Mizoram University Admission 2021

Bachelor of Technology(Electrical Engineering) (For

Lateral Entry)
Form Number: MZU2105233
National Level Admission Test: JEE
Score Obtained 24.0847291
Transaction Details
Payment 2021-07-07
Payment Status Paid Transaction ID 110207065829 Amount 350.00
Date 19:18:43
Personal Details
6 October 2000
Full Name of the
ROTLUANGPUIA Gender Male Date of Birth Age as on Jul 1, 2021: 20 Years 8 Month 26
Applicant
Days
ST Are you
Certificate Number:1598 Aadhar Citizen of Yes (Religion:
Category 978292479571 Blood Group O+
Certificate Issuing Number India? / Christianity)
Date:2016-10-19 Religion
REPUBLIC REPUBLIC
VENG, VENG,
Alternate
Email Mobile Number Alternate Correspondence AIZAWL, Permanent AIZAWL,
Mobile
Rotluangpuia06@gmail.com 9863554123 Email Address AIZAWL, Address AIZAWL,
6909713110
Mizoram Mizoram
-796001, India -796001, India
Place of Birth Details
Village/Town/City AIZAWL Country INDIA State MIZORAM District AIZAWL
Mizoram University registration details (if applicable)
Please Name of Mizoram
Are you already Programme
enter University
registered in Mizoram No registered Year of
registration department/affiliated
University in Registration:
number college
Family Details
Mother's Name LALRINSANGI SAILO
Father's / Guardian's
LALROSANGPUIA
Name
Other Category/Quota
PwD Category Not Applicable
Children/Widows of the
eligible Armed Forces Not Applicable
Personnel Category
Bank details for Financial assistance and refund if applicable
Account MIZORAM
Name of Account Holder ROTLUANGPUIA06@GMAIL.COM 97008178871 Name of Bank IFSC Code SBINORRMIGB
Number RURAL BANK
Do you have any illness which
requires continuous or emergency No
medical attention
Have you participated in National
No
Service Scheme (NSS)
Are you a sports person? No
Language Proficiency (Reading/Writing/Speaking)
English Reading Writing Speaking
Hindi Speaking
MIZO Reading Writing Speaking

Qualification Details - X or Equivalent

Class X Year of Passing 2017
Class X Percentage (If your mark is in CGPA,
please convert to equivalent percentage as per 54.00
your CGPA score and CGPA Scale)
Class X Name of the Institution CALVIN HIGHER SECONDARY SCHOOL
Class X Board/University MIZORAM BOARD OF EDUCATION
Class X Subject Combination ENGLISH MIZO MATHEMATICS SCIENCE SOCIAL SCIENCE
Class X Division SECOND DIVISION

Qualification Details - XII or Equivalent

Class XII Qualification Status Passed
Class XII Year of Passing 2020
Class XII Percentage (If your mark is in CGPA,
please convert to equivalent percentage as per
64.07
your CGPA score and CGPA Scale) (Best of the
five subjects)
Class XII Name of the Institution MIZORAM POLYTECHNIC LUNGLEI
Class XII Board/University MIZORAM STATE COUNCIL FOR TECHNICAL EDUCATION
(EE411) HEAT ENGINE (EE501) POWER ELECTRONICS (EE505) SWITCH
GEAR & PROTECTION (EE506) INSTRUMENTATION & CONTROL (EE606)
Class XII Subject Combination
REPAIR OF ELECTRICAL MACHINE & HOUSEHOLD EQUIPMENT (EE513)
SEMINAR & INDUSTRIAL VISIT (EE514) PROJECTS
Class XII Division FIRST DIVISION
Have you Passed Class XII With Mathematics Yes

Document File Link

Photo View File
Signature View File
ST Category Certificate View File
Class X (Marksheet and certificate Merged into single pdf file) View File
Class XII (Marksheet and certificate Merged into single pdf file) View File
National Level Admission Test Certificate (JEE, 24.0847291) View File
Name of the Diploma Certificate (THREE YEARS IN DIPLOMA (ELECTRICAL ENGINEERING), 2020) View File
I do hereby declare that all the statements made in the application are true, complete and correct to the best of my knowledge and
belief. I am duly aware that in the event of any particulars or information furnished by me is found to be false/incorrect/incomplete or if I
am found indulging in some unlawful act at any time during the course period, my candidature is liable to be summarily
rejected/cancelled."
I hereby solemnly undertake that I will not indulge in any behavior or act that may be constituted as ragging or sexual harassment.
I hereby solemnly affirm that I will not claim, as a matter of right, for services such as daily transportation, hostel accommodation, etc.
in case the University cannot provide them.