4 B-Tech NBA Accredited Programmes (Computer Science, Mechanical Engineering, Electronic & Communication Engineering, Electrical & Electronics Engineering)
 
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Application Form 2008-2009

S.No.
Date:
 Name of Candidate:*
 Father’s Name*
 Date of Birth:
 Course Applied for
(B.Tech/B.Pharma/MBA/MCA/B.H.M.C.T./M.Tech/PGDM) :
 Following are the choices of my preference for admission in B. Tech course for the Academic Session 2008-2009. :
1 2 3 4. 5
 Residence Address
 Telephone No. (R) :
Mobile :

Office :

E-mail address :
Father’s Occupation
(Company Name) (Designation)
Mother’s Occupation
Merit Position   :
(i)         U.P. SEE 2008    Category Rank State Rank
ii)         AIEEE                      All India Rank State Rank
(iii)       % of 10+2                (PCM) (PCB) (Over All)
(iv)       %Graduation        (MAT/CAT Score)     
I am enclosing herewith self attested photocopies of following
  • 10+2 Examination Marksheet.
  • UP State Entrance Examination Result.
  • AIEEE Result.
  • Graduation Marksheet .
  • ID/Address Proof (DL /Voter ID Card).
Reference

(i)                (ii)
                       

   

*I understand that admission to the College is based on merit and I will deposit the non-refundable fee and appear for interview/counseling before the Admission Committee.

 
Signature of Candidate       Signature of Parent/Guardian

     

 

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