Application form for B.Tech.

Admissions - 2024

Application No.

2024206913

Candidate Name : PREM KUMAR

Date of Birth 11-AUG-2006 Gender MALE

Community OBC / BC Native State JHARKHAND

EWS Status Yes Subjects Appearing MPCEA

Mobile No. 7903979068 Email ID. rrajakkumar01@gmail.com

Residential Status Indian Test city Bokaro

Qualifying Exam 12th Class Month & Year MAR - 2024

passing/appearing

Parent name KAILASH MAHTO Parent mobile number 9939659292

Address for correspondance Q.NO 755, A ROAD, SECTOR 9 BOKARO, BOKARO,

JHARKHAND - 827009

Name of the Board RAJASTHAN BOARD OF SECONDARY EDUCATION

Name of the School JYOTI BAL VIDYA MANDIR SENIOR SECONDARY SCHOOL
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 VITEEE 2023 information 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. I understand that if I fail to fulfill the eligibility criteria my admission will be cancelled.

Signature of the candidate