SIKSHA ‘O’ ANUSANDHAN UNIVERSITY

SIKSHA ‘O’ ANUSANDHAN UNIVERSITY

(A Deemed University declared U/S 3 of the UGC Act, 1956)
Bhubaneswar, Odisha

Siksha ‘O’ Anusandhan has been declared as a deemed University, U/S 3 of the
UGC Act, 1956. There has been persistent endeavour to achieve excellence and carve
out a niche in the national and global education map. Eight constituent institution
offer specialised technical and professional programmes in different disciplines.
This has been corroborated the accreditation by National Assessment &
Accreditation Council (NAAC) which has awarded the University Grade ‘A’, for its
visible performance. Different faculties of the university have been duly approved
by the respective statutory bodies.
The university offers undergraduate, post graduate, post graduate diploma, dual
degrees and doctoral programmes in engineering and technology, computer
application, basic sciences, humanities & social sciences, medicine, dental, nursing,
business administration, hotel management and catering technology, hospital
administration, pharmacy, biotechnology and law.
The university is proactive in its approach to understand and meet the changing
requirements of students, employees and the community at large. The university
aims at maintaining continuous learning, improvement and transformation in
technical and professional education. The university emphasises on the quality of
learning process keeping in view of its vision and mission:

VISION
The SIKSHA ‘O’ ANUSANDHAN UNIVERSITY will be a leading
institution of higher learning in its choosen areas of
concentration, preparing future generations through quality
teaching and innovative research. It is emerging as a
comprehensive and socially inclusive University.

MISSION
 Educate students to become responsible, enlightened and
productive citizen;
 Conduct scholarship and promote enterpreneurship that
improve the human conditions;
 Develop leader in all walks of life;
 Enchance the cultural environment of the region;

(1)
 SIKSHA ‘O’ ANUSANDHAN UNIVERSITY

CONSTITUENT INSTITUTES
Sl.No. Name of the Institute Code Programme
1 Institute of Technical Education & Research ITER B.Tech. / DDE /
DDM/ MCA/ M.Tech/
M.Sc.(Nano Sc. &Tech)
2 Institute of Medical Sciences & SUM Hospital IMS MBBS / MD
3 Institute of Dental Sciences IDS BDS / MDS
4 School of Pharmaceutical Sciences SPS B.Pharm./M.Pharm./
including Centre of Biotechnology M.Sc.(Bio-tech)/
M.Sc.(MAP)
5 SOA National Institute of Law SNIL BBA LLB / LLM

6 School of Hotel Management SHM BHMCT / MHMCT/

MHTM
7 SUM Nursing College SNC B.Sc. Nursing/
P.B. Nursing/
M.Sc. Nursing
8 Institute of Business & Computer Studies IBCS MBA / MHA

FEE STRUCTURE
Sl.No. Course with duration Fees
1 B.Tech. (4 yrs) Rs. 1,70,000/- per annum
2 Dual Deg. in Engg. (5 yrs) / Dual Deg. in Mgmt (5 yrs) Rs. 1,70,000/- per annum
3 B.Tech. Lateral Entry (3 yrs) Rs. 1,70,000/- per annum
4 MCA (3 yrs)/ Lateral Entry MCA (2 yrs) / M.Tech. (2 yrs) Rs. 1,30,000/- per annum
5 MBBS (9 semesters) Rs. 3,45,000/- per semester
6 BDS (5 yrs) Rs. 2,90,000/- per annum
7 B.Pharm.(4 yrs) Rs. 80,000/- per annum
8 B.Pharm. Lateral Entry (3 yrs) Rs. 70,000/- per annum
9 M.Pharm. (2 yrs) Rs. 1,10,000/- per annum
10 M.Sc. in Biotech. (2 yrs) / M.Sc. in Nano Sc. & Tech (2 yrs) /
M.Sc. in Med. Aro. Plants (2 yrs) Rs. 70,000/- per annum
11 BBA LLB (5 yrs) Rs. 70,000/- per annum
12 LLM (2 yrs) Rs. 75,000/- per annum
13 BHMCT (4 yrs) / LE BHMCT (3 yrs) Rs. 49,000/- per annum
14 MHA / MHMCT / MHTM (2 yrs) Rs. 70,000/- per annum
15 B.Sc. Nursing (4 yrs) Rs. 55,000/- per annum
16 Post Basic B.Sc. Nursing (3 yrs) Rs. 55,000/- per annum
17 M.Sc. Nursing (2 yrs) Rs. 80,000/- per annum
18 MBA (2 yrs) Rs. 1,98,000/- per annum

(2)
 SIKSHA ‘O’ ANUSANDHAN UNIVERSITY
1. Hostel Charges:
Hostel Fees (Per year) : Rs. 36,000/-
Caution Money (Refundable one time) : Rs. 4,000/-
Total Hostel Fees : Rs. 40,000/-

The mess charges as per actuals shall be paid per month. It may be approximately `
3000/- per month.

2. Institute Caution Money: Rs. 5,000/- (one time and refundable) for all programmes.
3. Transportation Charges: The transportation facility is available within the city for which
the annual fee charged is Rs. 15,000/-.
4. Registration Fees : Rs. 2,500/- per trimester / semester / annual towards examination, for
all programmes.
NB:
For MBBS programme two semesters fees will be collected at the beginning of
each academic year.
The above fees have to be paid by the students by 30th of July every year, failing
which penalty as to be notified from time to time will be imposed.
The fee structure for 2014 batch will remain unchanged till the end of the programme.
Qualifying degrees should be recognised as per statutory council norms.

(3)
 SIKSHA ‘O’ ANUSANDHAN UNIVERSITY

SCHOLARSHIP
The University has provision of scholarship to meritorious students in various programmes as per details below
Programme Criteria Scholarship Scholarship
Amount Term
MBBS / Securing more than 95% marks both in 10th & +2 Exam. ` 25,000/- p.a. (4 years)
BDS Securing more than 90% marks both in 10th & +2 Exam. ` 15,000/- p.a. (4 years)
Securing more than 85% marks both in 10th & +2 Exam. ` 10,000/- p.a. (4 years)
B.Tech./DDE / Securing more than 95% marks both in 10th & +2 Exam. ` 25,000/- p.a. (4 years)
DDM/ Securing more than 90% marks both in 10th & +2 Exam. ` 15,000/- p.a. (4 years)
B.Sc. Agri. Securing more than 85% marks both in 10th & +2 Exam. ` 10,000/- p.a. (4 years)
B.Sc. Nursing Securing more than 80% marks both in 10th & +2 Exam. ` 15,000/- p.a. (4 years)
Securing more than 70% marks both in 10th & +2 Exam. ` 10,000/- p.a. (4 years)
MCA / First Class in 10th and 12th Exam. ` 12,500/- p.a. (2 years)
LE MCA First Class in +3 / Graduation Exam. ` 12,500/- p.a. (2 years)
First Class in 10th, 12th and +3/Graduation Exam. ` 25,000/- p.a. (2 years)
MBA First Class in 10th & 12th Exam. ` 12,500/- p.a. (2 years)
First Class in +3 / Graduation Exam. ` 12,500/- p.a. (2 years)
First Class in B.Tech. / Equivalent ` 25,000/- p.a. (2 years)
First Class in 10th, 12th & +3 / Graduation ` 25,000/- p.a. (2 years)
First Class in 10th, 12th & B.Tech. / Equivalent ` 50,000/- p.a. (2 years)
B.Pharm. First Class in both 10th & +2 Exam ` 10,000/- p.a. (4 years)
BHMCT First Class in both 10th & +2 Exam ` 10,000/- p.a. (4 years)
BBA LLB First Class in both 10th & +2 Exam ` 10,000/- p.a. (4 years)

Lateral Securing more than 90% marks in Diploma ` 15,000/- p.a. (3 years)
Entry
(B.Tech/ Securing more than 85% marks in Diploma ` 10,000/- p.a. (3 years)
B.Pharm/
BHMCT)
M.Tech./ Securing valid GATE/GPAT Score-2014 & as per the ` 8,000/- p.m. (2 years)
M.Pharm merit list decided by the University.

Per Annum : p.a.; Per Month : p.m.; DD : Dual Degree & HM : Hotel Management
*For Lateral Entry MCA the scholarship will be provided for the year of admission only.
The scholarship will be awarded by taking into account the aggregate marks/grades of all the subjects
taken together. All qualifying degree should be in regular mode, not in distance or private mode. Exact
percentage of marks correct upto second decimal point will be considered. (No rounding up of percentage
of marks will be done).

N.B. : The yearly renewal of the scholarship will be subject to :

a) The academic performance of the student with minimum CGPA of 8.0 without any backlog.
b) Attendance : 75% in each semester in each subject.
c) Character and conduct certified by the Head of the Institution.
d) M.Tech and M.Pharm. students are required to take 8 hours of academic work per week in third
and fourth semester.
(4)
 SIKSHA ‘O’ ANUSANDHAN UNIVERSITY

UG PROGRAMMES : B.TECH.

Sl.No. Name of the Branch Branch Code

1 Civil Engineering CE
2 Computer Science & Engineering CSE
3 Computer Science & Information Technology CSIT
4 Electrical Engineering EE
5 Electrical & Electronics Engineering EEE
6 Electrical Instrumentation & Control Engineering EICE
7 Electronics & Communication Engineering ECE
8 Electronics & Instrumentation Engineering EIE
9 Mechanical Engineering ME

DUAL DEGREE IN ENGINEERING PROGRAMME (B.Tech. & M.Tech.)

Sl.No. B.Tech M.Tech Branch Code
1. Civil Engineering Structural Engineering DDESE

2. Computer Science & Engg. Computer Science & Engg DDECSE

3. Computer Science & Information Technology Computer Science & Informatics DDECSIT

4. Electrical Engineering Power Electronics & Drives DDEPED

5. Electrical Engineering Energy Systems & Management DDEESM

6. Electrical & Electronics Engg. Power Systems & Power Electronics DDEPSPE

7. Electronics & Communication Engg. Digital Signal & Image Processing DDEDSIP

8. Electronics & Communicatin Engg. Communication System Engg. DDECMSE

9. Mechanical Engineering Thermal Science & Heat Power Engg. DDETHP

DUAL DEGREE IN MANAGEMENT PROGRAMME (B.TECH & MBA)

Sl.No. B.Tech. MBA CODE

1 Civil Engineering MBA DDMCE
2 Computer Science & Engineering MBA DDMCSE
3 Electrical Engineering MBA DDMEE
4 Electrical & Electronics Engineering MBA DDMEEE
5 Electronics & Communication Engineering MBA DDMECE
6 Mechanical Engineering MBA DDMME

(5)
 SIKSHA ‘O’ ANUSANDHAN UNIVERSITY

UG PROGRAMMES : B.TECH. THROUGH LATERAL ENTRY

Sl.No. Name of the Branch Branch Code
1 Civil Engineering LECE
2 Computer Science & Engineering LECSE
3 Computer Science & Information Technology LECSIT
4 Electrical Engineering LEEE
5 Electrical & Electronics Engineering LEEEE
6 Electrical Instrumentation & Control Engineering LEEICE
7 Electronics & Communication Engineering LEECE
8 Electronics & Instrumentation Engineering LEEIE
9 Mechanical Engineering LEME

P.G. IN ENGINEERING PROGRAMMES : M.TECH.

Sl.No. Branch Specialization Branch Code

1 Civil Engineering Structural Engineering MCESE

2 Civil Engineering Geotechnical Engineering MCEGE

3 Computer Science & Engineering Computer Science & Engg. MCSE

4 Computer Science & Engineering Computer Sc. & Data Processing MCSDP

5 Inter-Disciplinary M.Tech Programme Biotehnology MBIO

6 Electrical Engineering Power Electronics & Drives MEEPED

7 Electrical Engineering Energy Systems & Management MEEESM

8 Electrical Engineering Renewable Energy MEERE

9 Electronics & Instrumentation Engg. VLSI Design & Embedded Systems MEIEVE

10 Electronics & Instrumentation Engg. Microelectronics MEIEMI

11 Electronics & Communication Engineering Communication System Engineering MECECSE

12 Electronics & Communication Engineering Digital Signal & Image Processing MECEDSIP

13 Electrical & Electronics Engg. Power Systems & Power Electronics MEEE

14 Mechanical Engineering Thermal Science & Heat Power Engg. MMETE

15 Mechanical Engineering Manufacturing Science & Engineering MMEMSE

16 Computer Science & Information Technology Computer Science & Informatics MCSIT

17 Inter-Disciplinary M.Tech. Programme Material Science & Technology MMST

18 Inter-Disciplinary M.Tech. Programme Environmental Science & Technology MEST

(6)
 SIKSHA ‘O’ ANUSANDHAN UNIVERSITY

OTHER THAN ENGINEERING : UG & PG PROGRAMMES

Sl.No. Name of the Programmes Course Code

1 Bachelor of Medicine & Bachelor of Surgery MBBS

2 Bachelor of Dental Surgery BDS

3 Bachelor of Pharmacy BPH

4 Bachelor of Hotel Mgmt. & Catering Tech. BHMCT

5 Dual Degree in Hotel Management DDHM

6 B.Sc. Nursing BSN

7 Post Basic B.Sc. Nursing PBSN

8 Bachelor of Business Administration in Law BBALLB

9 Lateral Entry MCA LEMCA

10 Lateral Entry BPharm LEBPH

11 Master of Computer Applications MCA

12 Master of Law LLM

13 Master of Pharmacy MPH

14 Master of Business Administration MBA

15 M.Sc. in Bio-Technology MBT

16 M.Sc. in Nursing MSN

17 Master of Hospital Administration MHA

18 Master of Hotel Mgmt. and Catering Tech. MHMCT

19 M.Sc. in Nano Science & Nano Technology MNSNT

20 M.Sc. in Medicinal & Aromatic Plants MMAP

21 Master of Hotel and Tourism Management MHTM

(7)
 SIKSHA ‘O’ ANUSANDHAN UNIVERSITY

ADMISSION RULES FOR SAAT - 2014

1. A candidate can seek admission at the counselling only against a valid Rank Card.
2. The original certificates will be verified at the time of counselling. Two sets of attested
photocopies of all certificates are to be deposited at the time of counselling.
3. As a pre-requisite for admission under Lateral Entry, the candidates have to secure
minimum 60% of marks in Diploma from SCTE&VT, Odisha or equivalent & they have
to produce the pass certificate at the time of counselling.
4. A candidate selected through the counselling for a course in an Institute automatically is
admitted as a registered student of Siksha ‘O’ Anusandhan University. The student receives
a University Registration Card and a registration number.
5. A candidate has to pay Rs. 30,000/- at the time of Registration through an A/C Payee
Demand Draft / Pay Order in favour of SIKSHA ‘O’ ANUSANDHAN UNIVERSITY,
Bhubaneswar drawn on any Nationalized Bank payable at Bhubaneswar which will
be adjusted towards admission fee subsequently.
6. A candidate who accepts a registration card for admission into the allotted Institute, forfeits
the fee paid by him/her at the time of counselling, if he/she decides not to join the Institute
and the course.
7. The original Rank Card of the admitted candidate shall be surrendered during
counselling to prevent admission of a candidate to more than one course in the same
institute.
8. A candidate has to satisfy the eligibility criteria as mentioned in the information brochure
of SAAT-2014 for admission to different programmes of the University.
9. The University shall refund the fees as per the details mentioned the SAAT-2014
Information Brochure.
10. All seats will be filled up as per University norms.
COUNSELLING PROCEDURE : GUIDELINES FOR CANDIDATES

1. Counselling for successful candidates of SAAT-2014 for admission to different constituent

Institutes will be held as per the programme given in the Counselling Schedule.
2. Please bring your SAAT-2014 Rank Card and Admit Card along with other documents.
You will be required to produce the SAAT-2014 Rank Card and Admit Card at the time of
entry to Counselling Hall.
3. Please bring your Rank Card, all original Certificates and two sets of attested
photocopies of all certificates arranged in order as advised in the Check List for
verification during Counselling.
4. Please note that only one person (Parent / Guardian) will be permitted to accompany
the candidate to the counselling venue.
(8)
 SIKSHA ‘O’ ANUSANDHAN UNIVERSITY

5. You are to report at least 15 minutes before your scheduled time on the date of the
counselling. Late comers, reporting after the scheduled time for counselling will not be
allowed.
6. You are advised to take your seat at the Bansuri Guru Auditorium-I and wait till your
name or rank number is announced.
7. On announcement of your Name & Rank, please follow the steps as described below :
I. Sign the attendance register and move to the Verification Counter for document
verification. Please arrange your original documents (certificates / mark sheets /
other documents in support of the reservation, if any, you are claiming) serially as
per the LIST OF DOCUMENTS REQUIRED FOR VERIFICATION (See the
Check list) before coming to the verification counter.
II. Thereafter fill-in the Seat Choice Form (See Appendix-III) after verifying the
avilability of seats on the screen (displayed constantly) and sign the same before
proceeding to Seat Allocation Counter.
NOTE :
a) You are advised to fill in the seat choice form using the correct name of the
institute and its LETTER CODE along with name of the discipline and its
LETTER CODE. The institute and discipline codes are supplied with this
booklet to help you fill-in the Seat choice form correctly.

b) Seat allotment will be made on the basis of the choices filled in by you in
the Seat Choice Form based on the seats available. No change will be allowed
in the choice form after seat allotment is made. The University is not
responsible if a candidate does not get a seat of his / her choice because of
wrong choice.

III. After allotment the candidate is required to deposit the Demand Draft of
Rs. 30,000/- in the draft collection counter.

IV. Then the candidate is required to move to the Registration Counter to collect his/
her seat allotment letter stating the Institute and Branch / Discipline to which the
candidate is admitted. The University Registration Card shall be handed over to
the candidate after he/she puts his/her signature.
V. Physically Handicapped candidates have to secure their medical certificate from
IMS & SUM Hospital on 28th May between 10.00 AM to 2.00 PM.

GENERAL INSTRUCTION
 If any candidate does not report at his/her scheduled time of the conselling, he/she will be
marked absent and will not be allowed for counselling for the same session. However, he

(9)
 SIKSHA ‘O’ ANUSANDHAN UNIVERSITY
/ she may avail a chance for counselling at the end of the day subject to availability of
seats.
 Once the Seat choice form is submitted and a seat is allotted to the candidate
from among his / her choices exercised in the choice form, no change in course/
branch alloted will be made under any circumstances. Therefore, the candidate
has to be careful in filling the choice form. He / she should fill in the choices that
are available at that point of time, which is constantly displayed on the screen.
 The candidate is required to submit his / her school / college leaving certificate,
in original, along with other certificates / documents in order (both original
certificates and two sets of photocopies of all certificates) as per LIST OF
DOCUMENTS REQUIRED FOR VERIFICATION (Check list) at the time of
counselling. No one will be considered for admission without School / College leaving
Certificate.
 The candidate is also required to get the certificate from the Educational Institute / School
/ College last attended in the proforma enclosed (See Appendix - II). The photograph
which is to be pasted at the space provided should be same as the one pasted in his / her
Application From (Admit Card). The photograph is to be attested by the Head of the
Institute / School / College last attended affixing the official seal covering a part of the
photograph.
 Each admitted candidate has to sign a declaration and countersigned by his / her parent
/ guardian in the proforma given (See Appendix - IV).
 The candidate is advised to bring duly filled-in Certificate (Appendix - I supplied with this
booklet) in support of any category / reservation claimed. The required documents are to
be filled in properly and signed by appropriate authority with his / her Official seal.
These certificates are essential for those who claim a seat under any reserved category,
without which a candidate will not be considered for any reservation.
 The choice of Institute and Discipline rests solely on the candidate. He / she may seek
assistance / guidance from officials associated with the counselling.
 The seat strength / availability under SAAT - 2014 counselling in all disciplines
and categories shall be displayed on the screen in the counselling hall .
 Appendix-III & IV are to be filled up in the Counselling Hall. Appendix-V should
be filled up neatly in block letters (except item 1, 2 & 3) in advance. Enter your
Rank in appropriate box for the category in which admission is provided.
Fill the student’s address slip neatly in BLOCK LETTERS (Appendix-VI). This is
required for communication for a period of atleast six years.
 Scholarship form has to be filled up by the eligible candidates neatly and without
overwritting

Necessary documents / Record Form (duly filled by the candidate in block capital
letters) / Certificates alongwith Marksheets / Check list to be brought for Counselling.
(10)
 SIKSHA ‘O’ ANUSANDHAN UNIVERSITY

CHECK LIST
LIST OF DOCUMENTS REQUIRED FOR VERIFICATION
(Please arrange the documents in this order)

Sl. No. Programme Documents Required Remarks

1. ID Proof ID Proof

2. All Programmes SAAT-2014 Rank Card

3. All Programmes 10th Pass Certificate

4. All Programmes 10th Mark Sheet

5. B.Tech, Intg. M.Tech., +2 (Sc.) Pass Certificate

Dual Deg. Mgmt., MBBS/
BDS/B.Pharm, B.Sc.Nursing +2 (Sc.) Mark Sheet

6. BHMCT +2 (any discipline) Pass Certificate

+2 (any discipline) Mark Sheet

7. Lateral Entry (B.Tech., Diploma Pass Certificate

B.Pharm & BHMCT) Diploma Mark Sheet (All Semesters)

8. Post Basic B.Sc. Nursing GNM Pass Certificate

GNM Mark Sheet

9. MBA, MHA, MHTM +3 (any discipline) / B.Tech. / MBBS /

& MHMCT BAMS / BDS / BHMS / BPT / BHMCT
BBA / BCA - Pass Certificate
Mark Sheet

10. M.Tech B.Tech / AMIE / MCA / M.Sc. or

equivalent in respective discipline -
Pass Certificate
Mark Sheet
11. MCA / LE MCA +3 or equivalent Pass Certificate with
Mathematics at +2 or +3
(Business mathematics not allowed)
Mark Sheet

12. M.Pharm. B.Pharm Pass Certificate

B.Pharm Marksheet


(11)
 SIKSHA ‘O’ ANUSANDHAN UNIVERSITY

Sl. No. Programme Documents Required Remarks

13. M.Sc. Nursing B.Sc. Nursing Pass Certificate

B.Sc. Nursing Mark Sheet
01 year Experience Certificate

14. M.Sc. Bio-Tech, +3 Sc. or Bachelor in Agriculture /

M.Sc. Nano Sc.&Tech, Pharmacy / Veterinary / Engg. /
M.Sc. Med. Aro. Plants Medicine Pass Certificate
Mark Sheet

15. All Programmes School / College leaving Cerificate

Conduct Cerificate

16 All Programmes Certificate from the Head of the

Institution last attended (Appendix - II)
17. All Programmes SC/ST/OBC/SEBC/MC Certificate
by birth (Appendix - I)
18. All Programmes PH Certificate from IMS & SH

19. All programmes Migration Certificate

20. All Programmes Any other documents

21. BBA LLB +2 Sc./Arts/Com Pass Certificate

+2 Sc./Arts/Com Marksheet

22. LLM Bachelor Degree Certificate

LLB Certificate
LLB Marksheet

23. All programmes Demand Draft of Rs. 30,000/-

DD No. _________, Bank_________

24. All programmes Colour Photographs (4 Nos.)

Name of the Verifying Officer Name of the Candidate

NOTE :
1. A candidate has to secure pass mark in the qualifying examination in individual appropriate
subjects as mentioned for different programmes in the eligibility criteria of the Information
Brochure of SAAT-2014.
2. Two sets of attested photocopies of all certificates arranged in the same order as in the check
list.
(12)
 SIKSHA ‘O’ ANUSANDHAN UNIVERSITY

APPENDIX - I
SC / ST / OBC / SEBC / MC CERTIFICATE BY BIRTH (FOR SAAT - 2014)

This is to that Sri / Smt / Miss ............................................................................................................... Son / daughter /

wife of Shri ................................................................................................... of village/ Town ............................................
P.S. .............................................. Tahasil ........................................in the district of ....................................... of the State
of .....................

i) belongs to the ...................................... Caste / Tribe which is recognized as Scheduled Caste / Tribe under
Constitution (Schedule Castes) order 1950 / the Constitution (Scheduled Tribes) Order, 1950 as amended
by the Scheduled Castes and Scheduled Tribes (Amendment) Orders Act. 1976.

ii) belongs to .................................. Sl. No. .................. Community which is recognised as Socially and
Educationally Backward Class under the Government of Odisha, Department of Tribal & Welfare
Resolution No. 254.Emp. (Vii) M-23/93 Dated 01.10.1993 Published in the Odisha Gazette (Supplement)
No....................................... Dated 01.10.93.

This is also to certify that he/she does not belong to the Persons/Sections Creamylayer mentioned in
column 3 of the Schedule appended of the Office Memorandum No. 4030 Dt. 21.1.94.

iii) Candidates belonging to Other Backward Classes / Minority Community category have to produce
Certificate from the compitent authority.

The Place of birth of Sri / Smt./ Miss ............................................................................................ is village / town

........................................................ P.S. ............................. Tahasil ..................................................... in the district of

................................................................................ of the State of .....................

Full Signature of the Applicant Signature with Date

Round Seal of Office Designation with Seal of Office

Note : This certificate should be issued by the Tahasildar of the place of residence of parent. No part of
the form should be mutilated in any manner.


(13)
 SIKSHA ‘O’ ANUSANDHAN UNIVERSITY

(14)
 SIKSHA ‘O’ ANUSANDHAN UNIVERSITY

APPENDIX - II
CERTIFICATE FROM THE HEAD OF THE INSTITUTION LAST ATTENDED

(a) Certified that __________________________________________________________

(Name of the candidate in full) Son / Daughter of _________________________________

(Name of the Father in full) Born on ______________________ has passed ____________

_______________________ in the year ________________________ as per the record

of this institute.

(b) Certified that the recent passport size photograph pasted on this page is attested by me.

Seal of the Institution Signature of the Head

of the Institution with seal

Issue / Reference No. ______________ Name ________________________________

Date : ___________________________ Designation ___________________________

Affix one photograph

same as that you have
pasted on the
application form and
get it attested by the
head of the Institution
last attended, affixing
official seal covering a
part of the photograph.


(15)
 SIKSHA ‘O’ ANUSANDHAN UNIVERSITY

(16)
 SIKSHA ‘O’ ANUSANDHAN UNIVERSITY

APPENDIX - III

SEAT CHOICE FORM

Name : Roll No. :

Category : Rank :

Name of the Institute Name of the Course Name of Branches in order of Preference(write codes only)
with code with code 1 2 3 4 5 6 7 8

DECLARATION BY THE CANDIDATE

I will abide by the rules and regulations of the University and the Institute to which I get
admitted. Further, my behaviour and conduct will be at par with what is expected from a
disciplined student. I will not tarnish the image of my University and Institute by my conduct.
I understand, my admission is provisional and may be cancelled any time if the information
that I have provided are found to be wrong.

Place : .....................................

Date : ....................................... Full Signature of the Candidate

DECLARATION BY THE FATHER / MOTHER / GUARDIAN OF THE CANDIDATE

I ..................................................................................................... the father / mother / guardian of

......................................................................................... hereby declare that I will meet the expenses
towards the study of my son / daughter / ward in the institute where he / she is being admitted.
Further I shall be keeping track of the conduct and performance of my son / daughter / ward
during the period of his / her study and shall abide by the decision of the University / Institute
authority taken in case his / her performance and conduct are not satisfactory.

Place : ........................
Date : ......................... Full Signature of the Parent / Guardian


(17)
 SIKSHA ‘O’ ANUSANDHAN UNIVERSITY

(18)
 SIKSHA ‘O’ ANUSANDHAN UNIVERSITY
APPENDIX - IV

DECLARATION

Name of the Candidate ..............................................................................................................................

Rank No. ................................ Category ...................................... Programme ...................................

1. This is to undertake that I have taken admission in the Institute ...........................................

.................................................................................................. in ........................................
(name of the programme) out of my own accord. This allotment is based on the choice
exercised by me during counselling.

2. I have surrendered my SAAT-2014, Rank Card. I also understand that the Rank Card is
no more valid and against the same, I can not claim to take admission in any other
discipline in the same institute.

3. I understand that no change of branch or institute is permitted in the first year. Subject
to regulation of the University and on the basis of performance in first year, branch
change in engineering may be permitted in the begining of second year only.

4. I also understand that initial amount of Rs. 30,000/- owords fee. I am paying during
admission. I have to pay the balance amount on the day announced for it and before
starting of the classes.

5. I undertake that I shallnot indulge in any act of indiscipline or misconduct, either inside
or outside the college during my tenure as a student in the College. In case I am found
indulging in such activities, disciplinary action as deemed fit may be taken against me.

6. I undertake that I shall not indulge in any kind of ragging inside / outside of the campus.
I understand that if I am found guilty of ragging I may be expelled immediately from
the institute.

7. I undertake that I shall not claim refund of any fee paid by me during counselling in case
I fail to join the programme to which I am admitted.

Further, this is to certify that, I have received the University Registration Card bearing
the Registration No. ................................


Date : Full Signature of the Parent Full Signature of the Candidate

(19)
 SIKSHA ‘O’ ANUSANDHAN UNIVERSITY

(20)
 SIKSHA ‘O’ ANUSANDHAN UNIVERSITY
RECORD FORM 2014-15 (APPENDIX - V)
(FILL THE FORM IN BLOCK CAPITAL LETTERS ONLY)
1. University Regd. No. (To be filled by Office)

2. Course (To be filled by Office)

4. Rank - SAAT AIEEE NEET JEE Others

5. Category GEN WO SC SCWO ST STWO PH OBC

6. Minority Community : Muslim Christian Sikh Budhism Other

7. Name of the Candidate (in full) :
8. Date of Birth (DD/MM/YYYY) : GATE SCORE :
9. Father’s Name (in full) :
10. Mother’s Name (in full) :
12. Religion : Nationality : Sex: Blood Group :
13. State : Mother Tongue : Email id :
C/o:
Permanent Address
(Pl. fill it carefully)

Plot No. PO:

At: Village/City :
15. PS: Dist.:
State: Pin:
Tel. (Res. with STD Code) : Mob. (Parent’s):
C/o:
(Pl. fill it carefully)
Present A ddress

Plot No. PO:

16 At: Village/City :
PS: Dist:
State: Pin:
Tel. (Res. with STD Code) : Mob. :
ACADEMIC RECORD
Examination Name & Address of Institution Name of Board / University & Year of % of
Passed State Passing marks
10th or
Equivalent
12th / Diploma
or Equivalent
B.Tech./B.E/
+3 Sc. / Equiv.
Any other
Exact Marks Physics Math or Biology Chem./ Other : _______

12th / +2 Theory Practical Theory Practical Theory Practical



Full Signature of the Parent (21) Full Signature of the Candidate

 SIKSHA ‘O’ ANUSANDHAN UNIVERSITY

(22)
 SIKSHA ‘O’ ANUSANDHAN UNIVERSITY

SCHOLARSHIP FORM
(To be filled up by referring to Page No. 4)
1. Name :
2. Father’s Name :
3. Mother’s Name :
4. Address of Correspondence :

5. Telephone : Mobile :
Res. :
6. Career Details :

Exam. Passed Total Marks Marks Secured %age of marks

(all subjects) (all subjects) (all subjects)
10th / Equivalent

12th / Equivalent

+3 / Equivalent

B.Tech.

GATE/GPAT Score :

7. Bank details of the candidate :

a. Account No. :
b. Name of the Bank with Address :

c. IFS Code :

I hereby declared that the above information given is true to the best of my knowledge
and belief.


Full Signature of the Parent Full Signature of the Candidate

(23)
 SIKSHA ‘O’ ANUSANDHAN UNIVERSITY

(24)