A Unit of Society for Educational Excellence, Ghaziabad ABES Engineering College (College Code: 032) 18 Approved by AICTE, New Delhi & Affiliated to Dr. APJ Abdul Kalam Technical University, Uttar Pradesh, Lucknow NAAC Accredited and NBA Accredited Courses (CSE, ECE, ME, EN & IT) 19 Km Stone, NH-24, Ghaziabad - 201009 (UP), INDIA Ph: 0120-7135112, Fax : 0120-7135115 Mobile: +91-9999889341 Email : info@abes.ac.in Website: www.abes.ac.in Admission Form (Session 2018-19) Admission No. 2 0 1 8 (For office use) IMPORTANT GUIDELINES 1. The Candidate is advised to read e instructions carefully and fill application accordingly. 2. Demand Draft of fee (Academic/Hostel) in favour of ABES Engineering College payable at Ghaziabad or Delhi. Uniform fee/transport fee (In cash only). 3. Student's personal details from column 3 to 5 (Student name, Faer's name & Moer's name) is to be filled as per 10 certificate. Please write one letter in each box and leave one box blank between two words. 4. Students are advised to keep one set of photocopy of documents wi em for eir personal use/scholarship forms. 5. Original documents, submitted at e time of admission, would be returned only after verification by e concerned University. (1) Course/Branch Detail (Fill as per allotted seat rough Counseling or Direct admission) st nd st nd B.Tech. 1 Year B.Tech. 2 Year (LE) MCA- 1 Year MCA-2 Year (LE) CE M.Tech. CSE ECE ME CSE ECE EN IT ME CEI MBA (2) Mode of Admission (Mark Pon e Box) (i) UPSEE-2018 (ii) UPSEE-TFW (iii) Kashmiri Migrant (iv) PMSSS (3) Student s Detail Full Name (in capital letters) (i) Nationality :... (ii) Religion :... (v) Direct Student Pic Affix recent passport size (3 cm x 3.5 cm) photograph (iii) Domicile: U.P. [ ] Oer State [ ] GDDA [ ] (Wards of Defence & All India Services of U.P. Cadre) (iv) Date of Bir (DD/MM/YYYY):.../.../... (v) Blood Group... (vi) Gender: Male [ ] Female [ ] TG [ ] (vii) Category: General [ ] OBC [ ] SC [ ] ST [ ] Minority [ ] (Muslim, Sikhs, Jain Parsi & Christian) (viii) Sub Category: None [ ] PH [ ] FF [ ] Ex Def Person [ ] (ix) Student Email Id:... (x) Student Mobile No: (xi )Student Aadhaar No.
2 (4) Faer s Details: Faer s Name (in capital letters) (i) Faer s Email Id:... (ii) Faer s Mobile Number:. Faer s Pic Affix recent passport size (2.5 cm x 3 cm) photograph (iii) Faer s Aadhaar No. (iv) Faer s Annual Income (in figures):... (v) Occupation (Please Mark ) Faer : Business Farmer Service If in Service (Govt.) (Pvt.) Oer (5) Moer s Details: Moer s Name (in capital letters) (i) Moer s Email Id:... (ii) Moer s Mobile Number:. Moer s Pic Affix recent passport size (2.5 cm x 3 cm) photograph (iii) Moer s Aadhaar No. (iv) Moer s Annual Income (in figures if working):... (v) Occupation (Please Mark ) Moer :House maker Business Farmer Service If in Service (Govt.) (Pvt.) Oer (6) Annual Family Income in Rs (7) Address: (i) Permanent Address: (Use Capital Letters) House No.: Mohalla/Street City / Town / Village & P.O. District State Pin Code (ii) Correspondence Address: (Use Capital Letters) House No.: Mohalla/Street City / Town / Village & P.O. District State Pin Code (8) Local Guardian Details: Name Relationship Tel. No. (wi STD Code) Mobile E-mail Id Address
3 (9) Academic Details (i)a Secondary & Higher Secondary Details Standard Passing Year Roll Number Medium Hindi/English Board Name Aggregate Percentage High School (X) Intermediate (XII) School Name School Name (i)b Marks obtained in e subjects at 10+2 standard. (Only For B.Tech) Marks Detail Marks Obtained (i) Max. Marks (ii) % age (i/ii*100) Oer Optional sub. in place of Physics Mas Chemistry Chemistry Total of Physics Total of Ma +Physics (Biotech/Biology/ Tech. Vocational Sub Mas & Chem. + Oer Optional English Oer (...) if opted) (ii)a Undergraduate/Diploma Details seeking admission in B.Tech. (LE)/M.Tech./MBA/MCA/MCA (LE*) (*Only BCA & B.Sc. (CS/IT) graduates are eligible.) Qualifying Exam (Diploma/B.Sc.) BA/B.Com/BCA/ BBA/B.Tech etc. (if Diploma please specify e Branch) Name of College Board University Year of Passing Roll No. Medium Hindi/ English Subject/ Specialization Marks Obtained Max. Marks % age (ii)b In case of MCA and MCA (Lateral) details of Marks in Mas at XII std. / Graduation Examination Board/University Subject Max. Marks Marks Obtained 12 Graduation Ma (10) Entrance Details (if any) Details of Entrance Test (if appeared) *Mandatory for M.Tech. admission Name of Examination Roll No. Marks Allotted Category General Rank Category Rank State Rank UPSEE 2018 OTHER (JEE/GATE/FATE/CAT/MAT) (11) In case of UPSEE-Payment Details Amount in Rs. (12) Hostel Details Hostel accommodation required: (Mark on box) (i) Yes (ii) No (13) Transport Details (If yes, please fill Hostel form No. S-38) Transportation Facility required: (Mark (i) Yes (ii) No on box) (If yes, please fill Hostel form No. S-13)
(14) Fee Deposition Policy*: (a) DECLARATION BY STUDENTS 1. I, hereby, declare at, e entries made by me in e Application Form are complete and true to e best of my knowledge and based on records. 2. I solemnly undertake to accept and abide by e rules of e ABES Engineering College, Ghaziabad, taken by College Auorities and Hostel Auorities (if applicable) in regard to my admission. 3. I solemnly affirm at I have never been convicted by a court of law nor rusticated / expelled from any educational institutions / nor disqualified/debarred from any examination. 4. I, hereby declare at I have read e fee deposition policy pertaining to e payment of Fee and I will abide by e same. 5. I do undertake at I will attend 100% classes as per University Ordinance. In case of any medical emergencies / oers, 75% attendance in classes is compulsory and I commit myself to adhere to e same. I also understand, in case my attendance falls short, for any reason, e competent auority of e Institute may take such punitive action against me, as may be deemed fit and proper. 6. I do undertake at If I will be unable to come to e institute for one or e oer reasons, I have to take permission in writing from e Head of Department / Director of Institute on e recommendation of Class Coordinator. In case of emergency, permission on phone from e Class Coordinator / Head of Department / Director of Institution is required to be taken. 7. I, hereby declare at, I will not indulge in, nor tolerate ragging, in any form, even in words or intentions as ragging is a punishable act. Any student found indulging in any form of ragging will be punished / expelled from e institute. Apart from is a FIR will also be lodged against e student by institute. I accept to submit an undertaking in e prescribed format (online) of AICTE separately for college and hostel. 8. I, hereby declare at, I will neier join in any coercive agitation/strike for e purpose of forcing e auorities of e Institute to solve any problem, nor I will participate in any activity which has a tendency to disturb e peace and tranquility of life of e ABESEC campus and/or its Hostel premises. 9. I, hereby undertake to inform e Institute, about any changes in information submitted by me, in e Application Form and any oer documents, including change in addresses and phone nos.,from time to time. 10. I undertake at any student if found using unfair means in e Examination(s), will invite cancellation of his/her result and punishment as may be deemed proper by e Administration of Institute/University. 11. I do understand at uncivilized behavior wi any Faculty Member, Office Staff, Student, or Management, any illegal activity, damage to e property of e institution or individuals will be considered as act of indiscipline. I acknowledge at e Institute has e auority to take punitive actions against me for violation and / or non-compliance of e same. I will accept e cancellation of my candidature in case of any above or information supplied by me in is form is found to be incorrect at e time of admission or ereafter. Date... Newly Admitted (All courses) Ÿ One time Yearly Academic and Hostel fees (if opted) at e time of admission/reporting Ÿ Uniform & Transport fee (in cash) : For fee detail, visit college website www.abes.ac.in/admission nd (b) 2 yr (All courses) : One time yearly Academic fee by 10 June rd (c) 3 yr (All courses) : One time yearly Academic fee by 20 June (d) B.Tech. 4 yr (All courses) : One time yearly Academic fee by 30 June Note * Late Fee after e above said dates Rs100/- per day. DECLARATION BY PARENT/GUARDIAN Signature of e Applicant / Student I (Moer/Faer/Guardian) hereby fully endorse e above undertaking / declaration given by my ward. I will also endeavour to induce my ward to do his/her best to observe e above stated undertaking in words and spirit. I hereby declare at I have read e fee deposition policy and undertake to pay e fee every year as per college rules. I also undertake full responsibility of good behavior and conduct of my ward (in e campus and outside campus) during entire duration of e course. Date... No provision to pay e fee semester wise or in installment. nd Hostel fees for 2 yr. onwards to be paid as per notification by Hostel Incharge. Mode of payment: (a) Debit Card (Additional Charges to be applicable @ Rs.1.074% on above Rs. 2000/- (b) Credit Card (Additional Charges to be applicable @ Rs. 2.148%) (c) (d) (e) Bank Draft in favour of ABES Engineering College Payable at Ghaziabad or Delhi. (Detailed information like name, admission no. & mobile no. of e student to be written on e back side of draft.) PAYTM 4 RTGS/NEFT (Directly in Punjab National Bank, Navyug Market, Ghaziabad, A/c. No. 0674009300045914, IFSC Code- PUNB0067400) Not Applicable for newly admitted students Signature of e Parent / Guardian Place... Name :... Relation:...
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6 ABES Engineering College, Ghaziabad (032) Enrollment Form 2018-19 Mode of Admission Qualifying (%) (For office use) Admission No. 2 0 1 8 Name of Student Mr./Ms. (English) Nk=@Nk=k dk uke ¼fganh esa½ Student Pic Date of Bir (DD/MM/YYYY): / / Blood Group Category: General [ ] OBC [ ] SC [ ] ST [ ] Min [ ] Gender: Male [ ] Female [ ] TG [ ] Email ID Present Address Pin Code Permanent Address Pin Code Left Thumb Tel: Student Mobile No. Faer s Name Mobile No. Moer s Name Mobile No. Signature Faer s Annual Income (A) : Moer s Annual Income (B) : Total Annual Income (A+B) :... Following Documents of Self Attested copies are enclosed wi Check List: S.No. Documents Check Box 1. Migration/TC (Original) 2. Allotment Letter 3. UPSEE Result 4. UG/Diploma Marksheet (ALL) 5. 12 Marksheet & Passing Certificate 6. 10 Marksheet & Passing Certificate 7. Caste Certificate (if applicable) 8. Domicile Certificate (if applicable) 9. Income Certificate (Only FW) 10. Aadhar Card 11. Gap Affidavit (Original) (if applicable) Remarks (Student Signature) (Parents Signature) (Auorized Signature)