*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 : CANDIDATES NAME : FATHERS/HUSBANDS NAME : (As per eligibility certificate) ADDRESS : For Correspondence Home Address SEX : 1 MALE
3

FEMALE
NT /DT 4 VJ 5 OBC 6 OTHER

CASTE : 1 SC 2 ST

TICK AS ON APPROPRIATE BLOCK

Date of Birth FATHERS/GUARDIANS 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

(2) I am eligible to appear at these Examinations. I have also enclosed the required documents in support of my claims. The information given by me is correct to the best of my knowledge and belief. I am aware that the University may cancel my admission to the Examinations if the information given by me is found to be incorrect.
Place :. . . . . . . . . . . . . . . . . . Date :. . . . . . . . . . . . . . . . . . . Signature of the candidate

CERTIFICATE
This is to certify that Shri/Smt./Ku. 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 Examination fees shall be as per details prescribed vide circular No. Ex/Co./2002-2003 dated 12-8-2002 Explanatory Note * * ** * * Strike out whichever is not applicable. Write your name as entered H.S.C. (Standard XII) Examination Marks-memo. Read the instructions on reversed for documents required. Enter the lower Examination passed, if appearing at two Examinations simultaneously. Enter the branch code as : C-Civil, M-Mechanical, E-Electrical, EC-Electronics, ECT-Electronics & Telecommunication. In-Instrumentation, CSE-Computer Science & Engg., P-Production, CH-Chemical,IE-Industrial Electronics. IT-Information Technology, EEp-Electrical Electronics & Power. INSTRUCTIONS TO THE CANDIDATES FOR FILLING APPLICATION FORM All entries must be in BLOCK CAPITAL and candidates own hand writing. 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. a) When appearing for Theory only . . . . . . . . . . . (T). b) When appearing for Practical/Oral only . . . . . . . . . . .(P). c) When appearing for both, Theory and Practical . . . . . . . . . (T&P) University has the right to cancel the admission of the candidate, at any stage, if it is noticed that his / her admission to the examination/s and /or to the college is not as per rules. Any false or incorrect information given by the candidate, knowingly or unknowingly, is liable for disciplinary action. The candidate is advised to go through the Ordinances and Regulations (Published by University and available in publication unit) for details. Use separate Exam. form for each examination.

1. 2. 3.

4. 5. 6. 7.

DOCUMENTS TO BE SUBMITTED ALONGWITH THE APPLICATION FORM A. In case you are appearing at only one examination i.e. S.E., T.E. or B.E. . . . . . . . . 1. The Marks-memo of the lower i.e. qualifying (F.E., S.E., or T.E.) Examination. 2. The latest Marks-Memo of the same examination, if appeared previously. B. In case you are appearing simultaneously at two examinations . . . . . . . . 1. The latest Marks-Memo both the examinations.

Dr. Babasaheb Ambedkar Marathwada University, Aurangabad.

HALL TI C K ET

Name of the Candidate

Subjects at which appearing at the Examination Month & Year of Examination March-April/Nov.-Dec. 200
F.E./S.E./T.E./B.E./M.E./M.C.A./Arch./B.Chem.Tech./B.Tech./Pharmacy

Part-I 1 2 3 4 5 6 ...................................... ...................................... ...................................... ...................................... ...................................... ...................................... 1 2 3 4 5 6

Part-II ....................................... ....................................... ....................................... ....................................... ....................................... .......................................

CENTRE :

Seat No.

Signature of the candidate Issued by . . . . . . . . . . . . Date : . . . . . . . . . . . . . . .

Signature of the Principal

(P.T.O.)

IMPORTANT INSTRUCTIONS TO THE CANDIDATE

1. The candidate must produce the Hall-Ticket whenever demanded by the authority at the examination centre, which he/she will not be allowed to appear at the examination. NO SUPPLEMENT WILL BE PROVIDED. Fill in all entries on the front page of the answer-book before writing the examination. Dont write your name or indicate your identity in some other manner any where in the answers book. Dont tear out any pages from the answer book. Return your answer book to the invigilator before Leaving the examination hall. Do not write anything on the question paper. Answer the question in approprite sections, else they may not be assessed. Write the question number in the margin before writing the answer to the question.

2. 3. 4. 5. 6. 7. 8. 9.

10. Exchange or any material and talking in the examination hall is prohibited. 11. Any message or appeal to the examiner in the answer-book is liable for punishment. 12. No Candidate will be allowed to leave the examination hall in first half an hour and in the last 10 minutes examination period. 13. Do not leave your seat, on any account, without the permission of the invigilator. 14. Bringing of any books, notes or scribling papers into examination hall is not allowed. 15. A warning will be given 10 minutes before the close of examination. You are to stop writing and make answer book ready for handling them over to the invigilator. 16. SMOKING IS PROHIBITED IN EXAMINATION HALL. 17. No candidate will be allowed to appear for the examination, if he/she reports after lapse of first 30 minutes in the examination period. 18. No Candidate irrespective of his/her caste and creed will be allowed to carry any arms and weapons in the examination hall.

19. Candidates disobeying the instructions above and / or instructions given by invigilator, Joint Chief Superintendent or Chief Superintendent or Principal will be instantly expelled from the examination hall and will be hand over to the Police.