S.No. |
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Name of Candidate:* |
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Father’s Name* |
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Date of Birth: |
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Course Applied for
(B.Tech/B.Pharma/MBA/MCA/B.H.M.C.T./M.Tech/PGDM) : |
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Following are the choices of my preference for admission in B. Tech course for the Academic Session 2008-2009. : |
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2
3
4.
5
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Residence Address |
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Telephone No. (R) : |
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| Mobile : |
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Office : |
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| E-mail address : |
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| Father’s Occupation |
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| Mother’s Occupation |
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| Merit Position : |
| (i) U.P. SEE 2008 Category Rank
State Rank
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| ii) AIEEE All India Rank
State Rank
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| (iii) % of 10+2 (PCM)
(PCB)
(Over All)
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| (iv) %Graduation
(MAT/CAT Score)
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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).
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| Reference |
(i)
(ii)
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*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.
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