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Application for admission in First Year Modular M.Tech Programme 2008.
Posted Date: 30 Apr 2008 Resource Type: Admissions Category: General
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Posted By: ashish jain Member Level: Silver Rating: Points: 7
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U. P. TECHNICAL UNIVERSITY, LUCKNOW
Advt. No. M.TECH. (Modular/Sequential) / 2 / 2008
ADMISSION NOTIFICATION
Applications are invited for admission to second / third semester M. Tech. Programme (Modular/Sequential) in various disciplines at different study centers of U. P. Technical University, Lucknow.
Application must be sent on the prescribed format through their Employer. Advance copy of the application shall be accepted. Incomplete applications will be rejected. The candidates have to furnish no objection certificate from the employer at the time of admission. Classes will start from June 11, 2008.
Application in the prescribed format must reach the Registrar, U. P. Technical University, I.E.T. Campus Sitapur Road, Lucknow on or before May 20, 2008 along with course fee (in form of Demand Draft in favour of Finance Officer, U. P. Technical University payable at Lucknow). ? Second semester Modular M.Tech. programme fee is Rs. 20,500/- ? Third semester Sequential M.Tech. programme fee is Rs. 12,000/- ********
U.P. TECHNICAL UNIVERSITY, LUCKNOW
APPLICATION FORM FOR ADMISSION TO SECOND / THIRD YEAR M.TECH. PROGRAMME (MODULAR/SEQUENTIAL) 2008 1. ROLL NUMBER: ____________________________
2. ENROLLMENT NUMBER: ____________________________
3. SEMESTER: SECOND / THIRD (Applied For)
4. NAME OF COURSE (S):
5. NAME OF PREVIOUS STUDY CENTRE:
6. NAME OF CANDIDATE: (In Block Letters)
7. DATE OF BIRTH:
8. FATHER’S / HUSBAND’S NAME:
9. NAME OF THE INSTITUTION: (Presently you are working)
10. OFFICIAL ADDRESS: ___________________________________ ___________________________________ ___________________________________ 11. ADDRESS FOR COMMUNICATION: ___________________________________ ___________________________________ ___________________________________ 12. PHONE NUMBER (with STD): (O) ___________________________________ (R) ___________________________________ FAX : ___________________________________ E-Mail : ___________________________________
13. CATEGORY: (Indicate by v mark in appropriate box): SC ST OBC GEN
14. GENDER: Male Female
15. NATIONALITY: _________________
16. EDUCATIONAL QUALIFICATION (From High School onwards)
Examination Passed Name of University / Institution Year of passing Div. Percentage of marks/C.P.I. Subjects/ Branch High School Intermediate B. Tech. Other (Pl. specify)
17. (i) RESULT OF PREVIOUS SEMESTER: SPI - _________ , CPI - ____________ (Please enclosed the copy of Grade Sheet)
(ii) ARE YOU FAILED IN ANY SUBJECT? (If yes, Please list the name of subjects with Grade)
18. PARTICULARS OF PROFESSIONAL EXPERIENCE
Sl. No. Name of Employer Period of Service Length of Service (Years) Designation & Pay Scale Nature of Responsibilities From (Date) To (Date)
19. PARTICULARS OF DEMAND DRAFT
Name & Address of issuing Bank/Branch Date of issue Draft No. Amount
(Course Fee should be sent in the form of DD payable to Finance Officer U.P. Technical University payable at Lucknow only.)
20. Other information if any:
DECLARATION BY THE CANDIDATE
I hereby declare that all the statements made in this application are true, complete and correct to the best of my knowledge and belief.
Date : (Signature of Applicant) Place:
EMPLOYERS ENDORSEMENT
This is the certify that Mr./Mr……………….................Working as……………………………… in ………………………………………………………. The above details are verified and found correct as per records. It is further certified that no vigilance/disciplinary case and departmental inquiry is either pending or contemplated against him. The integrity of the teacher is also certified in case of the selection, for pursuing M. Tech. (Modular/Sequential). He/she will be relieved and his/her salary will be paid by the Institute.
Date: Signature of the Employer Place: Name: Designation: Seal:
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