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Btech Reg Form

DOON INSTITUTE OF ENGINEERING & TECHNOLOGY Affiliated To Uttarakhand Technical University, Dehradun Approved by AICTE, Ministry of HRD, Government ofIndia

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52 views

Btech Reg Form

DOON INSTITUTE OF ENGINEERING & TECHNOLOGY Affiliated To Uttarakhand Technical University, Dehradun Approved by AICTE, Ministry of HRD, Government ofIndia

Uploaded by

join2ravikant
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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DOON INSTITUTE OF ENGINEERING & TECHNOLOGY

Affiliated To Uttarakhand Technical University, Dehradun Approved by AICTE, Ministry of HRD, Government of India

B.TECH REGISTRATION FORM


(Mark the appropriate choice)

PERSONAL DETAILS
1. Name (In English Block Letters) : 2. Date of Birth : 3. Gender : 4. Father's Name : Occupation : Male Female

Mobile : Email : 5. Mother's Name :

Mother's Occupation :

CONTACT DETAILS 6. Permanent Address :

Email ID : Phone : 7. Correspondence Address: (O) (R) (M)

DOON INSTITUTE OF ENGINEERING & TECHNOLOGY


Affiliated To Uttarakhand Technical University, Dehradun Approved by AICTE, Ministry of HRD, Government of India

OTHER DETAILS 8. Course : B.Tech / Polytechnic Ist Year IInd Year (Diploma) 9. If B.Tech : CSE IT ECE ME EEE Civil

10. JEE Main Rank / Jeep All India Rank : State Rank : Overall Overall Category Category

11. Roll No. in Qualifying Exam: 12. Other Details: Class X% PCM% Applied For Bank Loan 13. Admission Category : 14. Seat Category: Through Counseling General Others (Specify) 15. Hostel: 16. Transportation: Required Required Not Required Not Required SC Yes Class XII % Graduation% No Management Counseling ST OBC

17. Source of Information about Doon Group of Institute. Hoardings Kiosks 18. Bank Name : Bank Draft No. Dainik Jagran Amar Ujala Times of India Others Internet

DOON INSTITUTE OF ENGINEERING & TECHNOLOGY


Affiliated To Uttarakhand Technical University, Dehradun Approved by AICTE, Ministry of HRD, Government of India

(Payable at P.N.B. Raiwala, in favour of D.I.E.T. Shyampur (Registration Fee Rs. 1,000 /- ) Passport Size Photograph

UPLOAD RECORDS 19. Please paste your recent Photograph:

20. Signature of Candidate :

_________________________________________________

Name :

Date :

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