UNIVERSITY COLLEGE OF ENGINEERING, KOTA (FORMERLY ENGINEERING COLLEGE, KOTA) RAJASTHAN TECHNICAL UNIVERSITY, KOTA RAWATBHATA ROAD, AKELGARH, KOTA-324010

website:www.rtu.ac.in     Telefax:0744‐2473035,2473920 

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CHECK LIST OF COLLEGE FEES AND DOCUMENTS FOLLOWING DOCUMENT REQUIRED FOR ADMISSION IN I B TECH 2014-15 1. 2. 3. 4. 5. 6. 7. 8. 9. 10.

10 TH CERTIFICATE(ORIGINAL + 01 PHOTOCOPY) 12TH MARKSHEET(ORIGINAL + 01 PHOTOCOPY) TRANSFER CERTIFICATE FROM SCHOOL(ORIGINAL + 01 PHOTOCOPY) MIGRATION CERTIFICATE(ONLY C.B.S.E,I.S.C.E AND OTHER BOARD) (ORIGINAL + 01 PHOTOCOPY) MEDICAL CERTIFICATE(ORIGINAL) 02 PASSPORT SIZE PHOTOGRAPH JEE(MAINS) 2014 SCORE CARD(PHOTOCOPY) or RPET-2014 Score Card Photocopy ALLOTTMENT LETTER CATEGORY/CAST CERTIFICATE FOR (SC/ST/) (PHOTOCOPY) CATEGORY/CAST CERTIFICATE FOR (OBC/SBC) (ORIGINAL+PHOTOCOPY) ISSUED ON OR AFTER 01.3.2014

COLLEGE FEE: The following Fee is to be deposited alongwith admission form through Bank Challan at "Punjab National Bank, RTU, Kota" or by DD in favor of "Rajasthan Technical University, Kota." A. a. b. B. i. ii.

For Students Admitted on SFS Seats All Boys/Girls/SC/ST/OBC/SBC TFWS : Rs. 11,000 For Students Admitted on GAS Seats For SC/ST/Girls & TFWS For General/OBC Boys

1   

: Rs.40,000

: Rs. 12,500 : Rs. 27,500

UNIVERSITY COLLEGE OF ENGINEERING, KOTA (FORMERLY ENGINEERING COLLEGE, KOTA) RAJASTHAN TECHNICAL UNIVERSITY, KOTA RAWATBHATA ROAD, AKELGARH, KOTA-324010

website:www.rtu.ac.in     Telefax:0744‐2473035,2473920  REGISTRATION FORM

Application for Registration as regular student for the session 2014-15 in the Ist Year B Tech ( I Semester Branch.____________________________________________________________________________ College Roll No. _______University Enrolment No. _____________________ B.Tech Exam Roll No. _________. Name of Student

:________________________________________________

Father's Name

:________________________________________________

Father Occupation

:________________________________________________

Official Address

:________________________________________________

Phone No

:Office___________________ Resi.___________________

Annual Income of Parent

:________________________________________________

Religion:___________________

:Cast ___________________

Whether belonging to SC/ST/OBC/SBC_________(If yes mention the cast) Sex

: (M/F)

Student Mobile No ________________________. Student email ID _______________________ Father’s/Guardian Mobile No.___________________ email ID ________________________ Fee of Rs. ________________ (Rs._________________________________) DD No._______________Date____________Bank________________Amount______________

I declare that: I have cleared the I B.Tech./II B.Tech/III B.Tech( 4 year Course) completely and I am eligible to take admission to II B.Tech./ III B.Tech./ IV B.Tech. during the session- 20 - 20 . (1) I have no dues against my name till date. (2) I have not resorted to any act of indiscipline during the previous year. (3) I have not been convicted of any criminal offence nor have I been released on bail in connection with a criminal case. (4) No case of criminal offence or moral turpitude is a pending against me in any court of Law. (5) No complaint or F.I.R. has been lodged against me by the University/Principal of constituent College/Affiliated College or by any other competent authority.                                   Signature      Date  _____________________________________________________________________________  ORDER Provisionally admitted/Not admitted Proctor

2   

UNIVESITY COLLEGE OF ENGG.KOTA STUDENT'S PERSONAL DATA (To be filled in by the students) 1. Name ______________________________

2. College Roll No: ______________________________

3. Category __________________

4. Sex (Male/Female):__________________________

5. Date of Admission____________________

6. RPET/JEE Mains Roll No: _________________________

7. RPET/JEE Mains Marks____________________

8. RPET/JEE Mains Rank (Over all)_________Cat.Ranks______

9. Branch _____________________________ 10. Date of Birth_________________________     Village/Town_________________________ 

(Place of Birth)________________________________  

District_______________________________________ 

11. Father's Name Sh.______________________________ 12. Father is Alive or Not?

ALIVE/NOT ALIVE

13.Name of Guardian & relationship Name Shri __________________________________________________________ (if father is not alive or is invalid for life) 15.Permanent Address ______________________________________________________________________________ ___________________________________________________________________Phone No__________________ 16. Address for communication

Postal

Note: All communication from this address only. Student should make arrangement for redirection if

______________________________________________ ______________________________________________

Necessary.

____________________Phone No__________________

17. Particulars about local Guardian at Kota Note: Students whose parent/guardian are not in Kota

Postal_________________________________________ ______________________________________________

are advised to adopt a local guardian at Kota, who could be contacted by the college in an emergency routine

______________________________________________

______________________________________________

Communication will not be sent at this address

____________________Phone No__________________

18. e-mail address___________________________________Mobile No.:_____________________________________ 19. Married or Single_________________________________ (If married give date of marriage & particulars of children, if any) 20. Whether belongs to SC/ST/ OBC/SBC/Ex-S/DK/PH/KM (if any give particulars) _______________________ 21. Family particulars (Father, Mother, Brother & Sister) Sr.No Name Relation

♦ Mention Designation and Name of Deptt, if in service. * Must be supported by necessary documents. 22. Particulars of academic record Class school or college Period of study

♦ Occupation

Name of University or Board

*Annual Income

Year of Passing

In case of Brother & Sister (whether married or not)

No. of attempts

Distinction & Rank if any

23. * Participation in extra-curricular activities ___________________________________________________________ 24. * Participation in N.C.C./P.T.______________________________________________________________________ 25. * Participation in Games & Sports __________________________________________________________________ 26. * Prizes & Medals won ___________________________________________________________________________ 27. * Hobbies _____________________________________________________________________________________ 28. * Whether getting any financial help in the form of scholarship, fee-concession etc. ____________________________________________________________________ Signature of student Class _________

  3   

UNIVESITY COLLEGE OF ENGG.KOTA STUDENT'S ADDRESS SLIP (To be filled in by the students) Name of Student_________________________________ Father Name__________________________________  Class__________________Branch_______________________________________________  Contact No. of Parents/Guardians(With STD codes)________________________________  All entries will have to be made by the student in BLOCK LETTERS  Address of Parents/Guardians only  To,  To,  Name _________________________________  Name _________________________________  Fathers Name___________________________  Fathers Name___________________________  Address_______________________________  Address_______________________________  _____________________________________  _____________________________________  _____________________________________  _____________________________________  ______________________Pin Code_______  ______________________Pin Code_______  Distt.____________State________________  Distt.____________State________________  Phone No._____________________   Phone No._____________________       To,  To,  Name _________________________________  Name _________________________________  Fathers Name___________________________  Fathers Name___________________________  Address_______________________________  Address_______________________________  _____________________________________  _____________________________________  _____________________________________  _____________________________________  ______________________Pin Code_______  ______________________Pin Code_______  Distt.____________State________________  Distt.____________State________________  Phone No._____________________   Phone No._____________________        

UNIVERSITY COLLEGE OF ENGINEERING, KOTA (FORMERLY ENGINEERING COLLEGE, KOTA) RAJASTHAN TECHNICAL UNIVERSITY, KOTA RAWATBHATA ROAD, AKELGARH, KOTA-324010

ALUMNI ASSOCIATION UNDERTAKING FOR LIFE MEMBERSHIP OF ECKAA I wish to become a life member of the ECKAA: I have filled the membership form I hereby give my consent to deduct Rs.500.00 (Rupees Five Hundred only) from my caution money deposited in the  college and transfer this amount to ECKAA fund at the time of completion of my degree course.    Permanent Address for communication:  

 

_________________________________    _______________________________      _______________________________      Telephone No./Mobile No._____________________  E‐mail______________________________________   

 

 

 

       

                

 Name___________________  College Roll No.___________  Class______________  B Tech  Branch_______________________Engg. 

4   

Signature 

UNIVERSITY COLLEGE OF ENGINEERING, KOTA (FORMERLY ENGINEERING COLLEGE, KOTA) RAJASTHAN TECHNICAL UNIVERSITY, KOTA RAWATBHATA ROAD, AKELGARH, KOTA-324010

website:www.rtu.ac.in     Telefax:0744‐2473035,2473920  CHECK LIST OF COLLEGE FEES AND DOCUMENTS FOLLOWING DOCUMENT REQUIRED FOR ADMISSION IN I B TECH 2014-15 11. 12. 13. 14. 15. 16. 17. 18. 19. 20.

10 TH CERTIFICATE(ORIGINAL + 01 PHOTOCOPY) 12TH MARKSHEET(ORIGINAL + 01 PHOTOCOPY) TRANSFER CERTIFICATE FROM SCHOOL(ORIGINAL + 01 PHOTOCOPY) MIGRATION CERTIFICATE(ONLY C.B.S.E,I.S.C.E AND OTHER BOARD) (ORIGINAL + 01 PHOTOCOPY) MEDICAL CERTIFICATE(ORIGINAL) 02 PASSPORT SIZE PHOTOGRAPH JEE(MAINS) 2014 SCORE CARD(PHOTOCOPY) or RPET-2014 Score Card Photocopy ALLOTTMENT LETTER CATEGORY/CAST CERTIFICATE FOR (SC/ST/) (PHOTOCOPY) CATEGORY/CAST CERTIFICATE FOR (OBC/SBC) (ORIGINAL+PHOTOCOPY) ISSUED ON OR AFTER 01.3.2014

          SIGANTURE  NAME OF CANDIDATE 

UNIVERSITY COLLEGE OF ENGINEERING, KOTA (FORMERLY ENGINEERING COLLEGE, KOTA) RAJASTHAN TECHNICAL UNIVERSITY, KOTA RAWATBHATA ROAD, AKELGARH, KOTA-324010

website:www.rtu.ac.in     Telefax:0744‐2473035,2473920  No._____

Dated:_________________

ADMISSION RECEIPT

Mr._________________________________S/O__________________________________ has reported for admission to I year B.Tech ______________________________________ session 2014-15 on _______________________________.

Signature of Receiver

5   

ENROLLMENT FORM  CR NO. :‐ 13/................   

BRANCH: ‐..................................... 

NAME OF STUDENT: ‐............................................................................  PHOTOGRAPH 

Nk= dk uke%& &&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&& FATHER NAME: ‐...................................................................................  firk dk uke%& &&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&& MOTHER NAME: ‐................................................................................ 

 

ekrk dk uke%& &&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&& STUDENT SIGNATURE 

 

DATE OF BIRTH:‐YY.................MM..........DD..........   AGE (ON 01.AUG.2014) :‐............  GENDER: ‐................  CATEGORY: ‐....................... TFWS/ KM/PH/EXS: ‐...........................  ADDRESS:‐..........................................................................................................................  ............................................................................................................................................  STATE:‐................................. DISTRICT:‐...............................                

PIN     MOBILE

                   

 

 EMAIL ID:‐...................................................  

  ENTRANCE EXAM –RPET/JEE‐Mains‐‐ ROLL NO...................................  MERIT.......................... Marks............  EXAM 

ROLL NO 

YEAR 

BOARD/UNIVERSITY 

OBTAINED  MAX  MARKS 

MARKS 



10TH 

 

 

 

 

 

 

12TH 

 

 

 

 

 

 

diploma   

 

 

_____ 

 

 

 

       

6   

 

 

JEE(Mains) - Rajasthan Technical University

fu/kkZfjr Qhl ds Bank Draft DD in FAVOR OF "RAJASTHAN TECHNICAL .... transfer this amount to ECKAA fund at the time of completion of my degree course.

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