THAPAR INSTITUTE OF ENGINEERING

AND TECHNOLOGY
BE/BTECH APPLICATION FORM
APPLICATION NO:
BE/BTECH/117865

Course Details
Which Academic Session Are You
Qualification 12th with PCM Session 2023 - 24
Applying For?

Programme Type Undergraduate Programme Applied For BE / B.Tech

Category General Punjab

Personal Details
Applicants Full Name Abhiveer Kansal

Date of Birth 05/08/2005 Gender Male

Email Address ayushthegreat82@gmail.com Mobile Number +91-9876259066

Nationality Indian Country

Do You Have Valid Punjab Residency Certificate (Domicile Certificate) Yes

Aadhar Card Number 605258991027

Parent Details
Father Mother

Name Mr. Rohit Kansal Mrs. Anu Kansal

Mobile Number +91-9878366966 +91-8427460966

Email Address

Annual Family Income 8 to 10 lac

Family Income

Address Details
Is Permanent Address Same As Address For Communication? :No

Current Address ( For Communication) Permanent Address

Country India India

State Punjab Punjab

District Mansa Mansa

City Mansa Mansa

Address Line 1 208 , Amritpal street, Water works road #7, Dr. Amritpal Street, Water Works Road

Address Line 2

Pincode 151505 151505

Xth Details
Grade Point /
Institute Name Board Roll No. Year of Passing System of Evaluation Multiplying Factor
Percentage

Singhal Stars Sen. Sec. Central Board Of Secondary

13167166 2021 Percentage 84.8
School Education (CBSE)

Name of the Qualifying Exam XIIth

XIIth Details
Year of Multiplying Grade Point /
Institute Name Board Result Status System of Evaluation
Passing Factor Percentage

Central Board Of Secondary

Alpine Public School 2023 Declared Percentage 79
Education (CBSE)

Name of the State from where you've appeared Are you interested in International
Punjab No
in the qualifying exam Engineering (Credit Transfer) Programme?

XIIth Centre Code 816281 XIIth School Code 20660

XIIth Roll Number 13688441 XIIth Admit Card ID AA442062

Did you appear for an improvement exam? No

PCM Details
1 Physics 2 Mathematics 3 Chemistry 4

74/100 78/100 64/100 /

PCM / PCB %age Marks 72

Have You Appeared Or Planning To Appear For JEE ? Yes

JEE Main January, 2023

Application Number 230310272566 Roll Number PB02002800

JEE Main April, 2023

Application Number 230310272566 Roll Number PB02000383

Branch Preference order

Preference1: Computer Science and Engineering Preference2: Computer Science and Business
Preference3: Computer Engineering (B.E.)
(Patiala Campus) (B.E.) systems (B.E.)

Preference4: Computer Science and Engineering Preference5: Electrical and Computer Preference6: Electronics and Computer
(Derabassi Campus) (B.E.) Engineering (B.E.) Engineering (B.E.)

Preference7: Electronics (Instrumentation and Preference8: Electronics and Communication

Preference9: Electrical Engineering (B.E.)
Control) Engineering (B.E.) Engineering (B.E.)

Preference10: Mechatronics (B.E.) Preference11: Mechanical Engineering (B.E.) Preference12: Civil Engineering (B.E.)

Preference13: Biotechnology (B.Tech.) Preference14: Biomedical Engineering (B.Tech.) Preference15: Chemical Engineering (B.E.)

Updated Branch Preference order

Preference1: Computer Science and Engineering Preference3: Computer Science and Business
Preference2: Computer Engineering (B.E.)
(Patiala Campus) (B.E.) systems (B.E.)

Preference4: Electronics and Computer Preference5: Electrical and Computer Preference6: Electronics and Communication
Engineering (B.E.) Engineering (B.E.) Engineering (B.E.)

Preference7: Electronics (Instrumentation and Preference8: Computer Science and Engineering

Preference9: Electrical Engineering (B.E.)
Control) Engineering (B.E.) (Derabassi Campus) (B.E.)

Preference10: Mechatronics (B.E.) Preference11: Mechanical Engineering (B.E.) Preference12: Civil Engineering (B.E.)

Preference13: Biotechnology (B.Tech.) Preference14: Biomedical Engineering (B.Tech.) Preference15: Chemical Engineering (B.E.)

Other Details
What was your first source of information about admissions at Thapar
Internet Search ( eg: Google Search)
Institute of Engineering & Technology?

Upload Documents
Upload XIIth Result Yes Upload NEET Admid Card NO

Upload Improvement 12th Marksheet NO Upload XIIth Admit Card Yes

Upload Passport Document NO Upload Domicile Document Yes

Upload Reservation Document NO Upload JEE 2023 Admit Card Yes

Declaration
Student's Declaration:
I declare that
1. I have not been debarred from joining any educational institution or rusticated from the Institution/University/Board last
attended.
2. All the statements made in this application are true to the best of my knowledge and belief. I clearly understand that if
any of the statement is subsequently found to be untrue, my admission to TIET would stand cancelled.
3. I have read the information Prospectus and Instructions incorporated therein carefully.
4. I have satisfied myself that I fulfill the minimum educational qualifications, physical and medical standard and that my
admission be treated as cancelled if found deficient in these standards.
5. I agree that admission may be granted to me on the terms and conditions stated in the latest edition of the Prospectus
and Instruction of TIET or such modifications thereof as may be made by the authorities.
6. I promise to abide by the rules and regulations of TIET as applicable from time to time. I undertake that so long as I am a
student of TIET, I will do nothing either inside or outside the campus that will interfere with its orderly working and
discipline.
7. I am aware that ragging is totally banned, if found guilty of ragging, I would be liable to be punished as per rules and
regulation of TIET/law of land.
Parent's Declaration :
I declare that
1. My son/daughter/ward is seeking admission with my consent and in the event of his/her being admitted to the Thapar
Institute of Engineering & Technology, Patiala.
2. I will be personally responsible for (1) his/her good conduct and behaviour during his/her stay at TIET (2) return of the
books issued to him/her and I undertake to pay regularly all his/her fees, Hostel Mess and Canteen dues and other
expenses incurred on campus and educational tours, expenses to cover any breakage or damage of TIETs
3. I also agree that he/she will submit to the discipline of TIET.
4. I am aware that ragging is totally banned and agree to abide by the punishment meted out to my ward in case he/she is
found guilty of ragging.
Applicant Name Abhiveer Kansal Parent Name Rohit Kansal Date 01/05/2023

Payment Details
Mode Of Payment Online Transaction ID 17262280490 Payment Date 29/04/2023
Fee Amount 1500.00