Scribd Logo
Upload

Welcome to Scribd!

  • JEE (Advanced) - 2013: Admission Withdrawal Form

    Uploaded by

    Kartik Dutta
    2 views1 page
    This document is an admission withdrawal form for JEE (Advanced)-2013. It contains sections for the candidate to provide their personal details such as name, roll number, all India rank, and contact information. It also has a section for the candidate to provide details of the admission such as the institute admitted to, branch admitted to, and round of course allocation. At the bottom is a declaration by the candidate that they are withdrawing their provisional admission and understand they will not be eligible for further counseling rounds in 2013.

    Original Description:

    WITHDRAWAL

    Original Title

    ADM

    Copyright

    © Attribution Non-Commercial (BY-NC)

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    This document is an admission withdrawal form for JEE (Advanced)-2013. It contains sections for the candidate to provide their personal details such as name, roll number, all India rank, and contact information. It also has a section for the candidate to provide details of the admission such as the institute admitted to, branch admitted to, and round of course allocation. At the bottom is a declaration by the candidate that they are withdrawing their provisional admission and understand they will not be eligible for further counseling rounds in 2013.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    2 views1 page

    JEE (Advanced) - 2013: Admission Withdrawal Form

    Uploaded by

    Kartik Dutta
    This document is an admission withdrawal form for JEE (Advanced)-2013. It contains sections for the candidate to provide their personal details such as name, roll number, all India rank, and contact information. It also has a section for the candidate to provide details of the admission such as the institute admitted to, branch admitted to, and round of course allocation. At the bottom is a declaration by the candidate that they are withdrawing their provisional admission and understand they will not be eligible for further counseling rounds in 2013.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    Annexure 3

    JEE(Advanced)-2013
    ADMISSION WITHDRAWAL FORM
    Bhubaneswar, Bombay, Delhi, Gandhinagar, Guwahati, Hyderabad, Indore, Kanpur, Kharagpur, Madras, Mandi, Patna, Rajasthan, Roorkee, Ropar, Varanasi and ISM Dhanbad

    NAME OF THE REPORTING IIT .

    A) PERSONAL DETAILS (To be filled by the Candidate) Name: . JEE(Advanced)-2013 Roll No.: All India Rank:. Gender: . Landline No: Postal Address:.. PIN Code Category Rank :.. Mobile No: .. E-mail address: ..

    B) DETAILS OF ADMISSION (To be filled by Candidate)

    Institute to which candidate admitted: .

    Branch in which candidate admitted:.

    Round of Course Allocation:.

    DD Details Amount: Bank Name and Branch: Date: DECLARATION I withdraw the provisional admission for the seat allotted through the Counseling of JEE (Advanced)-2013. I am aware that by doing this I will not be eligible for further rounds of counseling and seat allotment in 2013. I request you to kindly refund the initial fee after deductions as per rules.

    Signature of Candidate

    Signature of the Parent/Guardian

    You might also like