Application Form For Admission In To First Year Of B.tech. / Mba Degree Course (Page 5 of 5) in pdf

Application Form For Admission In To First Year Of B.tech. / Mba Degree Course Page 5

DECLARATION BY THE PARENT / GUARDIAN

I, __________________________________________________________________ do solemnly affirm

that I undertake to be responsible for the conduct of my Son / Daughter / Ward, Mr. / Miss ___________

__________________________________ and to pay regularly all his / her expenses during his / her

stay at the institution. Further, I am prepared to withdraw him / her if he / she act against the rules of the

Institute.

Signature _________________________________________________

Relationship with the candidate ________________________________

Address : _________________________________________________

Latest Passport

_________________________________________________________

Size photograph of

Parent

_________________________________________________________

Telephone No. with STD code : ________________________________

Mobile No. : _______________________________________________

Place : ________________________

Date : _________________________

FOR OFFICE USE ONLY

A) Whether the candidate appeared for the EAMCET examination

B). If yes, indicate the Rank ______________ Hall Ticket No. _______________________

C). Whether the eligibility checked

a). Intermediate % > 50

b). Group % > 50

D) Fee particulars :

Particulars

1st Year

2nd Year

3rd Year

4th Year

Tuition Fee Yearly

Special Fee

Transport Fee

Book Bank

Referred by Mr./Ms ________________________________________________________________

admit Mr. / Miss _____________________________________ Branch allotted _________________

_______________________ Date ____________________ .

ADMIN OFFICER

PRINCIPAL

SECRETARY

OFFICE SUPERINTENDENT

Application Form For Admission In To First Year Of B.tech. / Mba Degree Course Page 5