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I
INSTITUTE CODE
S.NO.
APPLICATION FORM FOR AFFILIATION/RENEWAL OF AFFILIATION
DETAILS
INFORMATION
I
NAME OF COLLEGE
2
ADDRESS OF COLLEGE AS
GIVEN IN AICTE LOA/EOA
3
ADDRESS WHERE
COLLEGE IS PRESENTLY
RUNNING
4
POSTAL ADDRESS OF THE
COLLEGf,
5
STATUS OF THE BUILDING
(owN/RENTED)
6
PHONE NO.OF COLLEGE
7
8
E-MAIL ADDRBSS OF
COLLEGE
NAME,ADDIIESS&PHONE
NO. OF SOCIETY/TRUST
MOBILE NO.
NAME
NAME & MOBILE NO.OF
9
O
CHAIII.MAN/TTTUSTEE
S.NO
BRANCH
2010--r r
2009- I 0
20tt-12
2012-13
2013-14
2014-ts
20ts-16
I
2
t0
BRANCHES
RUNNING
3
{
5
6
7
ll
12
BRANCHES
CLOSED WITH
APPROVAL OF
AICTE
DETAILS OF
AFFILIATION
lllt.\NCI
I
DD NO.
YEAR OI.STARTING
YEAR OF
CLOSING
DATE
NO. OF REG/EX
STUDENTS
STUDYING
AMOUNT
FBES
NAMB & MOBILB
l3
S.NO
NAME
MOBILE NO.
NO. OF
PRINCIPAL
SIGNATURE AND SEAL OF PRINCIPAL
BOARD OF TECHNICAL EDUCATION, RA.IASTHAN, JODHPUR
Application Form for Allilation /ReDewal of
Institute Particulars: -
l.
l.l
12.
Name of rhe Lls1iole
Poslal addrcss
1.3.
E maladdlcss:
&
Aff
ation
Phone Nos (With STD code)
1.4.
Fax
1.5.
Owneship
２
Particulars of Hesd ofthe Institute :冽” ”
Name
Home Address
Phone No
(Wilh STD code )
３
ParticulaE ofR€gistered Committ€eJTrust h
case
釧
ofpriyate Institute:
_
Postal address
２ ３
３ ３
E mailaddress
Phone No.
&
Fax No. (with STD code)
４
Whether the institute and the course(s) to be commenced are approved by the Crovfim€nt
ofRajastlEn ?
lfyes, fie attach attested photo copy ofapproval letter. Govemment ofa{,proval lener.
datcd
no.
*5
Whether the inslitute and the cou6e(s) conducted are approved by AICTE ?
Ifyes, the attach attested photo copy ofapproval letter. AICTE approval letter.
daled
6
Particulas Ofamliation rcc7爬 ng″al
Dcmand D an No
Dralllt
fcc
Daled
Amount
m
(Narne ofbank)
(S€aD
Nsme
4
Signsture of the Head
of the iNtitute
*lfthe institute has been inspected by the AICTE for the purpose ofacrording
approvaland the same is
expected b€fore the students are admitted the institute may apply in advance Lefore 3 I March for
"
affiliation with the Board but the afiliation application wiil be considered only after the attested
copy ofAICTE apFoval lefer is received in the Board.