B Tech Application QuotaGovernmentManagementNRI Branch Choice CEECEEEEME Name of the Candidate (Use Capital letters) Photo of candidate* Gender* MaleFemale Date of Birth* Religion* Caste* Aadhaar Number * Mobile Number* Blood Group Category * GNOECOBCSCST E-Mail Address * Address for Communication * Name of the Father: * Occupation * Mobile Number * Name of the Mother: Occupation Mobile Number Particulars of Qualifying Examination Passed: Name of the Examination Register Number Board of Exam Month of Passing Year of Passing Total Marks Obtained Maximum Marks Percentage TC Number TC Date Upload Certificates Marks in Mathematics, Physics and Chemistry Subject Total Marks Obtained Grade Maximum Marks Percentage Mathematics Physics Chemistry Total Particulars of Entrance Examination: Entrance Roll Number Rank Paper-I Paper-II Total Maximum Marks KEAM 2020 JEE 2020 KEAM Certificate JEE 2020 Certificate Details of NRI Sponsor: (Applicable for NRI Applicants only) Name of the Sponsor Relationship with Applicant Working Country Other Details: (Extra Curricular Activities/ Sports) Undertaking I Mr./Ms. son/daughter of an applicant for the B.Tech Course for the academic year 2020-21 hereby undertake, That the information furnished in the application is true and that if found otherwise, I shall be removed from the roll at any time and shall be liable for criminal prosecution. That I have read the rules and regulations of the college and I undertake to abide by them. That I shall not resort to ragging in any form at any place and shall abide by the rules/laws prescribed by Courts, Governments, affiliating University and College authorities for the purpose from time to time. That I understand use of mobile phone in the college campus is banned by the court of law and shall not resort to usage of mobile phones inside the campus. That I will not drive any vehicle inside the campus. That I will not be involved in any act of indiscipline and in case of my involvement, the Institution has full authority for taking any punitive action including expulsion from the college which will be binding upon me.