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B Tech Regis Form

This document is a registration form for admission to the B.Tech degree programs at Ajay Kumar Garg Engineering College (AKGEC) located in Ghaziabad, India. The form collects information such as the applicant's name, address, academic qualifications, entrance exam scores, branch preferences, and required documents. The applicant must declare that the information provided is accurate and that they agree to abide by the rules and regulations of the affiliated university and college.

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Abhinav Chaudhary
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87 views4 pages

B Tech Regis Form

This document is a registration form for admission to the B.Tech degree programs at Ajay Kumar Garg Engineering College (AKGEC) located in Ghaziabad, India. The form collects information such as the applicant's name, address, academic qualifications, entrance exam scores, branch preferences, and required documents. The applicant must declare that the information provided is accurate and that they agree to abide by the rules and regulations of the affiliated university and college.

Uploaded by

Abhinav Chaudhary
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 RTF, PDF, TXT or read online on Scribd
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AKGEC / PAD / FM / 01 REV No. 01 Form No.

Registration No. (For office use)

AJAY KUMAR GARG ENGINEERING COLLEGE


27th Km. Stone, Delhi-Hapur By Pass Road, P.O. Adhyatmik Nagar, Ghaziabad 201009 Phone : 0120 - 2762841 to 51 Fax : 0120 - 2762170 E-mail address : [email protected] (An ISO 9001:2008 Certified Institute)

B. Tech Registration Form


For admission to the degree programmes in AKGEC, recognized by A.I.C.T.E. and affiliated to Mahamaya Technical University. Noida. U.P. Branch Preferences : .7)..
Civil Engg. )

1). 2).... 3)... 4)...5)..6). (Branches Offered : ECE: Electronics & Comm. Engg., CSE: Computer Sc. & Engg., ME: Mechanical Engg.,
EN: Electrical & Electronics Engg. IT: Information Tech. EI: Elec. & Instrumentation, CE:

B. Tech Entrance Test: A) SEE UPTU Rank.. B) AIEEE / AIMCAT Rank...

Roll No Gen Rank Category Roll No.State Rank ..AIR

3) Any other exam


(mention name)

Roll no..Rank.

1. NAME IN FULL (CAPITAL LETTERS). 2. FATHERS NAME . 4. NATIONALITY .. 6. SEX: MALE / FEMALE 3. DATE OF BIRTH ... . 5. CATEGORY: GEN / SC / ST / OBC 7. STATE OF DOMICILE

8. PERMANENT ADDRESS

9. CORRESPONDENCE ADDRESS

10. LOCAL GUARDIAN ADDRESS

PIN CODE TEL. NO.

PIN CODE TEL.. NO.

PIN CODE TEL. NO.

11. ACADEMIC QUALIFICATION EXAMINATIO SCHOOL / BOARD / N PASSED COLLEGE UNIVERSITY 10 TH 12 TH GRADUATIO N

YEAR OF PASSING

OVERALL % age

PCM
% age

SUBJECTS TAKEN

ANY OTHER

12. Do you require hostel accommodation: Yes / No: . 13. The following documents must be enclosed with the application form: -

4) 5) 6) 7)

Photocopy of Mark-sheets of qualifying examination Photocopy of Certificate of Domicile (Other than U.P. Board) Photocopy of Caste Certificate (in case of any reserved category) Photocopy of valid rank letter (if applicable)

Declaration: I confirm that the information provided by me in this application form is accurate and correct. I understand that in the event of my admission, if any information provided here by me is found incorrect, my admission could be cancelled without notice. I further declare that I have never been debarred from any examination or rusticated by any Institution/ University. I also declare that I have not been convicted by any Court of Law in India or abroad at any time for any criminal offence and sentenced to imprisonment as well as no proceedings are pending against me. I further confirm and undertake to abide by the Rules and Regulations as framed from time to time by the Mahamaya Technical University, Noida as well as by the College. Signature: .

. For Office Use Only ..

The following documents must be enclosed with the application form: The following documents are received with the registration form: -

8) 9)

Photocopy of Mark-sheet of qualifying examination. Photocopy of Certificate of Domicile (Other than U.P. Board).

10) Photocopy of Caste Certificate (in case of any reserved category) 11) Photocopy of valid rank letter (if applicable)

Checked all the documents and found following discrepancies: 1. 2. 3. 4.

Signature & Date: ..


.

Mr. / Ms.

Fathers Name

is allowed to take admission in

Course

Branch

On

Seat, before

OR

Mr. / Ms. candidate /

is a disqualified

not interested to take admission due to

Date: Director

Head, Admissions Committee

AJAY KUMAR GARG ENGINEERING COLLEGE

27th Km. Stone, Delhi - Hapur By Pass Road, Ghaziabad 201 009 Website : akgec.org Phones : (0120) 2762841-51 (An ISO 9001:2008 Certified Institute)

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