OPTION FORM FOR ADMISSION UNDER PAID SEATS CATEGORY*
(Session 2012-2013)
1. Name
:
____________________________________________
(a) Father’s Name
:
____________________________________________
(b) Mother’s Name
:
____________________________________________
3. Address
:
____________________________________________
2. Parents Name -
____________________________________________
____________________________________________
Phone No.(with STD Code)
____________________________________________
Mobile No.
____________________________________________
Email id.
____________________________________________
4. Name of the Course applied for
:
____________________________________________
5. UET/PET Roll No.
:
____________________________________________
6. UET/PET Index
:
____________________________________________
I hereby declare that the particulars given above are true to the best of my knowledge
and belief and that I opt for admission against PAID SEATS CATEGORY in the above
mentioned course if I am eligible for the same.
Date _________________
SIGNATURE OF THE CANDIDATE
*Admission under this category shall be made (strictly on merit index basis) only after
the admission of regular seats in the concerned course is full and within the stipulated
date as notified by concerned Dean/Head.
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