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*Registration No.

Dr. BAMUP

Price Rs. 10/Seat No.

Serial No.

[For Office use only]

Dr. Babasaheb Ambedkar Marathwada University
FORM OF APPLICATION FOR ADMISSION TO THE FACULTY OF ENGINEERING & TECHNOLOGY EXAMINATION TO BE HELD IN MAY-JUNE/DECEMBER 200 .
BEFORE FILLING IN THE APPLICATION CANDIDATE SHOULD CAREFULLY READ EXPLANATORY NOTES (To be filled in by the candidate in capital letters)

1.PERSONAL DETAIL SURNAME : CANDIDATE’S NAME : FATHER’S/HUSBAND’S NAME : (As per eligibility certificate) ADDRESS : For Correspondence Home Address SEX : 1 MALE
3

2

FEMALE
NT /DT 4 VJ 5 OBC 6 OTHER

CASTE : 1 SC 2 ST

TICK AS √ ON APPROPRIATE BLOCK

Date of Birth FATHER’S/GUARDIAN’S INCOME PER ANNUM (Rs.) 2. DETAILS OF PREVIOUS LATEST EXAMINATION Name of Exam. Seat No. Month & Year College

Passed Sub.(s) University/Board Result

3. DEBARRED? UNIVERSITY / OTHER UNIVERSITY Yes/No University Examination Seat No.

Month & Year

Period

4. SUBJECT IN WHICH CANDIDATE TO BE EXAMINED
*F.E./S.E./T.E./B.E./M.E./M.C.A./Archi./B.Chem.Tech./B.Tech./Pharmacy(*)

*Regular/Ex. Candidate Eligibility No. Year and Date CENTRE : Part-I Subject Heads (T/P) ............................. ............................. ............................. ............................. ............................. Part-II Subject Heads (T/P) ....................... ....................... ....................... ....................... .......................

*Note :- Registration number is necessary

Date :

Signature of College Clerk

Signature of Candidate

3. . Enter short title of the subjects for which you are appearing and in the same sequence as mentioned in the syllabi Entry below (TP) be made as follows. . . . S.E. . . . 2. S. . or B. . . . if appearing at two Examinations simultaneously. . Ex/Co. . . (T). if appeared previously. ECT-Electronics & Telecommunication. c) When appearing for both. . form for each examination.. . 1. . . 5. . . . IT-Information Technology. 2. Any false or incorrect information given by the candidate. EC-Electronics. .E. . .E. qualifying (F. . 1. The information given by me is correct to the best of my knowledge and belief. . Signature of the candidate CERTIFICATE This is to certify that Shri/Smt. In case you are appearing at only one examination i.(2) I am eligible to appear at these Examinations..E. . M-Mechanical./Ku. Enter the lower Examination passed. T. 7. ./2002-2003 dated 12-8-2002 Explanatory Note * * ** * * Strike out whichever is not applicable.S. . if it is noticed that his / her admission to the examination/s and /or to the college is not as per rules. b) When appearing for Practical/Oral only . . .E.e. . . . 1. . Theory and Practical . . .. (Standard XII) Examination Marks-memo. . The latest Marks-Memo both the examinations. In case you are appearing simultaneously at two examinations . The candidate is advised to go through the Ordinances and Regulations (Published by University and available in publication unit) for details. . EEp-Electrical Electronics & Power. .(P). Write your name as entered H. . 6. Read the instructions on reversed for documents required. Date :. . Enter the branch code as : C-Civil. or T.e. a) When appearing for Theory only . INSTRUCTIONS TO THE CANDIDATES FOR FILLING APPLICATION FORM All entries must be in BLOCK CAPITAL and candidate’s own hand writing. . . . . . . . Place :.) Examination. . .. . . In-Instrumentation. . . P-Production. . . Use separate Exam. . . DOCUMENTS TO BE SUBMITTED ALONGWITH THE APPLICATION FORM A. has completed the prescribed percentage of attendance as regular student during the academic year 200 -200 ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ Date : Signature of the Principal with College Stamp Note :. . . . . . The latest Marks-Memo of the same examination. . . . (T&P) University has the right to cancel the admission of the candidate. . B. CSE-Computer Science & Engg.IE-Industrial Electronics. E-Electrical. 4. CH-Chemical. . . . .C. . is liable for disciplinary action. The Marks-memo of the lower i. . . at any stage. . . . .The Examination fees shall be as per details prescribed vide circular No. I am aware that the University may cancel my admission to the Examinations if the information given by me is found to be incorrect. knowingly or unknowingly. I have also enclosed the required documents in support of my claims.E.

..../M....................E........ ................. Babasaheb Ambedkar Marathwada University.......... ............ .A./M. . . . ........ 200 F...../B........... ......................E.. .. ......C...... ...............Tech....../B............ .........E... ..... ../B.......... 1 2 3 4 5 6 Part-II ......... .. ............ . ...............Dr... .................. ...................Tech. Date : ..... Signature of the Principal (P.. ..) ............E..-Dec................. Signature of the candidate Issued by ...T.. .. ......... ./Arch......... Aurangabad..E. ./Pharmacy Part-I 1 2 3 4 5 6 ........Chem...............O. ................. ..... HALL TI C K ET ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ 1 Name of the Candidate Subjects at which appearing at the Examination Month & Year of Examination March-April/Nov.................................... ..... CENTRE : Seat No../S./T.... . ................... .. ....... ........... ........................... ......

No Candidate will be allowed to leave the examination hall in first half an hour and in the last 10 minutes examination period.IMPORTANT INSTRUCTIONS TO THE CANDIDATE 1. Exchange or any material and talking in the examination hall is prohibited. Fill in all entries on the front page of the answer-book before writing the examination. Do not write anything on the question paper. 11. 4. Joint Chief Superintendent or Chief Superintendent or Principal will be instantly expelled from the examination hall and will be hand over to the Police. Answer the question in approprite sections. 16. 14. Don’t tear out any pages from the answer book. 9. Write the question number in the margin before writing the answer to the question. Candidates disobeying the instructions above and / or instructions given by invigilator. SMOKING IS PROHIBITED IN EXAMINATION HALL. You are to stop writing and make answer book ready for handling them over to the invigilator. 10. 5. 2. Bringing of any books. Do not leave your seat. notes or scribling papers into examination hall is not allowed. No candidate will be allowed to appear for the examination. . if he/she reports after lapse of first 30 minutes in the examination period. else they may not be assessed. 15. 7. A warning will be given 10 minutes before the close of examination. on any account. 17. without the permission of the invigilator. 12. Don’t write your name or indicate your identity in some other manner any where in the answers book. 8. 13. 19. 18. which he/she will not be allowed to appear at the examination. 6. No Candidate irrespective of his/her caste and creed will be allowed to carry any arms and weapons in the examination hall. NO SUPPLEMENT WILL BE PROVIDED. Any message or appeal to the examiner in the answer-book is liable for punishment. The candidate must produce the Hall-Ticket whenever demanded by the authority at the examination centre. 3. Return your answer book to the invigilator before Leaving the examination hall.