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Advt. No.

/10
PHYSICAL COUNCELING-CUM ADMISSION NOTICE
Admission against vacant/leftover seats in B.Tech./B.Arch./LEET/MBA
Applications, on prescribed format, from eligible candidates are invited for filling up of vacant/left over seats
for admission to various B.Tech courses (CSE/ECE/ME/CH/EE/BM/BT/CIVIL) and B.Arch./LEET/MBA.
Application form can be downloaded from University website www.dcrustm.org. The candidates are required
to submit duly filled application form to D.R. Academic, DCURST, Murthal, along with processing fee of Rs.
500/- in the form of Demand Draft (DD) only (Non refundable) in favour of Registrar, DCRUST, Murthal by
5.00 PM on 11th September 2010.
1. The seats created due to up gradation by DCRUST students (who may also be applicants in Physical
Counseling) shall be updated simultaneously as soon as these are created.
2. The eligibility criteria for admission shall be as per HSCS norms. The allotted category against these seats
shall be AIC/ HOGC only with no category reservation.
3. Date of display of merit list on university website: 15th September 2010.
4. The Date for counseling & reporting for B.Arch./LEET/MBA: 16th September 2010.
5. The date for counseling & reporting for B.Tech. Courses for AIEEE rank up to 35000: 17th September 2010.
6. The date for counseling & reporting for B.Tech. Courses for all other candidates: 18th September 2010.
7. The candidates must report at Seminar Hall, Vikram Sarabhai Block of University with all original
certificate and 3 sets of photocopies of all documents as per the HSCS prospectus along with DD of Rs. 36350/-
for B.Tech./B.Arch./LEET & Rs. 37350/- for MBA course, for counseling and admission strictly within 9.00AM
to 10.00 AM on the prescribed date. (NOTE: Reporting after scheduled time shall not be allowed for counseling.)
8. Applications from DCRUST students need not to bring the admission fee and any document other than
qualifying examination certificate. REGISTRAR
ADMISSION FORM
B.Tech./B. Arch./LEET/MBA Programmes

For office use only


Received on: AIEEE rank/Average of %(NATA and Qualifying
Registration No.: exam)/LEET score/MAT score (as the case may
Received by: be)
Applied for (please tick):
B.Tech./B. Arch./LEET/MBA/ B. Tech.
in Average % of (1)Physics (2) Biology (3) Computer
/Chemistry/Biotech:
BioTech.
(For B.Tech. in Biotech only without AIEEE rank)
The candidates must read the HSCS prospectus carefully. No column should be left unfilled. Please write
‘NA’ against the particular which is not applicable.

Demand draft No._______________ Dated:_________ Name of bank____________ Amount: Rs. 500/-


(processing fee)

1. Category (AIC/HOGC): _____________________________

2. Name in Full (in Capital letters):________________________


Affix Passport size
3. Father’s Name:____________________________________ photograph

4. Date of Birth:_____________________________________

5. Sex:____________________________________________

6. Nationality:_____________________________________

7. Address for Correspondence: _________________________________________________________

Phone No: ________________ Mobile No: ___________________ Email Id: ____________________

8. Permanent Address: ______________________________________________________________


Phone No: ________________ Mobile No: ___________________ Email Id: ____________________
Cont. page – 2
-- 2 --
9. (a) For B. Tech. candidates:

Roll No.___________________ AIEEE rank* ___________________


(b) For B. Tech. in Biotech candidates:

Average* % of (1) Physics (2)


Biology (3) Computer/Chemistry _____________________ (upto two decimal place)
nd
(c). For B. Tech. 2 year lateral entry

LEET score* ______________ Rank _________________ Roll. No. _______________


(d). For B. Arch.

NATA score _____________ % in qualifying Exam _______ Average* _____________


(e). MBA

Valid MAT score* ____________________ Roll. No. ___________________________

No attachment other than * and DD (processing fee) [which is compulsory; without the compulsory
attachments application shall be rejected straight forward.] is to be made with application.

10. Details of Academic Qualifications:

S. No. Examination University/Board School/College % of Year of Subjects/Discipline


Passed marks/CGPA passing
th
1. 10
2. 12th
3. Diploma
4. UG
5 Any other

Place:_________________ Signature of the Candidate:________________

Date:__________________ Signature of the Father:___________________


DECLARATION BY THE CANDIDATE

I hereby declare that all the entries made in this form are correct. I further declare that I fulfill the
minimum eligibility conditions laid down for admission. In case of detection of any false entry,
especially in respect of qualifying examination, my admission may be treated as cancelled at any time
during the course of my study and I will have no claim what so ever except security charges.

I am fully aware of the Supreme Court directives in regard to ragging and I shall not indulge in any
act of ragging and will strictly adhere to the code of conduct prescribed by the university.

Date Signature of the Applicant

DECLARATION BY THE FATHER AND MOTHER

I CERTIFIED THAT MY SON/DAUGHTER/WARD has applied the


application with my knowledge and consent and I hold myself responsible for his/her good conduct
and its maintenance and payment of fees during the period he/she will be on the university rolls.

I am fully aware of the supreme court directives in regard to ragging and my son/daughter/ward will
not indulge in any act of ragging and will strictly adhere to code of conduct prescribe by university.

DATE:

SIGNATURE OF THE MOTHER SIGNATURE OF THE FATHER

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