Date:
 
 
REGISTRATION FORM - B.Tech (1st Year/ 2nd Year) / MBA / MCA / Diploma (1st Year)
 

Sir,

I hereby apply for registration for admission in B.Tech (1st Year / 2nd Year) / MBA / MCA / Diploma (1st Year) for the session 2018-2019, I request you that my application may please be considered if there is any vacancy as per U.P. Govt / A.P.J.A.K. Technical University / College Rules.

Course Applied For :

My Particulars are as under:

My Particulars are as under:

Name Mr. /Ms.
Father’s Name
Occupation
Date of Birth
Category
Mailing Address
City
Email Address
Phone No
Mobile

Educational Qualification

Name of Examination Board / University Institute / College Year of Passing % Marks Obtained % in PCM Main Subjects
High School
Intermediate
Graduation
Diploma
Any Other
 

Entrance Examination Details (If Appeared)
UPSEE / JEECUP

Roll No.
Rank

DECLARATION:

I here by declare that the information given by me in this form is correct to the best of my knowledge and belief. I have not concealed any fact of material information and I duly possess the minimum prescribed qualification. I understand that in case anything is found contradictory or false, my registration may be cancelled. I shall abide by all terms, conditions, rules and regulations of the College/ University/ Government with regards to admissions.

I have understood that my application will be considered only if any seat is vacant as per A.P.J.A.K. Technical University norms, otherwise this application will automatically be cancelled. I understand that the registration fees is not refundable.