for one reason or the other.
Signature of the Student

Payment Details
Account No. : 3094340071
Bank : Central Bank of India,
Marredpally Branch,
Date of Payment :
Amount :
Initials of Bank Official
Registration Details

Date of Registration: Initials of Staff

___________________________________________________________
CERTIFICATE
This is to certify that Sri/Kum. ______________________________
S/o D/o. ____________________________bearing PIN ________________ has
completed the prescribed course of study for appear to the examination the entries are
correct and he/she has put in the minimum attendance of 75% or is having an
attendance of 65% and paid the condonation fee and thus eligible to appear for the
examination.

Staff Incharge Head of Section PRINCIPAL.

 GOVERNMENT INSTITUTE OF ELECTRONICS
SECUNDERABAD. A.P
(Autonomous)
DUPLICATE HALL TICKET
(To be filled by the candidate)

Month & Year of Exam :

Scheme : C-05 / 09
Course : AFFIX
PHOTO
PIN :
Name of the Candidate :
Father’s Name :
Semester :
WHOLE EXAMINATION

Marks of Identification 1)
(As per SSC) 2)

Signature of the Candidate PRINCIPAL

----------------------------------------------------------------------------------

GOVERNMENT INSTITUTE OF ELECTRONICS

SECUNDERABAD. A.P
(Autonomous)
ORIGINAL HALL TICKET
(To be filled by the candidate)

Month & Year of Exam :

Scheme : C-05 / 09
Course : AFFIX
PHOTO
PIN :
Name of the Candidate :
Father’s Name :
Semester :
WHOLE EXAMINATION

Marks of Identification 1)
(As per SSC) 2)

Signature of the Candidate PRINCIPAL

GOVERNMENT INSTITUTE OF ELECTRONICS
SECUNDERABAD. A.P
(Autonomous)

EXAMINATION REGISTRATION FORM

(For Back log candidates)

Name of the student :

PIN No. :
Semester : Photo
graph
Branch of Engineering :
Shift :
Examination Fee : Rs.400/-
Cost Memo of Marks : Rs.20/-
Total Amount : Rs.420/-
Signature of the Candidate
Note: Please enclose the Xerox copy of Failed Marks of memo, for the subjects to be appeared.

Payment Details
Account No. : 3094340071
Bank : Central Bank of India,
Marredpally Branch, Sec’bad
Date of Payment :
Amount : Rs.420/- (Four hundred and Twenty only)
Initials of Bank Official
Registration Details

Date of Registration: Initials of Staff

___________________________________________________________

CERTIFICATE

This is to certify that Sri/ Kum/ Smt.__________________________________

S/o/D/o,_______________________bearing PIN______________________
has completed the prescribed Course of study for appear to the examination. The
Entries are correct.

Staff Incharge Head of Section PRINCIPAL

 GOVERNMENT INSTITUTE OF ELECTRONICS
SECUNDERABAD. A.P
(Autonomous)
DUPLICATE HALL TICKET
(To be filled by the candidate)

Month & Year of Exam :

Scheme : C-05 / 09
Course : AFFIX
PHOTO
PIN :
Name of the Candidate :
Semester :
List of back log Subjects
S No Code S No Code S No Code
1 4 7
2 5 8
3 6 9

Marks of Identification 1)
(As per SSC) 2)

Signature of the Candidate PRINCIPAL

-----------------------------------------------------------------------------------

GOVERNMENT INSTITUTE OF ELECTRONICS

SECUNDERABAD. A.P
(Autonomous)
DUPLICATE HALL TICKET
(To be filled by the candidate)

Month & Year of Exam :

Scheme : C-05 / 09
Course : AFFIX
PHOTO
PIN :
Name of the Candidate :
Semester :
List of back log Subjects
S No Code S No Code S No Code
1 4 7
2 5 8
3 6 9

Marks of Identification 1)
(As per SSC) 2)

Signature of the Candidate PRINCIPAL