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Form No DAV INSTITUTE OF ENGG & TECHNOLOGY Kabir Nagar, Jalandhar-144008 Application form for admission to 180 9001-2008 certified B.Tech-2™ year (3 Semester) ww davietia.org MANAGEMENT SEAT-LEET- 2010 1. Name = 2, Father’'sName: _ - Affix Latest 3h Mother's Name : Photograph & Date of Birth (Attach Proof) 5. Nationality 6. Correspondence : address Distt. State_ Tele. No. Mobile No. if (Diploma): | Name ofthe Branch of [Marks ]% arene Technical Board Engineering _|obtd. | age of certificates) | | | 8, Institution Last Attended 9. Claim for Management Seat: 10, References 2. a1. Preference order: a (Discipline wise) Discipline 2 2) Comp. Science & Engg. 2) dvilEngg ED 3) Electronics & comm...Engg. 4) Elect. Engg. 5) Information Tech. 6) Mech. Engg Date. Signature of applicant Note: Only short-listed candidates will be called for counseling