Scribd
Upload
124 views2 pages

Admission Form for Engineering

This document is an admission form for Radha Govind Institute of Technology in Moradabad, India. It requests information such as the applicant's name, course, branch, category, date of birth, address, academic records, hobbies and extracurricular activities. The applicant and their father/mother/guardian must declare that the information provided is true and promise to abide by the rules of the institute.

Uploaded by

Net Cafe
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
124 views2 pages

Admission Form for Engineering

This document is an admission form for Radha Govind Institute of Technology in Moradabad, India. It requests information such as the applicant's name, course, branch, category, date of birth, address, academic records, hobbies and extracurricular activities. The applicant and their father/mother/guardian must declare that the information provided is true and promise to abide by the rules of the institute.

Uploaded by

Net Cafe
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
You are on page 1/ 2

RADHA GOVIND INSTITUTE OF TECHNOLOGY,

MORADABAD -244001 (U.P.) INDIA

Session ___________

ADMISSION – FORM

Name………………………………………………
Type of Seat: Free/Payment………………………
Courses…………………………………………….
Branch ……………………………………………..
Category …………………………………………… PHOTO
Date of Birth:

Date…………Month…………year………

Nationality ………………………………………….
Father’s Name ………………………………………
Mother’s Name ………………………………………
Guardian’s Name …………………………………….
Annual Income of Father/ Mother ……………………
Permanent Address …………………………………..
……………………………………
Local Address ………………………………………..
………………………………………...

ACADEMIC RECORD:
Examination Year Board/ Univ. Subject
High School
Intermediate
Graduation

Hobbies and Extra Curricular Activities:

1- 2- 3-
Declaration by the Students:

I hereby that all the particulars stated in this form and


enclosures,
If any true to the best of my knowledge and belief. In the event
of suppression distortion fact like education qualification,
nationality
etc. Made in my application form, my Admission / Diploma
Engg. Acquired is liable for cancellation. Further I also promise
to abide
the rules norm of discipline of the Institute.

Date : Signature of the Applicant

Declaration by Father/ Mother/ Guardian :

Whereas, my son /daughter/ward Mr./ Mrs.


…………………………has been admited in Degree Engg./
Diploma Engg. Ist Year, I hereby give an undertaking to
regularly pay all his/her dues to the Institute till the complation if
his/her course if student. I also undertake to be responsible for
his/her conduct.

Date : Signature of the Applicant

You might also like