TAKSHSHILA INSTITUTE OF ENGINEERING & TECHNOLOGY REGISTRATION CUM ADMISSION FORM FOR BE (SESSION 2018-19) BE COURSE: BE Branch: (1) (2) (3). Category: UR/ SC/ ST/ OBC/ AIUR Name (Capitals). Date of Birth Father s Name Mother s Name Complete Address...... Father s Occupation.Annual Income Mobile No (Student).....Mobile No (Parents) Mobile No (Brother/Sister) Phone No. E-Mail ID Affix Latest Passport Size Colored Photograph & Sign in Below DETAILS OF QUALIFYING EXAMINATION S.No. Examination Year of Passing Roll No Board/ University Marks Obtained/ Total Marks Marks Obtained In 12 th 1 12 th Physics - Chemistry - Math - 2 JEE 2018 Address Local Guardian (With Name)..... Mobile No. Relation with students List of copy of documents submitted at the time of admission: Photocopy Original 1. JEE Mark sheet & Admit Card 2. 12 th Admit Card. 3. High School Mark Sheet (10 th ).. 4. Higher Secondary Mark Sheet (12 th ) 5. Transfer Certificate (Original) 6. Character Certificate (Original) 7. Migration Certificate (Original) 8. Caste Certificate (SC/ ST/ OBC) 9. Latest Father s Income Certificate (SC/ ST/ OBC) 10. Domicile Certificate 11. Gap Affidavit (If Applicable) (Original) 12. Aadhar Card/ UID 13. Samagra ID 14. Passport Size Photographs with name & branch written on back side. 08 Nos. 15. Candidate s Bank A/c details: A/c no Bank Name Branch Name IFSC Code:. Fee Structure: Rs. per year (excluding other fee like caution money, univ fee, TP fee, Bus, Uniform fee etc.) Scholarship if any provided by society: Rs: Remark:. Fee Deposited at the time of admission: Rs Receipt No...Date. DECLARATION BY THE CANDIDATE I declare that above statement is correct. I am aware that my admission is liable to be cancelled, if any of the above information is found to be incorrect later on. Name & Signature of Signature of Parent/ Guardian Signature of Student Counselor Date: / /2018 ------------------------------------------------------------------------------x----------------------------------------------------------------------------
A G R E E M E N T This agreement is made on this..day of.. 2018 between Shri/ku... (Student), Son/ Daughter of Shri (Father) a student of BE at Takshshila Institute of Engineering & Technology, Jabalpur along with Shri... Father/ Guardian of the student on one part and Principal. Takshshila Institute of Engineering & Technology, Jabalpur (including his successors in office & legal representative) on the other part. Now in the presence of witness, it is hereby agreed between the parties here as under: 1. Admission: That the student is admitted to four year BE course and that he/ she shall prosecute his/ her studies for the prescribed periods at this college and shall not leave the institution to join another institution in between the course, without NOC of the college. 2. Fees: That the student shall pay the college such fee as is prescribed by the Admission & Fee Regulatory Committee (AFRC), Madhya Pradesh for the category in which he/ she is admitted and also other fee as prescribed by the college and the University from time to time. These fees shall not be refundable in any case. In case the student leaves the education in between at any point of time, he/ she shall pay to the college the balance of fee for the remaining course of his/ her study as per Supreme Court ruling in Islamic Academy of Education Vs State of Karnataka,(2003) 6SCC697. 3. Attendance in Class: That the student will not allowed to appear for the examination if he/ she do not attend minimum 75% classes of theory, practical & drawing etc. He/ she is also aware that he/ she will not be allowed to appear for the examination, if he/ she fails to submit all the assignments, jobs journals, drawing and reports as specified by the University within stipulated time limit. 4. Attendance in Functions: That the student shall attend such seminars, symposia, workshop, literary and fine arts functions etc. as may be organized by the college from time to time. 5. Ragging: That the student shall not engage himself/ herself, directly or indirectly in any incident or ragging within or outside the premises of the college. He/ she is also aware of the institution s approach towards ragging and the punishments to which he/ she shall be liable if found guilty of ragging. I undertake to abide by the rules and regulations of the college and university during my period of study. In all matters, the decision of the Principal of the college shall be final. In witness where of Shri/ Ku...(student) son/ daughter of Shri/ Smt..(father/ mother of the student) on one part and Principal, Takshshila Institute of Engineering & Technology, Jabalpur on the other part has here unto set his hand. Witness: 1. Signature.. Signature of the Student. Name Address.. 2. Signature.. Signature of the Parent/ Guardian... Address.
TAKSHSHILA INSTITUTE OF ENGINEERING & TECHNOLOGY REGISTRATION CUM ADMISSION FORM FOR M.TECH (SESSION 2018-19) M.TECH COURSE: M.Tech Branch:. Category: UR/ SC/ ST/ OBC/ AIUR Name (Capitals). Date of Birth Father s Name Mother s Name Complete Address...... Father s Occupation.Annual Income Mobile No (Student).....Mobile No (Parents) Mobile No (Brother/Sister) Phone No. E-Mail ID Affix Latest Passport Size Colored Photograph & Sign in Below DETAILS OF QUALIFYING EXAMINATION S.No. Examination Year of Passing 1 Graduation 2 Gate 2018 Roll No Board/ University Marks Obtained/ Total Marks Address Local Guardian (With Name)..... Mobile No. Relation with students List of copy of documents submitted at the time of admission: Photocopy Original 1. Gate Score Card & Admit Card 2. High School Mark Sheet (10th).. 3. Higher Secondary Mark Sheet (12th) 4. Graduation Mark sheets (All Semesters) 5. Transfer Certificate (Original) 6. Character Certificate (Original) 7. Migration Certificate (Original) 8. Caste Certificate (SC/ ST/ OBC) 9. Latest Father s Income Certificate (SC/ ST/ OBC) 10. Domicile Certificate 11. Gap Affidavit (If Applicable) (Original) 12. Aadhar Card/ UID 13. Samagra ID 14. Passport Size Photographs with name & branch written on back side. 08 Nos. 15. Candidate s Bank A/c details: A/c no Bank Name Branch Name IFSC Code:. Fee Structure: Rs..per year (excluding other fee like university fee, TP fee, Bus, Uniform fee etc.) Scholarship if any provided by society: Rs: Remark:. Fee Deposited at the time of admission: Rs Receipt No...Date. DECLARATION BY THE CANDIDATE I declare that above statement is correct. I am aware that my admission is liable to be cancelled, if any of the above information is found to be incorrect later on. Name & Signature of Counselor Date: / /2018 Signature of Parent/ Guardian Signature of Student ------------------------------------------------------------------------------x----------------------------------------------------------------------------
A G R E E M E N T This agreement is made on this..day of.. 2018 between Shri/ku... (Student), Son/ Daughter of Shri (Father) a student of M.Tech at Takshshila Institute of Engineering & Technology, Jabalpur along with Shri... Father/ Guardian of the student on one part and Principal. Takshshila Institute of Engineering & Technology, Jabalpur (including his successors in office & legal representative) on the other part. Now in the presence of witness, it is hereby agreed between the parties here as under: 1. Admission: That the student is admitted to two years M.Tech course and that he/ she shall prosecute his/ her studies for the prescribed periods at this college and shall not leave the institution to join another institution in between the course, without NOC of the college. 2. Fees: That the student shall pay the college such fee as is prescribed by the Admission & Fee Regulatory Committee (AFRC), Madhya Pradesh for the category in which he/ she is admitted and also other fee as prescribed by the college and the University from time to time. These fees shall not be refundable in any case. In case the student leaves the education in between at any point of time, he/ she shall pay to the college the balance of fee for the remaining course of his/ her study as per Supreme Court ruling in Islamic Academy of Education Vs State of Karnataka,(2003) 6SCC697. 3. 8. Attendance in Class: That the student will not allowed to appear for the examination if he/ she do not attend minimum 75% classes of theory, practical & drawing etc. He/ she is also aware that he/ she will not be allowed to appear for the examination, if he/ she fails to submit all the assignments, jobs journals, drawing and reports as specified by the University within stipulated time limit. 4. Attendance in Functions: That the student shall attend such seminars, symposia, workshop, literary and fine arts functions etc. as may be organized by the college from time to time. 5. Ragging: That the student shall not engage himself/ herself, directly or indirectly in any incident or ragging within or outside the premises of the college. He/she is also aware of the institution s approach towards ragging and the punishments to which he/ she shall be liable if found guilty of ragging. I undertake to abide by the rules and regulations of the college and university during my period of study. In all matters, the decision of the Principal of the college shall be final. In witness where of Shri/ Ku..(student) son/ daughter of Shri/ Smt..(father/ mother of the student) on one part and Principal, Takshshila Institute of Engineering & Technology, Jabalpur on the other part has here unto set his hand. Witness: 1. Signature.. Signature of the Student. Name Address.. 2. Signature.. Signature of the Parent/ Guardian... Address.
TAKSHSHILA INSTITUTE OF ENGINEERING & TECHNOLOGY REGISTRATION CUM ADMISSION FORM FOR MBA (SESSION 2018-19) MBA COURSE: MBA Category: UR/ SC/ ST/ OBC/ AIUR Name (Capitals). Date of Birth Father s Name Mother s Name Complete Address...... Father s Occupation.Annual Income Mobile No (Student).....Mobile No (Parents) Mobile No (Brother/Sister) Phone No. E-Mail ID Affix Latest Passport Size Colored Photograph & Sign in Below DETAILS OF QUALIFYING EXAMINATION S.No. Examination Year of Passing 1 Graduation 2 CMAT 2018 Roll No Board/ University Marks Obtained/ Total Marks Address Local Guardian (With Name)..... Mobile No. Relation with students List of copy of documents submitted at the time of admission: Photocopy Original 1. CMAT Mark sheet & Admit Card 2. High School Mark Sheet (10th).. 3. Higher Secondary Mark Sheet (12th) 4. Graduation Mark sheets (All Semesters) 5. Transfer Certificate (Original) 6. Character Certificate (Original) 7. Migration Certificate (Original) 8. Caste Certificate (SC/ ST/ OBC) 9. Latest Father s Income Certificate (SC/ ST/ OBC) 10. Domicile Certificate 11. Gap Affidavit (If Applicable) (Original) 12. Aadhar Card/ UID 13. Samagra ID 14. Passport Size Photographs with name & branch written on back side. 08 Nos. 15. Candidate s Bank A/c details: A/c no Bank Name Branch Name IFSC Code:. Fee Structure: Rs per year (excluding other fee like university fee, TP fee, Bus, Uniform fee etc.) Scholarship if any provided by society: Rs: Remark:. Fee Deposited at the time of admission: Rs Receipt No...Date. DECLARATION BY THE CANDIDATE I declare that above statement is correct. I am aware that my admission is liable to be cancelled, if any of the above information is found to be incorrect later on. Name & Signature of Counselor Date: / /2018 Signature of Parent/ Guardian Signature of Student ------------------------------------------------------------------------------x----------------------------------------------------------------------------
A G R E E M E N T This agreement is made on this..day of.. 2018 between Shri/ku... (Student), Son/ Daughter of Shri (Father) a student of MBA at Takshshila Institute of Engineering & Technology, Jabalpur along with Shri... Father/ Guardian of the student on one part and Principal. Takshshila Institute of Engineering & Technology, Jabalpur (including his successors in office & legal representative) on the other part. Now in the presence of witness, it is hereby agreed between the parties here as under: 1. Admission: That the student is admitted to two years MBA course and that he/ she shall prosecute his/ her studies for the prescribed periods at this college and shall not leave the institution to join another institution in between the course, without NOC of the college. 2. Fees: That the student shall pay the college such fee as is prescribed by the Admission & Fee Regulatory Committee (AFRC), Madhya Pradesh for the category in which he/ she is admitted and also other fee as prescribed by the college and the University from time to time. These fees shall not be refundable in any case. In case the student leaves the education in between at any point of time, he/ she shall pay to the college the balance of fee for the remaining course of his/ her study as per Supreme Court ruling in Islamic Academy of Education Vs State of Karnataka,(2003) 6SCC697. 3. Attendance in Class: That the student will not allowed to appear for the examination if he/ she do not attend minimum 75% classes of theory, practical & drawing etc. He/ she is also aware that he/ she will not be allowed to appear for the examination, if he/ she fails to submit all the assignments, jobs journals, drawing and reports as specified by the University within stipulated time limit. 4. Attendance in Functions: That the student shall attend such seminars, symposia, workshop, literary and fine arts functions etc. as may be organized by the college from time to time. 5. Ragging: That the student shall not engage himself/ herself, directly or indirectly in any incident or ragging within or outside the premises of the college. He/ she is also aware of the institution s approach towards ragging and the punishments to which he/ she shall be liable if found guilty of ragging. I undertake to abide by the rules and regulations of the college and university during my period of study. In all matters, the decision of the Principal of the college shall be final. In witness where of Shri/ Ku..(student) son/ daughter of Shri/ Smt..(father/ mother of the student) on one part and Principal, Takshshila Institute of Engineering & Technology, Jabalpur on the other part has here unto set his hand. Witness: 1. Signature.. Signature of the Student. Name Address.. 2. Signature.. Signature of the Parent/ Guardian... Address.
TAKSHSHILA INSTITUTE OF ENGINEERING & TECHNOLOGY REGISTRATION CUM ADMISSION FORM FOR POLY (SESSION 2018-19) POLY COURSE: Diploma Branch: (1) (2).(3). Category: UR/ SC/ ST/ OBC/ AIUR Name (Capitals). Date of Birth Father s Name Mother s Name Complete Address...... Father s Occupation.Annual Income Mobile No (Student).....Mobile No (Parents) Mobile No (Brother/Sister) Phone No. E-Mail ID Affix Latest Passport Size Colored Photograph & Sign in Below DETAILS OF QUALIFYING EXAMINATION S.No. Examination Year of Passing 1 10 th 2 PPT 2018 Roll No Board/ University Marks Obtained/ Total Marks Address Local Guardian (With Name)..... Mobile No. Relation with students List of copy of documents submitted at the time of admission: Photocopy Original 1. PPT Mark sheet & Admit Card 2. 10th Admit Card. 3. High School Mark Sheet (10th).. 4. Higher Secondary Mark Sheet (12th If Applicable) 5. Transfer Certificate (Original) 6. Character Certificate (Original) 7. Migration Certificate (Original) 8. Caste Certificate (SC/ ST/ OBC) 9. Latest Father s Income Certificate (SC/ ST/ OBC) 10. Domicile Certificate 11. Gap Affidavit (If Applicable) (Original) 12. Aadhar Card/ UID 13. Samagra ID 14. Passport Size Photographs with name & branch written on back side. 08 Nos. 15. Candidate s Bank A/c details: A/c no Bank Name Branch Name IFSC Code:. Fee Structure: Rs.. per year (excluding other fee like university fee, TP fee, Bus, Uniform fee etc.) Scholarship if any provided by society: Rs: Remark:. Fee Deposited at the time of admission: Rs Receipt No...Date. DECLARATION BY THE CANDIDATE I declare that above statement is correct. I am aware that my admission is liable to be cancelled, if any of the above information is found to be incorrect later on. Name & Signature of Counselor Date: / /2018 Signature of Parent/ Guardian Signature of Student ------------------------------------------------------------------------------x----------------------------------------------------------------------------
A G R E E M E N T This agreement is made on this..day of.. 2018 between Shri/ku... (Student), Son/ Daughter of Shri (Father) a student of Diploma Course at Takshshila Institute of Engineering & Technology, Jabalpur along with Shri... Father/ Guardian of the student on one part and Principal. Takshshila Institute of Engineering & Technology, Jabalpur (including his successors in office & legal representative) on the other part. Now in the presence of witness, it is hereby agreed between the parties here as under: 1. Admission: That the student is admitted to three years Diploma course and that he/ she shall prosecute his/ her studies for the prescribed periods at this college and shall not leave the institution to join another institution in between the course, without NOC of the college. 2. Fees: That the student shall pay the college such fee as is prescribed by the Admission & Fee Regulatory Committee (AFRC), Madhya Pradesh for the category in which he/ she is admitted and also other fee as prescribed by the college and the University from time to time. These fees shall not be refundable in any case. In case the student leaves the education in between at any point of time, he/ she shall pay to the college the balance of fee for the remaining course of his/ her study as per Supreme Court ruling in Islamic Academy of Education Vs State of Karnataka,(2003) 6SCC697. 3. Attendance in Class: That the student will not allowed to appear for the examination if he/ she do not attend minimum 75% classes of theory, practical & drawing etc. He/ she is also aware that he/ she will not be allowed to appear for the examination, if he/ she fails to submit all the assignments, jobs journals, drawing and reports as specified by the University within stipulated time limit. 4. Attendance in Functions: That the student shall attend such seminars, symposia, workshop, literary and fine arts functions etc. as may be organized by the college from time to time. 5. Ragging: That the student shall not engage himself/ herself, directly or indirectly in any incident or ragging within or outside the premises of the college. He/ she is also aware of the institution s approach towards ragging and the punishments to which he/ she shall be liable if found guilty of ragging. I undertake to abide by the rules and regulations of the college and university during my period of study. In all matters, the decision of the Principal of the college shall be final. In witness where of Shri/ Ku..(student) son/ daughter of Shri/ Smt..(father/ mother of the student) on one part and Principal, Takshshila Institute of Engineering & Technology, Jabalpur on the other part has here unto set his hand. Witness: 1. Signature.. Signature of the Student. Name Address.. 2. Signature.. Signature of the Parent/ Guardian... Address.