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Admission Form

The document appears to be a registration/admission form for a government college of engineering and technology in Jammu. It collects personal details of the student like name, enrollment number, marks obtained in previous semesters, and any backlogs. The student affirms that the details provided are correct and that the registration is provisional pending declaration of previous semester results.
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0% found this document useful (0 votes)
40 views2 pages

Admission Form

The document appears to be a registration/admission form for a government college of engineering and technology in Jammu. It collects personal details of the student like name, enrollment number, marks obtained in previous semesters, and any backlogs. The student affirms that the details provided are correct and that the registration is provisional pending declaration of previous semester results.
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
Download as docx, pdf, or txt
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GOVT.

COLLEGE OF ENGINEERING AND TECHNOLOGY, JAMMU

REGISTRATION/ ADMISSION FORM FOR B.E _______________SEMESTER

(A) 1. Name of the Student : ___________________________________________________________________

2. Father’s/ Guardian’s Name : ________ ______________________________________________________

3. Branch : _______________________________________________________________________________

4. Enrolment No :_______________ ___________________________________________________________

5. Date of Birth :_______________ ____________________________________________________________

6. Permanent Address : _____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

7.Phone No. (Landline/Moble) : _______________________________________________

8. Email Address: ___________________________________________________________

(B) 1. Marks in Qualifying Exam : _________________________________________________


2. Category : _______________________________________________________________
3. Marks in Entrance Examination : _____________________________________________
4. Marks obtained in (The Marks Sheets for each Semester to be attached) :
(a) 1st Semester : ___________________________________
(b) 2nd Semester : ___________________________________
(c) 3rd Semester : ___________________________________
(d) 4th Semester : ___________________________________
(e) 5th Semester : ___________________________________
(f) 6th Semester : ___________________________________
(g) 7th Semester : ___________________________________
5. Backlogs (if any) :

B.E 1st Semester : ___________________________________


B.E 2nd Semester : ___________________________________
B.E 3rd Semester : ___________________________________
B.E 4th Semester : ___________________________________
B.E 5th Semester : ___________________________________
B.E 6th Semester : ___________________________________
B.E 7th Semester : ___________________________________
6. University Roll No. B.E ____________________Semester : __________S/o,D/o.______________________
R/o _________________________________________________and a student of Government College of Engineering
and Technology, Jammu under Enrolment No. ____________________ hereby submit an application for provisional
registration/Admission in B.E __________________ Semester Course with the following affirmation and clear
understanding that :-
(a) The particulars given by me in the prescribed Registration/ Admission Form are correct.
(b) The registration to B.E _____________ Semester shall remain provisional till the result of B.E. 1 st, 2nd, 3rd,
4th, 5th, 6th and 7th Semester of University of Jammu declared and my eligibility for admission to the
________________ Semester course under the statues governing the Degree the Bachelor of
Engineering (B.E) prescribed by the University of Jammu is held valid.
(c) In case, I am found ineligible for promotion to the ________________Semester class at any time by the
College of University of Jammu authorities, my provisional admission to the _________ Semester class
stand automatically cancelled.
(d) I shall abide by all the rules and regulations made by the college and University of Jammu as per B.E
statues of University of Jammu.

Dated: _________________ Signature: ______________

Name: _________________

REMARKS OF THE H.O.D/ COURSE CO-ORDINATOR


On the basis of the undertaking given by the student at paras a, b, c and d above and performances of the student in
previous semesteral classes Mr. _____________________________Enrolment No. ________________ is hereby
recommended/ not recommended for provisional registration/ admission in the ______________semester class .

Signature

FOR USE IN THE ACCOUNTS SECTION


The above named student has paid the following dues for registration/ admission in the ________semester
vide cash Receipt No. ____________Dated : ________________
(i) College Semester Fee Rs._____________________
(ii) Any other fee Rs._____________________

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