Professional Documents
Culture Documents
(a) If this offer is acceptable to you, please pay an amount of Rs. 270,275 (which includes admission fee, one semester tuition fee,
student aid fund, student union fee and caution deposit as per the fee structure for the HD program of the Institute) so that the
same is received in the Admissions Office, BITS, Pilani – 333031(Rajasthan) latest by 5.00 P.M. on 16th September, 2021. Details
of rest of the fee amount including hostel fees, mess and electricity advance, etc. will be communicated later. Please read the
instructions carefully with regard to refund/forfeiture of fee mentioned under item no. 3 below, before making payment of
requisite fees.
(b) The fee payment can be done online once you accept the offer.
It may be noted that a candidate who does not pay fees as per the prescribed deadline (5.00 P.M. 16th Septemer, 2021)
will not be considered for admission any further.
First Semester 2021 – 22 is likely to be operated in online mode. However, students may be called to campus should there
be a significant improvement in the current situation.
2. Additional Instructions
(a) Formal admission offer is subject to verification of all documents against originals at the time of reporting, failing which
the provisional offer of admission to BITS Pilani will stand cancelled.
(b) Finalization of the admission is subject to the following:
I. Fulfilling all the eligibility criteria as listed in the admission brochure.
II. Being found medically fit by a registered medical practitioner (candidates to fill the proforma attached with this letter)
III. Submission of the following original mark sheets and certificates with a photocopy of each (for verification):
• Matriculation/10th pass certificate
• Mark sheet or grade card for all years/semesters of the qualifying Degree
• Final/ provisional Degree certificate of the qualifying Degree
• GATE score card with a self-declaration / certification for those whose admissions are made on the basis of
GATE score.
DEAN, AGSRD
BIRLA INSTITUTE OF TECHNOLOGY & SCIENCE, PILANI (RAJASTHAN)
Application No.:
If a candidate is offered admission, this medical examination report duly signed by a Registered Medical
Practitioner has to be submitted to the Admissions Officer on the day of reporting at the respective campuses.
GENERAL EXAMINATION
Height _ Pulse rate Regular / Irregular
Weight Respiration rate B.P.
Evidence of Anemia Yes / No Vision
SYST. EXAMINATION
* Respiratory Syst. O.K. / Not O.K.
* Cardiac Syst. O.K. / Not O.K.
* Abdomen O.K. / Not O.K.
* Lymph nodes O.K. / Not O.K.
* CNS (Epilepsy etc.)
* Any other significant finding
IDENTIFICATION MARKS :
BLOOD GROUP :
VACCINATION STATUS - HEPATITIS : Yes / No TYPHOID : Yes / No
(Tick ( ) those against which immunized)
I have examined the above candidate and certify that he/she is fairly robust, his/her constitution is sound, and he/she
has no disease, body or mental deformity rendering him/her unfit now, or likely to render him/her unfit in future.
Date Signature
Name
Rank
Regn. Number in the State Medical Council
(Seal)