CHAITANYA BHARATHI INSTITUTE OF TECHNOLOGY

Chaitanya Bharathi Post, Gandipet, Hyderabad-500 075 Ph.No. 040-24193276/77/79/80 Fax: 040-24193278 Email: principal@cbit.ac.in REGISTRATION FORM FOR ADMISSION TO M.E./M.TECH 2012-2013(B-CATEGORY) IMPORTANT NOTES: Candidates are advised 1) to fill in and submit separate application for (a) each branch of engineering, if they are seeking admission in more than one course 2) to state clearly type of admission GATE/PGECET 3) to enclose attested photocopy of GATE/PGECET score/rank card/qualifying examination certificate/experience 4) to enclose the registration fee in the form of DD for Rs.500/- drawn in favour of Principal, CBIT. Last date for submission of registration form along with above stated copies in CBIT is 22/11/2012 (4:00 PM) 1. Registration for admission to course (s) (Tick mark appropriate course) a) c) ME (Civil) (Structural Engg.) ME (ECE) (Communication Engg.) M.Tech (CSE) (Computer Science Engg.) b) d) ME (MECH) (CAD/CAM) ME (EEE) (Power Systems & Power Electronics) ME (ECE) (Embedded Systems and VLSI Design)

e)

f)

g)

ME (MECH) (Thermal Engineering)

2. Registration Fee Particulars Amount Rs.500/D.D.No.&Date Bank

3. GATE/PGECET Particulars GATE/PGECET HALL TICKET No. GATE SCORE/ PGECET RANK

4. Qualifying Examination Particulars : B.E./B.TECH /OTHERS UNIVERSITY MONTH & YEAR Branch MARKS SECURED & %

5. EXPERIENCE Name & Address of the Organization Date of Joining

6. Name of the Applicant: 7. Fathers /Guardian Name 8. Date of Birth (According to S.S.C. or equivalent): 9. Address for Correspondence : with Ph. No. & E-mail address

: :

DECLARATION Certified that the information furnished in the Registration form is true and correct to the best of my knowledge. I fully understand my admission will stand cancelled in case of information furnished by me is found to be false at any stage.

Place: Signature of the Candidate

Date:

Signature of the Father/Guardian