Application form for B.Tech.

Admissions - 2022

Application No.

2022026603
Candidate Name : JEEVESH SHUKLA
Date of Birth 12-10-2003 Gender MALE

Community GENERAL/OC Native State UTTAR PRADESH

EWS Status NO Subjects Appearing MPCEA

Mobile No. 9140851183 Email ID. jeeveshsshukla@gmail.com

Residential Status Indian Test city Allahabad

Qualifying Exam 12th Class Month & Year MAR - 2022

passing/appearing

Parent name SHRI RAM SHUKLA Parent mobile number 9125327962

Address for correspondance 83/5B/1, MALVIYA ROAD, GEORGE TOWN, ALLAHABAD, ALLAHABAD,
UTTAR PRADESH - 211002

Name of the Board COUNCIL FOR THE INDIAN SCHOOL CERTIFICATE EXAMINATIONS
Name of the School BOYS' HIGH SCHOOL AND COLLLEGE
DECLARATION
I solemnly and sincerely affirm that I am Indian National / PIO/OCI holder and that all particulars furnished by me in this application form are true and correct. I
have not concealed any information. However, in the event of any information being found to be incorrect, fraudulent or untrue, either before or after the
examination or after my admission to the programme, I understand that I am liable to face criminal prosecution and the management can claim all authority to
cancel my candidature / selection or admission as the case may be and I would have to forgo my seat and the fees. I will pay the required Tuition fees and the
Hostel fees within the stipulated time to ensure my admission in VIT. I agree to abide by the rules and regulations governing the examination as well as the rules
pertaining to the refund of Tuition and Hostel fees. I further undertake to submit all the required certificates as per the rule, either at the time of counselling or
during the admission process, failing which I understand that I would have to forego my seat and the fees. I have read the brochure and understood the contents
in general and the method of Equipercentile Equating in particular. I accept this method to be adopted for Merit List preparation by VIT. I understand that all
information related to VIT application form and VIT exam will be only sent through the valid mobile number/email as provided by me in the same form and
consent to receive alerts / information by VIT through my mobile / email / connected social media platform. I am also aware that the application cost and the
Counselling Processing Fee are non-refundable

Signature of the candidate