B.

Tech
Application No: WPU/UG22/BTECH/023664

Registration Details
Registration Details
B.TECH COMPUTER
SCIENCE AND
B.TECH COMPUTER
ENGINEERING
Program B.TECH Preference 1 SCIENCE AND Preference 2
(ARTIFICIAL
ENGINEERING
INTELLIGENCE AND
DATA SCIENCE)
B.TECH. COMPUTER SCIENCE AND B.TECH ELECTRONICS
B.TECH MECHANICAL
Preference 3 ENGINEERING (CYBER SECURITY Preference 4 AND COMMUNICATION Preference 5
ENGINEERING
AND FORENSICS) ENGINEERING
B.TECH COMPUTER SCIENCE AND
B.TECH CHEMICAL B.TECH CIVIL
Preference 6 ENGINEERING (COMPUTER SCIENCE Preference 7 Preference 8
ENGINEERING ENGINEERING
AND BUSINESS SYSTEMS)
Preference 9 B.TECH BIO ENGINEERING Title MR First Name ADITYA
Middle Name Last Name PATHAK Mobile Number +91-9005113490
Alternate Mobile
Email ID ADITYAPATHAK0666@GMAIL.COM +91-9415477835
Number
Address for Correspondence
Country INDIA State UTTAR PRADESH District KANPUR NAGAR
City KANPUR Address Line 1 3 GOPAL NAGAR Address Line 2 YASHODA NAGAR
Is Permanent
Address Same As
Pincode 208011 YES
Address For
Communication?
Permanent Address
Country INDIA State UTTAR PRADESH District KANPUR NAGAR
City KANPUR Address Line 1 3 GOPAL NAGAR Address Line 2 YASHODA NAGAR
Hostel
Required(Hostel Choice of Exam
Pincode 208011 YES
facility is subject to Center
availability)

PROCEDURE FOR ONLINE SUBMISSION OF APPLICATION FORM

Eligibility for the I HAVE READ AND UNDERSTOOD ALL
program THE INSTRUCTIONS.

Personal Details
Personal Details
Re-Enter
Enter Candidate's
Nationality INDIAN 375085839483 Candidate's Aadhar 375085839483
Aadhar card Number
card Number
OMS (OTHER THAN
Gender MALE Date Of Birth 06/11/2005 Domicile Status
MAHARASHTRA STATE)
Quota NA Category

Academic Details
Educational Details
SSC Details

Name of the
Year of Obtained Maximum Percentage /
Name of the School School Name of the Board Marking Scheme
Passing Marks Marks CGPA
Branch
OXFORD MODEL CENTRAL BOARD OF
SSC SENIOR SECONDARY SHYAM NAGAR SECONDARY 2020 PERCENTAGE 338 600 56.33
SCHOOL EDUCATION (CBSE)

After 10th
12TH
Qualification
HSC Details

School/Jr
Name of School Name of the Year Of Result Marking Obtained Maximum
College Stream Percentage/CGPA
/ Jr College Board Passing Status Scheme Marks Marks
Branch
 OXFORD MODEL CENTRAL BOARD
SENIOR SHYAM OF SECONDARY
HSC 2022 SCIENCE AWAITED
SECONDARY NAGAR EDUCATION
SCHOOL (CBSE)

HSC Academic subject wise details

Subject Name Maximum Marks Obtained Marks

1.
2.
3.
4.

Diploma Details

Name of Name of
Degree / Year of Result Marking Obtained Maximum
School / Jr Specialization the Percentage/CGPA
Branch Passing Status Scheme Marks Marks
College Board
Diploma

Entrance Test Details

Exam Details

Exam Name Registration Number Exam Date Is Result Declared ? Obtained Marks Maximum Marks Percentile
1
2
3
4
5

NOTE: JEE SCORE UPDATION: PLEASE USE THE TOTAL NTA SCORE TO UPDATE YOUR MARKS IN THE "PERCENTILE" BOX RIGHT UPTIL SEVEN DECIMALS.

Upload Documents
Upload Documents

Upload Your
Upload Your Photo : Upload 10th Marksheet : YES
Signature :

Upload 12th Upload Your Domicile

NO Upload Aadhar Card : YES NO
Marksheet : Certificate :

Upload Cast Upload Diploma

NO NO Upload Exam Scorecard : YES
Certificate : Marksheet :

Declaration
Declaration
I HEREBY CERTIFY THAT ALL THE STATEMENTS MADE IN THIS APPLICATION ARE TRUE, COMPLETE, AND CORRECT. IN THE EVENT OF ANY INFORMATION BEING FOUND
FALSE/INCORRECT/INCOMPLETE / INELIGIBILITY BEING DETECTED BEFORE OR AFTER SELECTION/ADMISSION; ACTION MAY BE TAKEN BY THE UNIVERSITY AS DEEMED FIT AGAINST ME. IN PAST,
THERE WAS NO INCIDENT/DISCIPLINARY ACTION AGAINST ME.
I WILL SUBMIT ALL THE REQUIRED DOCUMENTS INCLUDING THE ENTRANCE EXAM SCORECARD WHILE APPEARING FOR THE ADMISSION SELECTION PROCESS.
DISCLAIMER: THE RIGHT IS RESERVED WITH THE UNIVERSITY TO CHANGE THE PROGRAM FEE / INTAKE OF THE PROGRAM / ADDITION OR DISCONTINUATION OF THE PROGRAMS FOR THE
ADMISSION YEAR 2022.

Applicant Name ADITYA PATHAK Date 16/07/2022