8/19/2020

NON-CET ADMISSION FORM 2020-21

Transaction Details

Application Number:
(Please carefully note your application No for future NCET200003019
reference.)

Payment Channel
NETBANKING DAVV_CITIZEN
Mode: Id:
DONE ON Aug
Transaction Payment QR-Code
20081940953108575280 19 2020
Id: Status: [Scan to
8:07:41:000PM
Verify]
Application Portal
750 50
Fee(Rs.): Fee(Rs.):
Total(Rs) 800

Course Details
School of
SCHOOL OF ELECTRONICS
Studies/Department
Electronics, Computer
Application For : BSC Subject :
Science, Mathematics

Personal Details
Candidate's First Name PHOTO &
(As per 10+2 VIKAS JAIN (िवकास जैन) SIGNATURE:
Marksheet)

Father's Name JINESH JAIN

Mother's Name CHAMELI JAIN

Date of Birth 24/04/2003 (DATE FORMAT: DD/MM/YYYY)

Gender MALE

Category UNRESERVED

Nationality INDIAN Religion HINDU

State MADHYA PRADESH Pincode 452018

Email
Phone No: - Mob. No. XXXXXX1337
Id:XXXXXX533@GMAIL.COM

Sub-Category -NA- Domicile YES

Last or Previous Last or Previous Year/Semester
Year/Semester Aggregate Percentage

EWS(Economically
YES
Weaker Class)

Educational Qualifications Details

Exam Passed University/Board Year of Subject Div. Per(%). Marksheet Result
Passing /Branch (ex. (ex.00.00) Certi. No. Awaited

1/2
8/19/2020

1/2/3)

12th CBSE 2020 SCIENCE 1 73.89 No

Graduation No

PG/Other
No
Qualification

Enclosures
10+2 marksheet or Equivalent : Y Caste Certificate : Graduation Marksheet :
Domicile Certificate : Y Post Graduation Marksheet : Others :

Declaration

I hereby agree to abide by the decision of the University in all matters of my admission. I, further declare that
the information given in this form are correct and no criminal case/offence is pending against me. I will follow all
the admission rules / regulation & produce all original documents relating to date of birth, eligibility, weightage,
caste certificate etc at the time of counselling.Admission will be made as per the rules and guidelines provided by
the DAVV University
म वेश स ी सभी मामलों म िव िव ालय के िनणय को ीकार क ं गा / क ं गी। म यह भी घोषणा करता / करती ँ िक मेरे ारा इस फाॅ म म
दी गई जानकारी पूणतः स है तथा मेरे िव कोई भी आपरािधक करण लंिबत नहीं है । म वेश स ी सभी िनयमों का पालन क ं गा / क ं गी
तथा काउं सिलंग के समय ज माणप , पा ता, वेटेज, जाित माणप आिद द ावेजों की मूल ितयाॅं ुत क ं गा /क ं गी ।

2/2