UNIVERSIT Y APPLICATION FORM FOR THE SESSION : (To be filled by the candidate in capital letters) Name in Full : Course Applied for:

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1 Doc. No. GEU/02/7.2/A UNIVERSIT Y DEHRADUN, UTTARAKHAND Deemed University Under Section 3 of UGC Act, 1956 APPLICATION FORM FOR THE SESSION : Form No Please paste one self attested passport size photograph here (To be filled by the candidate in capital letters) Name in Full : Course Applied for: B.Tech applicants (please tick appropriate box ) Applicants of all other courses, please tick one box. If you would like to be considered for more than one course, please mark appropriate boxes in order of your preference by writing No.1 to 3 in the box next to the Course M.Tech (Full Time) Computer Science Control System CAD/CAM and Robotics Communication System Computer N/W Engg Structural Engg Instrumentation & Control Engg. VLSI High Performance Computing Biotech Biomedical Engg Bio-Informatics Geo-Informatics M.Tech -Design Eng -(Part Time) 5 Years Integrated M.Tech ( CS) 5 Years Integrated M.Tech (ME) B.Tech Electronics & Communication Computer Science & Engineering Information Technology Mechanical Engineering Civil Engineering Electrical Engineering Electronics & Instrumentation Automobile Engineering Petroleum Engineering Computer Science & Engineering with specialization in Cloud Computing Computer Science & Engineering with specialization in Big Data Analytics Electronics and Communication Engineering with specialization in Electronics system Design & Manufacturing Bio-Technology B.Tech (Bio-Tech)+ MBA 1of 6 B.Tech (lateral entry) Electronics & Communication Computer Science & Engineering Information Technology Mechanical Engineering Civil Engineering Automobile Engineering Petroleum Engineering BHM BCA B.B.A B.Com (Hons.) MBA MCA MCA Lateral Entry M.Sc. (Information Technology) M.Sc (Biotechnology) M.Sc (Microbiology))

2 (To be filled by the candidate in capital letters) Name in Full: Date of birth: Gender (please tick): Marital Satus (please tick): Day Month Year Male Female Married Unmarried Father s Name: Mother s Name: Address for Correspondence: City Distt. State PIN address (if any) Parent s Phone No. with STD code: Mobile No. Uttarakhand Quota For session , 30% seats are reserved for candidates of Uttarakhand. In case of non availability of candidates, the seats will be converted into All- India seats. Also in case of non availability of candidates in specified quota (Uttarakhand) the seats will automatically be converted into general category. To apply for a course under any of the following categories, please submit a Uttarakhand domicile certificate, alongwith the relevant category certificate, from a competent authority. In case of Uttarakhand candidate, category belonging to (please tick) General SC ST OBC Physically Armed Freedom Others (please specify) Handicapped Forces Fighter 2 of 6

3 Educational Qualification : Class Exam Passed / Appearing Board/University Year Division Percentage High School (10th) Intermediate (12th) Graduation Others Only for B.Tech-Bio.Tech Degree Applicants Class XII Percentage (please calculate percentage taking PCB marks only ) Tests appeared in (please tick): (Only for B.Tech, M.Tech and MCA applicants) JEE Main 2015 (for B.tech applicants) GATE ( for M.Tech applicants) UPTU-SEE UTU-SEE MAT /CMAT CAT / XAT If you are awaiting your Entrance Examination result at the time of filling up this form, please ensure that you fill your Roll Number correctly. When the results are announced, please submit a self attested copy of the rank card, by registered post, within one week of announcement of the results. Failing this, your application at GEU will NOT be considered The candidate has to furnish the Card at the time of Counselling, failing which the candidature will not be accepted. Declaration: I hereby declare that the information filled by me is true to the best of my knowledge and if found incorrect the registration will be considered cancelled without any intimation. Signature of Parent/ Guardian Signature of Candidate Date Place 3 of 6

4 Attention applicants : This page is not to be mailed with the application form. Please keep this page with yourself for future reference. UNIVERSIT Y DEHRADUN, UTTARAKHAND Deemed University Under Section 3 of UGC Act, 1956 Admission Procedure Admissions to the following courses shall be given on the basis of merit of the qualifying examination: Bachelor of Business Administration (BBA) Bachelor of Computer Applications (BCA) BHM (Bachelor of Hotel Management) M.Sc - Information Technology M.Sc- Biotechnology M.Sc. (Microbiology) B.Com (H) 2. Admissions to the B.Tech Courses shall be given on the basis of JEE (Main) Admissions to the MCA program shall be given on the basis of UPTU-SEE / UTU-SEE. 4. Admissions to B.Tech-Bio.Tech program shall be on the basis of Class XII (PCB) Percentage. 5. Admission to MCA(L) Program shall be given on the basis of Merit of Last qualifying Exam i.e, BCA/ B.SC(IT)/ B.SC(CS). 6. Admissions to the MBA Programs shall be given on the basis of MAT / CAT / XAT scores of Dec 2014, Feb 2015 and May 2015 only, followed by Group Discussion and Personal Interview. 7. Admission to the M.Tech programs shall be given on the basis of percentage of last qualifying examination / GATE score. 4 of 6

5 Fee Structure ( ): Academic Fee (per semester, to be deposited semester-wise): M.Tech (Full time) Rs 45,000 Integrated M.Tech Rs 86,000 B.Tech *Rs 86,000 B.Tech - Biotech *Rs 86,000 B.B.A Rs 48,000 M.C.A *Rs 60,000 MCA Lateral Entry Rs. 60,000 B.C.A Rs 40,000 M.Sc. (Information Technology) Rs 35,000 M.Sc. (Bio-Tech) Rs 35,000 M.Sc. (Microbiology) Rs. 45,000 B. H.M. Rs. 45,000 MBA Rs. 94,000 B.Com (Hons) Rs. 40,000 Attention applicants : This page is not to be mailed with the application form. Please keep this page with yourself for future reference. *In case of B.Tech and MCA, an additional Industry Interface fee of Rupees 6000/- per student will be charged in 3rd and 5th Semester. In case of MBA international industry interface fee of Rs /- per student will be charged per semester Academic Security Money (refundable after completion of course; to be paid once): Rs. 5000/- for MBA/MCA/M.Tech/B.Arch/B.Tech Rs. 3000/- for other courses Hostel fee (boarding & lodging): 75,000/- per annum Hostel Security Money (refundable after completion of course; to be paid once): Rs. 3,000/- Sports Fee: Rs. 500/- per Sem Library Fee : Rs. 1000/- per Sem Examination Fee (UG): Rs. 3000/- per Sem Examination Fee (PG): Rs. 3250/- per sem Enrollment Fee: Rs. 500/- (to be paid once) Student Insurance (SIC): Rs. 740/- per annum Subsidised Transport Charges: Rs. 850/- per Sem Student Welfare Charges: Rs. 750/- per Sem 5 of 6

6 Attention applicants : Before you submit this form, please check that the following are attached: 1. Attested photocopy of marksheets (10th and Qualifying Exam) and Test Card: Candidates are required to submit an attested copy of qualifying exam marksheet and test score card within one week of declaration of result, failing which, the claim for admission will stand cancelled. No claim thereafter will be considered. The candidate should produce a copy of JEE Main 2015 Card at the time of Counseling, failing which the candidature will not be accepted 2. Application Fee : Demand Draft of Rs. 1200/- in favour of Graphic Era University, payable at Dehradun. (For downloaded forms, please send the demand draft, along with the duly completed registration form, to the Admissions Office, at the address mentioned below. The prospectus will be sent on receipt of application fee) 3. Domicile and Category certificate (only for Uttarakhand candidates) Please also note that: 1. Application Fee is not refundable under any circumstances. 2. Application does not guarantee admission. For official use only Date of Registration UNIVERSIT Y DEHRADUN, UTTARAKHAND Deemed University Under Section 3 of UGC Act, 1956 Please mail this form, duly filled and along with relevant attachments, to: Chief Executive of Admissions Graphic Era University 566/6 Bell Road Clement Town, Dehradun. Uttarakhand. India Fee Receipt No. Registration No. Official Remarks Signature of Admissions Incharge 6 of 6

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