Bikaner Technical University, Bikaner

(Established by the State Govt. vide Act No.29/2017)

University College of Engineering and Technology, Bikaner

Registration for Odd Semester in B. Tech./ M.Tech./MBA Course for Session: 2021-22

Course B.Tech./ M.Tech./MBA……….. Year & Semester (2021-22) .……………….Branch……………

1 Admission through REAP/LEEP/CAM/RMAP :

2 Name of Candidate :
3 Father’s Name :
4 Mother’s Name :
5 Gender :
6 Category :
7 Allotted Category :
8 Date of Birth :
9 Permanent Address :

Photo and Signature

10 Student Mobile No. :

11 Parent’s Mobile No :
12 Online Fee Details 13 Details of Documents to be Attached

Payment ID/
NEFT/Transaction ID/
UTR No.

(i) Previous semesters Marksheets of

Date of Fee Submission I/II/III/IV/V/VI semesters exam
(ii) Previous semesters Fee receipt of
I/II/III/IV/V/VI semesters
Amount Deposited (iii) Student’s Affidavit
(iv) Parent’s Affidavit

14 State of Bonafide 15 Candidate Aadhar No.

Residence
16 Religion
17 Student’s Email ID

18 Parent’s Email ID
I hereby solemnly and sincerely affirm that all the information furnished by me in this registration form are true and
correct and I have not concealed any information. I have attached all documents mentioned and I have no pending of
my college fee for previous semesters.

Signature of the candidate

For Office Use: Verification of documents and Fee deposition

Proctor Office Name & Signature of Proctor