FEROZE GANDHI INSTITUTE OF ENGINEERING & TECHNOLOGY RAEBARELI 0535-2217269 (Off.) 0535-2217068 (Res.) APPLICATION FORM for B.Tech. (for the Admission under Lapsed/ Vacant Seats) Session : 2015-16 Affix your Passport Size Black & White recent Photograph 1. Name of Applicant ………………………………………………………………………………… 2. Father’s Name ……………………………………………………………………………………. 3. Date of Birth ………/…….…/…………..…… Cat (Gen/OBC/SC/ST)…………… 4. Address……………………………………………………………………….............................................................................. ……………………………………………………………………………………………................................................. 5. Phone No. (With code)…………………………….……………. Mobile No…………..…….…………………………… 7. Father’s/Guardian Monthly income Rs. …………………… 8. Academic Record Examination Passing Year Board/University Subject % Marks High School Intermediate UG / Diploma 9. Admission Sought : B.Tech. 1st / 2nd Year (Lateral Entry) E & C / C. S. & E. / Mech. Engg. /Aero. Engg 10. UPSEE Rank……………………… Category Rank…………………. UPSEE Roll No………………………… 11. Branch Preference : 1. 2. 3. 4. 12. Declaration by the Applicant: Above given information are correct to my knowledge and belief. I will be fully responsible for any discrepancy found in above information and cancellation of Admission. Signature of Applicant *Attach Rank Card / Result of UPSEE, 10+2 /Last Qualifying Examination Marksheet/Certificate FEROZE GANDHI INSTITUTE OF ENGINEERING & TECHNOLOGY RAEBARELI 0535-2217269 (Off.) 0535-2217068 (Res.) APPLICATION FORM for MCA (for the Admission under Lapsed/ Vacant Seats) Session : 2015-16 Affix your Passport Size Black & White recent Photograph 1. Name of Applicant……………………………………………………………………………… 2. Father’s Name……………………………………………………………………………………. 3. Date of Birth ………../…….…/………....…… Cat (Gen/OBC/SC/ST)…………… 4. Address………………………………………………………………………................................................................................. ……………………………………………………………………………………………...................................................... 5. Phone No. (With code)…………………………….……………. Mobile No…………..…….…………………………… 7. Father’s/Guardian Monthly income Rs. …………………… 8. Academic Record Examination Passing Year Board/University Subject % Marks High School Science / Art / Commerce Group Intermediate Science / Art / Commerce Group UG 9. Admission Sought : MCA Ist / IInd Year (Lateral Entry) 10. UPSEE Rank……………..……… Category Rank…………….……. UPSEE Roll No………………………… 11. Declaration by the Applicant: Above given information are correct to my knowledge and belief. I will be fully responsible for any discrepancy found in above information and cancellation of Admission. Signature of Applicant *Attach Rank Card / Result of UPSEE, Last Qualifying Examination (Graduation) Marksheet/Certificate