G. B. PANT ENGINEERING COLLEGE

PAURI GARHWAL – 246194 (Uttarakhand) (An Autonomous Institute of Government of Uttarakhand)

Documents to be submitted in the college at the time of seat acceptance

The venue of registration will be M. G. Auditorium of this college, situated close to the

college gate. The registration will be held during working hours from 10.00 AM to 4.00 PM.

For seat acceptance, bring the following set of ORIGINAL documents, wherever applicable,

and a set of self attested photocopies to the college.

Candidates are advised to arrange the documents in the order given below. After

verification, photocopies will be retained by the college and the original documents will be

returned. As mentioned “[format given]” below, formats for various certificates and

documents are available on college web portal. 1. Two passport size photographs 2. Reporting form [format given] 3. Admission form [format given] 4. Provisional seat allotment letter 5. Admit card of JEE (Main) 2016 6. Score card of JEE (Main) 2016 7. Photo identity card [issued by govt. agency/last attended school/Class XII admit card] 8. Class X marks sheet and certificate 9. Class XII (or equivalent) board marks sheet. If available, pass certificate 10. Medical certificate [format given]. 11. Character Certificate/TC/Migration certificate from last school/college attended. 12. Notary Affidavit for gap period (in original), if any 13. Category certificate (OBC-NCL/SC/ST/AF/FF/PH), if applicable. The OBC-NCL (Non

Creamy Layer) certificate should be issued on or after June 1, 2015. Certificate for

Persons with Disabilities (PwD), if applicable. The certificate will be rejected if the

disability is less than 40%. 14. Domicile Certificate for state quota 15. Demand Draft of Rs. 36,580/- in Favour of Principal, G B Pant Engineering College,

Pauri Garhwal Payable at SBI, GBPEC, Ghurdauri.

G. B. PANT ENGINEERING COLLEGE

PAURI GARHWAL – 246194 (Uttarakhand) (An Autonomous Institute of Government of Uttarakhand)

REPORTING FORM

1. Course : B. Tech Ist Year

2. Branch : ……………………………………………

3. Name : …………………………………………… Affix

Photograph

4. Father’s Name : ……………………………………………

here

5. Date of birth : ……………………………………………

6. E-mail : …………………………………………….

7. Ph. /Mob. No.: .……. .……………………………………

Signature of candidate ________________________________________________________________________________

(For office use only)

8. Enclose photocopies of all certificates/mark sheets

Certificates Tick Sign

All certificates/mark sheets starting from high school onwards/Medical

certificate/Character certificate/Affidavit for gap period (if any)

Deficiency (if any)………………………………………………. ………………………………………………………………………

9. Merit Details:

Rank Card Rank Sign

Admit card

JEE rank card

10. Domicile/Caste certificate/Sub category details:

Domicile Gen OBC SC ST Sub Sign

category

All India x

Uttarakhand

Academic UK x x x

Kashmiri Migrant/

Income(TFW) Certificate

11. Fee details:

Fees Receipt Sign

Counseling fee DD No.…………………..date ….…………..

(Rs 2000/-)

College fee* DD No.…………………..date ….…………..

(Rs.36580/-)

*Candidates belonging to TFW (Tuition Fee Waiver) category will be entitled for deduction

of Rs. 25000/- as tuition fee from the total college fee (Rs. 36580/-).

G. B. Pant Engineering College, Pauri Garhwal

(An Autonomous Institution of Government of Uttarakhand)

APPLICATION FORM FOR ADMISSION

Name of the Program (B. Tech) Branch: …………………………..

(State Quota / All India Quota / Kashmiri Migrant)

*Institute ID…………………… *Enrolment No……………….. (*These will be supplied later by the institute/university)

1. Name of the Candidate : ………………………………

2. Father’s Name : ………………………………

3. Mother’s Name : ………………………………

4. Date of Birth : ……………………………… Photograph

5. Sex : ………………………………

6. Identification Mark 1. : ………………………………

2.: ………………………………

7. Category: ……………………………… Sub Category: ………………………………

8. (a) JEE Roll No. : ………………………………

(b) State Rank : ……………………………… (c) All India Rank: …………………………

9. Permanent Address: ………………………………

………………………………

………………………………

City: ……………………………… State: ………………………………

Phone: (a) Landline No. : …………………… (b) Mobile No. : …………………………

10. Temporary/correspondence address: ………………………………

………………………………

………………………………

City: ……………………………… State: ………………………………

11. Name of the Guardian/Parent with address: ………………………………

………………………………

………………………………

City: ……………………………… State: ………………………………

Phone: (a) Landline No. : …………………… (b) Mobile No. : …………………………

12. Student’s Personal Communication

Mobile: ………………… email: ……………………………………

13. Medical History:

(a) Minor Disease : ………………………………………………….

(b) Major Disease : …………………………………………………

(c) Allergy if any : …………………………………………………

(d) Blood Group : …………………………………………………

(e) Physical disability if any : …………………………………………………

14. Parents occupation and Income:

(a) Father : …………………………………………………

(b) Mother : …………………………………………………

15. Educational Qualification :( 10th onwards)

S. Name of the Name of the Year of % of Marks Subject Taken

No. Examination Board/University Passing

1.

2.

3.

4.

16. Extracurricular activities:

(a)

(b)

(c)

(d)

(To be supported with certificates)

17. Hobbies if any

(a)

(b)

(c)

It is certified that details given above are correct to the best of my knowledge. In case,

any information is found to be incorrect at any stage, I understand that my admission will be

cancelled.

Date:

Signature of Parents/Guardian Signature of the Student

Undertaken by Student

I ………………………………………………, Roll No. …………………. Branch ………………………..

son /daughter of …………………………., joining the institute …………………………………………..

understand that ragging is completely banned in the institute. I also understand that if I am involved in

any act of ragging whether directly/ indirectly, strict disciplinary action will be taken against me, even

leading to expulsion from the institute. Further, the institute may also lodge an FIR against me, to

initiate criminal proceedings against me. I assure the institute authority that I will not be involved in any kind of ragging directly or indirectly.

Date: Signature of the Student

Undertaken by Parents

We understand that ragging is completely banned in the institute. If our

ward…………………………………, of branch …….…………………., who has joined the institute ……….………….. is found to be involved in any act of ragging whether directly/ indirectly, strict

disciplinary action will be taken against him/her, even leading to expulsion from the institute. Further,

the institute may also lodge an FIR against him/her, to initiate criminal proceedings against me. We have also advised/counselled our son/daughter…………………………………. not to involve in

any act of ragging. We assure the institute authority that my ward will not be involved in any of ragging directly or

indirectly.

Date: Signature of Parents

Declaration

1. I understand that it is mandatory for me to attain at least 80% attendance in each subject as

per college regulation failing which, I will be detained in the semester and will not be allowed

to appear in the end semester examination.

2. I also assure the institute that I will follow the institute and hostel discipline rules otherwise

appropriate disciplinary action may be taken against me as per the rules.

Date:

Place:

Signature of Parents Signature of the Student

Phone: (01368) 228030

Fax: (01368) 228062

G. B. PANT ENGINEERING COLLEGE

PAURI GARHWAL – 246194 (Uttarakhand) (An Autonomous Institute of Government of Uttarakhand)

Notice for Newly Admitted B Tech I Year Students (After Admission)

The College family cordially welcomes all newly admitted I year students. The

students should note the following points: 1. They have to directly report to their respective hostels (Kailash Hostel for boys & VH

Hostel for girls) on 19th August 2016. 2. They will be allotted room in the hostel only after depositing the requisite fee in the

hostel (Rs. 11000.00 as mess advance fee & Rs. 2480.00 as a hostel maintenance

fee) in form of two separate DDs in favour of Warden, G B Pant Engineering

college, Pauri Garhwal payable at SBI, GBPEC, Pauri Garhwal (Code 14134) 3. The college will provide cot, study table, chair and almirah in the hostel. Students are

required to bring other necessary items. 4. Their classes will start from 21st August 2016 onwards. 5. Multimedia mobiles are not allowed in the College campus. 6. The students are required to be properly dressed up. The college uniform is

compulsory for all students. The following uniform is recommended for the students:

Girls: White Kurta and white Salwar with navy blue Dupatta/White shirt, Grey

Trouser and Maroon tie, black leather shoes with White shocks, Navy blue

Sweaters and navy blue Blazer.

Boys: White Shirt, Grey Trouser and Maroon tie, black leather shoes with white

shocks, Navy blue Sweaters and navy blue Blazer.

Note: Low waist trousers are strictly prohibited. 7. The students are advised to attend 100% classes. The students having shortage of

attendance will not be allowed to appear in End semester Examination. Students

are advised to refer to the attendance rules for the same.

Principal