M. M. M. Engg.

College Gorakhpur-273010
Sept. 02, 2013
NOTICE for M.Tech.

All M.Tech. candidates who have been allotted this college for their admission through M.Tech.
Counseling-2013 are hereby informed to report at college on September 09, 2013 at 9.30 hrs. The
candidates are required to come with following documents in original and two sets of photocopies.

1. High School Certificate
2. Qualifying Examination Mark Sheet./Degree
3. Valid Gate Score Card Original
4. Admission Letter
5. Fee Receipt of fee deposited at Counselling Centre
6. Challan of Fee Deposite Original (College Copy & Student Copy)
7. Migration Certificate
8. Category Certificate (if applicable)
9. Domicile Certificate (if applicable)
10. Medical Certificate
11. Character Certificate
12. Fifteen copies of colored passport size photographs.
13. Income Certificate (after March 31, 2013), if applicable.
14. Two Set Photocopy of original Documents
15. Affidevit for Scholarship (Available in download section of website)
16. Affidevit for Hostler
17. Two affidavit for Ragging (By students and By Parents) it can be downloaded from the college
website.
All the students are required to come on September 09, 2013.






(Dr. K.G. Upadhyay)
Dean-Academics


* Note- (1) For the students of SC/ST (only for Non Gate) scholarship/fee reimbursement form with
affidavit completed in all respect is needed at time of registration (format for scholarship is available
at www.mmmec.ac.in), otherwise, no exemption will be given.
(2) This is subject to reimbursement of fee from Samaj Kalyan Vibhag within 45 days as per
government order.
(3) Very limited hostel accommodation is available for M.Tech. Students.

























Madan Mohan Malaviya Engineering College
Gorakhpur-273010 (U.P.)
(Affiliated to Gautam Buddha Technical University, Lucknow)
Academic Registration Form

B.Tech./MCA/MBA/M.Tech./Ph.D. Year I/II/III/IV Session 201 -1 , Even/Odd Semester
I/II/III/IV/V/VI/VII/VIII


Students Mobile No._____________________________________
Name of the Student________________Date of Birth___________
Branch ___________________Registration No.________________
SEE Roll No. ______________General Rank__________________
Category___________________Category Rank________________
Branch ___________________Category_____________________
Gender___________________Religion______________________
Fathers Name _______________ Hosteller/Day Scholar________



Affix Pass port size
photograph with signature


Signature of the Student


Signature of HOD/Faculty

Any Scholarship received____________________________
Fee Reimbursement, if applicable______________________
Sig. & Seal of Scholarship Official
Semester Fee Details:
Challan/Demand Draft No.__________ Dated ____________
Amount___________________ Bank _______________________

Sig. & Seal of Account official

Name of the Hostel--------------------------------Room No.--------------
Mess Fee details-------------------------------------------------------------
Sig. & Seal of Hostel Official

Permanent Address ----------------------------------------------------------------------------------
-------------------Pin Code------------------------Mobile-------------------
Details of Local Guardian, if any (Name, Address and Phone number) --------------------------------------------
---------------------------------------------------------------------------------------
Signature of Dean (Academic) Signature of DSA


Acknowledgment Slip
Mr/Ms ----------------------------------------------Course B.Tech./MCA/MBA/M.Tech./Ph.D. Year -----------
Semester--------------Branch ----------------------------------------University Roll No. ------------------------------
--Name of the Hostel-------------------------------------- --has been registered on ------------------

Signature of Dean (Academic) Signature of DSA

Students Id-Card
Please fill all information in CAPITAL Latter only.
Student Information

1. Registration No
2. First Name
3. Middle Name
4. Last Name
5. Fathers Name
6. Mothers Name
7. Date of Birth
8. Gender (M/F) Category
9. Address
10. City
11. State.
12. Pin Code.
13. Phone Number
14. Mobile Number
15. E-mail
16. Branch
17. Course
18. Year
19. Blood Group.
20. Joining Date
21. Signature Signature




Madan Mohan Malaviya Engineering College
Gorakhpur-273010 (U.P.)
(Affiliated to Gautam Buddha Technical University, Lucknow)

Madan Mohan Malaviya Engineering College
Gorakhpur-273010 (U.P.)
(Affiliated to Gautam Buddha Technical University, Lucknow)

Hostel Registration Form
B.Tech./MCA/MBA I/II/ Year Session 2013-14, Semester I/III


Name of the Student________________Date of Birth___________
SEE Roll No. _______________ _____Registration no__________
Branch ___________________Category_____________________
Year______________________Semester_____________________
Fathers Name _______________ Mother,s Name______________
Name of Hostel_____________Room No.____________________
Physically handicapped YES/NO
Status of the Student REGULAR/EX/RE-ADMITTED



Affix Pass port size
photograph with signature


Blood Group Are you under any regular treatment? If yes, Give Details.


Nearest Railway Station Nearest Airport

Teacher Guardian Name.
Mobile No.
e-mail id
Name of Room Partner Course/Branch/Year Mobile No
1
2 ..
3 .. .
Emergency Mobile Contact No.
Mess Fee details
Challan/Demand Draft No..Dated ...
Amount Rs. Bank.

Sig. & Seal of Hostel Official

Permanent Address --------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------- ---------
----------Pin Code------------------------Mobile No. -------------------e-mail id
Details of Local Guardian, if any (Name, Address, e-mail id and Mobile Number) -------------------
----------------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------Pin Code-----------------------
-Mobile No. -------------------e-mail id

Signature of the Student Signature of Parents




Signature of Hostel Warden Signature of Chief Warden

ANTI-RAGGING MEASURES : SUBMISSION OF AFFIDAVIT BY THE STUDENTS / PARENT /
GUARDIAN


Dear Parents/Guardian/Student,

You are fully aware of the orders of the Government and of Hon'ble Supreme Court on the Anti-Ragging
measures. As per the latest policy all students and parent/guardians are required to submit an affidavit
before a student is allowed registration in the University. The format of Affidavits are attached herewith
and to be submitted on a Non-J udicial Stamp Paper of Rs.10/- duly attested by the oath commissioner.

All parents/guardian/students may download the same and get them duly attested by the Oath
commissioner and bring it on the day of students registration. Kindly note that there are three Affidavits as
Annexure-I, II & III. The Annexure-I is to be signed by the student, Annexure-II shall be signed by the
parent / guardian and Annexure III is to be signed by the student residing in the hostel.

In case a student does not submit the same he/she shall not be allowed to proceed with the registration.

It is further, requested that this information be passed amongst friends.
Best wishes,



Principal
On a Non-J udicial Stamp Paper of Rs.10/-
ANNEXURE I
AFFIDAVIT BY THE STUDENT

1) I,------------ (full name of student with University Roll Number)
s/o d/o Mr./Mrs./Ms. ___________________________________________ , having
been admitted to ----------------------------------------(name of the institution) , have
received a copy of the UGC Regulations on Curbing the Menace of Ragging in Higher
Educational Institutions, 2009, (hereinafter called the Regulations) carefully read and fully understood
the provisions contained in the said Regulations.
2) I have, in particular, perused clause 3 of the Regulations and am aware as to what constitutes ragging.
3) I have also, in particular, perused clause 7 and clause 9.1 of the Regulations and am fully aware of
the penal and administrative action that is liable to be taken against me in case I am found guilty of or
abetting ragging, actively or passively, or being part of a conspiracy to promote ragging.
4) I hereby solemnly aver and undertake that
a) I will not indulge in any behaviour or act that may be constituted as ragging under clause 3 of the
Regulations.
b) I will not participate in or abet or propagate through any act of commission or omission that may be
constituted as ragging under clause 3 of the Regulations.
5) I hereby affirm that, if found guilty of ragging, I am liable for punishment according to clause 9.1
of the Regulations, without prejudice to any other criminal action that may be taken against me under any
penal law or any law for the time being in force.
6) I hereby declare that I have not been expelled or debarred from admission in any institution in the
country on account of being found guilty of, abetting or being part of a conspiracy to promote, ragging; and
further affirm that, in case the declaration is found to be untrue, I am aware that my admission is liable to
be cancelled.

Declared this ___day of __________ month of ______year.
________________
Signature of deponent
Name:

VERIFICATION
Verified that the contents of this affidavit are true to the best of my knowledge and no part of the affidavit
is false and nothing has been concealed or misstated therein.

Verified at --------------(place) on this the ------(day) of -----------(month) , -----------(year ) .

________________
Signature of deponent
Solemnly affirmed and signed in my presence on this the -----------(day) of ---------------(month) ,
-------------(year ) after reading the contents of this affidavit.

OATH COMMISSIONER

Note : It is mandatory to submit this affidavit in the above format, if you desire to register for the
forthcoming academic session.





















On a Non-J udicial Stamp Paper of Rs.10/-
ANNEXURE II
AFFIDAVIT BY PARENT/GUARDIAN
1) I, Mr./Mrs./Ms. _____________________________________________________ (full
name of parent/guardian) father/mother/guardian of , (full name of student with University Roll Number) ,
having been admitted to ____(name of the institution) , have received a copy of the UGC
Regulations on Curbing the Menace of Ragging in Higher Educational Institutions, 2009, (hereinafter
called the Regulations), carefully read and fully understood the provisions contained in the said
Regulations.
2) I have, in particular, perused clause 3 of the Regulations and am aware as to what constitutes
ragging.
3) I have also, in particular, perused clause 7 and clause 9.1 of the Regulations and am fully aware of
the penal and administrative action that is liable to be taken against my ward in case he/she is found guilty
of or abetting ragging, actively or passively, or being part of a conspiracy to promote ragging.
4) I hereby solemnly aver and undertake that
a) My ward will not indulge in any behavior or act that may be constituted as ragging under clause 3 of the
Regulations.
b) My ward will not participate in or abet or propagate through any act of commission or omission that may
be constituted as ragging under clause 3 of the Regulations.
5) I hereby affirm that, if found guilty of ragging, my ward is liable for punishment according to
clause 9.1 of the Regulations, without prejudice to any other criminal action that may be taken against my
ward under any penal law or any law for the time being in force.
6) I hereby declare that my ward has not been expelled or debarred from admission in any institution
in the country on account of being found guilty of, abetting or being part of a conspiracy to promote,
ragging; and further affirm that, in case the declaration is found to be untrue, the admission of my ward is
liable to be cancelled.

Declared this ___day of __________ month of ______year.
_____________________
Signature of deponent
Name:
Address:
Telephone/ Mobile No.:
VERIFICATION
Verified that the contents of this affidavit are true to the best of my knowledge and no part of the affidavit
is false and nothing has been concealed or misstated therein.

Verified at --------------(place) on this the ------(day) of -----------(month) , -----------(year ) .

________________
Signature of deponent
Solemnly affirmed and signed in my presence on this the -----------(day) of ---------------(month) ,
-------------(year ) after reading the contents of this affidavit.

OATH COMMISSIONER
Note : It is mandatory to submit this affidavit in the above format, if you desire to register for the
forthcoming academic session.























On a Non-J udicial Stamp Paper of Rs.10/-
ANNEXURE III
AFFIDAVIT BY THE HOSTELLER

Mr/Mrs/MsS/o/D/o/W/oPermanent
address..having been admitted to M.M.M.
Engineering College, Gorakhpur, in B.Tech. ..Branch Year..Semesterresident of
Bhawan in Room No.....have received a copy of hostel and college rules & regulations,
carefully read and fully understood the provisions contained in it.
I hereby solemnly aver and undertake that:
a) I (Student/Parent/Guardian) have received a copy of hostel rules & regulations and have read and
understood everything clearly. I are signing the rules and regulations documents without any force
or coercion from any side.
b) I also agree to pay the hostel mess advance charges which are to be adjusted for future mess bills
on receipt from the mess manager/mess secretary and also the rentals and establishment charges
etc. shall be paid at the time of admission to the hostel.
c) I will abide by the rules and regulations of this institute and hostels in totality as and when
amended time to time by the college authorities.
d) I hereby affirm that, if found guilty in disobeying the hostel and college rules & regulations, I will
be liable for the punishment according to the college/hostel rules and regulations as decided by
college discipline committee/Proctorial Board and dully approved by college Principal.
e) I hereby declare that I have not been expelled or debarred from any institute in the country on
account of being found guilty in any in disciplinary act.
f) I also declare that if my conduct, during my stay in the hostel is found unsatisfactory, due to my
negligence, misbehavior & indiscipline I will immediately vacate the hostel if ordered to do so.

Declared this .. day of month of . Year
Signature of deponent
Name:
Address:
Telephone/ Mobile No.:


VERIFICATION
Verified that the above contents of this affidavit are true to the best of my knowledge and no part of the
affidavit is false and nothing has been concealed of misstated therein.
Verified at --------------(place) on this the ------(day) of -----------(month) , -----------(year ) .

________________
Signature of deponent
Solemnly affirmed and signed in my presence on this the -----------(day) of ---------------(month) ,
-------------(year ) after reading the contents of this affidavit.

OATH COMMISSIONER

Note : It is mandatory to submit submit this affidavit in the above format, if you desire to register for the
forthcoming academic session.







Madan Mohan Malaviya Engineering College,
Gorakhpur -273010 (U.P.)
Fees/Charges of M.Tech. First Year (New Admission) Session 2013-2014
(lilkly to be revised)
Sl.No. Fees/Charges of a glance Ist Year
(A) College I Sem. (Rs.) II Sem. (Rs.)
1 Tuition Fee 35000 ---
2 Registration/Admission Fee 100 100
Total 35100 100
(B) Hostel Charges
1 Room rent 1800 1800
2 Electricity & Water 2500 2500
3 Electric Fan 125 125
4 Utensil & Crockery 350 00
5 Ward Boys & other Services Charges 1800 1800
6 Hostel Maintenance 650 650
7 Hostel Caution Money 5000 00
Total 12225 6875
(C) Examination Charges
1 University Exam 3000 ---
2 Development Fee Univ. 250 ---
3 Insurance 200 ---
4 Enrollment 100 ---
5 Degree Fee --- ---
Total 3550 ---
(D) User Charges
1 Recreation Fee 650 650
2 Identity Card Fee 65 00
3 College Day Fee 100 100
4 Student Activities 650 650
5 Bus Charges for Hostler (For Day Scholar) 900 (1800) 900 (1800)
6 Magazine Fee 175 00
7 Students Aid Fee 200 200
8 Internet and Connectivity charges 1950 1950
9 Computer & Stationary Charges 250 250
10 Training & Placement Fee 300 300
11 Industrial Tour 00 00
12 Exam. Contingencies 125 125
13 Medical Fee 300 300
14 Library Fee 250 250
15 Laboratory Fee 500 500
16 Book Bank 125 00
Total Hostetler ( Day Scholar) 6540 (7440) 6175 (7075)
(E) Other Charges
1 Caution Money / Library/W.S./Lab 5000 ---
2 Alumni Association Membership 1000 ---
3 Information Brochure 150 ---
4 Connectivity Charges 250
Total 6400 ---

College Fee (Hostler) 63815 13150
College Fee (Day Scholar) 52490 7175

(F) Advance Charges
1 Mess Advance Fee 12000 12000
Total 12000 12000

Grand Total amount for Hostler 75815 25150

Dean Academics
Care: Please enter Reg. No in the
Description/Narration Column
MMMEC, GORAKHPUR
Semester Fee Deposite Challan
(Power J yoti Scheme)
Collection Branch Copy
State Bank of India ____________________Branch
Account No: 31580851255
MMMEC Fee Account
SBI, MMMEC, Gorakhpur
Process through Power Jyoti Scheme
Reg No*:
UPTU Roll No
Name:
Course:
Branch:
Semester:
Particulars In Rupees
Institute Fee:
Institute Dues:
Mess Fee:
Mess Dues:
Total Amount:
Total amount
(in words)
Bank Charge of Rupees 30/- only to be collected
upfront by the Branch.
Name Of the
Remitter:
Address:
Contact No.:
Sign of Remitter:
J ournal No.:
Received the amount as per details mentioned above
Signature of Receiver
& Bank Acknowledgement Stamp
Care: Please enter Reg. No in the
Description/Narration Column
MMMEC, GORAKHPUR
Semester Fee Deposite Challan
(Power J yoti Scheme)
Collection Branch Copy
State Bank of India ____________________Branch
Account No: 31580851255
MMMEC Fee Account
SBI, MMMEC, Gorakhpur
Process through Power Jyoti Scheme
Reg No*:
UPTU Roll No
Name:
Course:
Branch:
Semester:
Particulars In Rupees
Institute Fee:
Institute Dues:
Mess Fee:
Mess Dues:
Total Amount:
Total amount
(in words)
Bank Charge of Rupees 30/- only to be
collected upfront by the Branch.
Name Of the
Remitter:
Address:
Contact No.:
Sign of Remitter:
J ournal No.:
Received the amount as per details mentioned above
Signature of Receiver
& Bank Acknowledgement Stamp
Care: Please enter Reg. No in the
Description/Narration Column
MMMEC, GORAKHPUR
Semester Fee Deposite Challan
(Power J yoti Scheme)
Collection Branch Copy
State Bank of India ____________________Branch
Account No: 31580851255
MMMEC Fee Account
SBI, MMMEC, Gorakhpur
Process through Power Jyoti Scheme
Reg No*:
UPTU Roll No
Name:
Course:
Branch:
Semester:
Particulars In Rupees
Institute Fee:
Institute Dues:
Mess Fee:
Mess Dues:
Total Amount:
Total amount
(in words)
Bank Charge of Rupees 30/- only to be collected
upfront by the Branch.
Name Of the
Remitter:
Address:
Contact No.:
Sign of Remitter:
J ournal No.:
Received the amount as per details mentioned above
Signature of Receiver
& Bank Acknowledgement Stamp