Name of the Student :
Place :
ACKNOWLEDGMENT
Admission In-Charge
Name of the Father :
Date :
Form No:
CHRISTIAN COLLEGE OF ENGINEERING & TECHNOLOGYKailash Nagar, Near Industrial Estate, Bhilai, Distt: Durg, C.G., Pin-490026,
Tele. : 0788 - 2286662/3/4, Fax: 0788 - 2285266, E-mail: [email protected]. Web: www.ccetbhilai.ac.in
10th(1) (2) 12th
(5) Domicile
(3) PET/JEE Score Card (4) Caste Certificate
(7) Concern Letter from Church (for Christian students only)
(8) Diploma Marksheet (B.E. III Sem Lateral Entry) (9) B.E. 1st to 8th Semester Marksheet (M.Tech.)
(6) Address Proof
FOLLOWING DOCUMENTS ARE TO BE SUBMITTED WITH THIS FORM
DOCUMENTS REQUIRED WHILE COMPLETING THE ADMISSION PROCEDURE IN THE COLLEGE
1. Transfer Certificate
2. Conduct Certificate
3. Migration Certificate
4. X Marksheet
5. XII Marksheet
6. P.E.T Marksheet
7. P.E.T. Allotment Slip
8. Passport Size Photograph
9. Income Certificate
10. Affidavit
(Original)
(Original)
(Original)
(4 Photocopies)
(4 Photocopies)
(4 Photocopies)
(Through CGPET Counseling Students)
Student (4) Father (1)
(Photocopy of the Payment Slip)
(If There Is Gap During Study Period)
APPLICATI
ON FORM
CHRISTIAN COLLEGEOF ENGINEERING & TECHNOLOGY
Managed By St Thomas Misssion, Bhilai
Approved & Acreditted by AICTE, Affiliated to CSVTU, Bhilai
COLLEGE
CODECGP
ET
EN108
Your choice of today will developthe strength you need for tomorrow
YOUR CHOICE OF TODAY WILL DEVELOPTHE STRENGTH YOU NEED FOR TOMORROW
FORMAT FOR AFFIDAVIT BY THE STUDENT
1).(full name of student with admission/registration/ enrolment
number) S/o/D/oMr./Mrs. .Having been admitted to Christian College of Engineering & Technology, have carefully
read and understood the provisions contained in Writ Petition No. (C) 656/1998 of Supreme Court of India on curbing the Menace of Ragging in Higher
Educational Institutions.
2) I am aware as to what constitutes ragging
3) I am fully aware of the penal and administrative action that is liable to be taken against me in case I am found guilty or abetting ragging, actively or passively,
or being part of a conspiracy to promote ragging.
4) I hereby solemnly affirm and undertake that:-
a) I will not indulge in any behavior or act that must constitute ragging.
b) I will not participate in or abet or propagate through any act of commission or omission that may be constituted as ragging.
5) I hereby affirm that, if found guilty of ragging, I am liable for punishment 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 of 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.
1) Mr./Mrs./ Ms. (full name of parent/guardian) father/mother of (full name of
student with admission/registration/ enrolment number), having been admitted to Christian College of Engineering & Technology, have carefully read and
understood the provisions contained in Writ Petition No. (C) 656/1998 of Supreme Court of India on curbing the Menace of Ragging in Higher Educational
Institutions.
2) I am aware as to what constitutes ragging
3) I am fully aware of the penal and administrative action that is liable to be taken against me in case I am found guilty or abetting ragging, actively or passively,
or being part of a conspiracy to promote ragging.
4) I hereby solemnly affirm and undertake that:-
a) My ward will not indulge in any behavior or act that must constitute ragging.
b) My ward will not participate in or abet or propagate through any act of commission or omission that may be constituted as ragging.
5) I hereby affirm that, if found guilty of ragging, my ward will be liable for punishment 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 my ward has not been expelled or debarred from admission in any institution in the country on account of being found guilty of abetting of
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 ward's admission is
liable to be cancelled.
Declared this . Day of month of year.
Signature of Student
Signature of Parent/ Guardian
TO BE PREPARED ON A NON-JUDICIAL STAMP PAPER OF RS 50
FORMAT FOR AFFIDAVIT BY PARENT/GUARDIANTO BE PREPARED ON A NON-JUDICIAL STAMP PAPER OF RS 50
Caste Gen SC ST OBC OTHERS Blood GroupAadhaar No.
For 1st YEAR BACHELORS PROGRAMME IN ENGINEERING/B.E Third Sem Lateral Entry/M.E/M.Tech Course
This form should be duly filled in with all supporting documents, attested by a GAZETTED Officer.
Please note that :
a) Form should be completely filled for the details asked.
b) Admission will be purely based on merit, hence submission of this form does not guarantee admission.
c) This application form is not transferable, hence cannot be used by another candidate.
d) To be filled by the Candidate.
Ms/Mr ............................................................... S/o, D/o ............................................................... undertake the
responsibility of submitting the following documents (Sl.No. ................................................) which I have not submitted
during admission before ....................................... In case of my failure I will have no claim on the college if my
admission is cancelled by the CSVTU/DTE.
APPLICATION FORM
Affix a Stamp SizeStudent Photograph
AffixPassport
Photograph
STUDENT INFORMATION
(First Name) (Middle Name) (Last Name)
Tel (R) Mobile
E-mailYes
(Gaurdian Signature)
(Signature of Candidate)
Affix a Stamp SizeParents Photograph
No
Name
Address
Place of Birth Native Place
Mother Tongue Nationality
PARENT INFORMATION LOCAL GUARDIAN INFORMATION
Fathers Name Name
Relation
Occupation
Service Business Agriculture
Sector
Govt. Public Private
Organization Name
Department Designation
Local Address
Tel. [R] Mobile
Date of Birth Gender Male Female TG
(Fill in Capital only)
(DD/MM/YYYY)
Hostel Facility Required
Form No:
Fathers Occupation
Service Business Agriculture
Sector
Govt. Public Private
Annual Income
Organization Name
Department Designation
Address
Tel. [R] Mobile
Mothers Name
Mothers Occupation
/ /
(Parent Signature)
(Verified By)
(Parent Signature)(Student Signature)
CHECK LIST
1. Transfer Certificate
2. Conduct Certificate
3. Migration Certificate
4. X Marksheet
5. XII Marksheet
6. P.E.T/JEE Scorecard
7. P.E.T. Allotment Slip
8. Domicile Certificate
9. Caste Certificate
10. Address Proof
11. Concern Letter from Church (Only for Minority student)
12. Passport Size Photograph
13. Income Certificate
14. Affidavit
15. Bank Details of Student
16. Aadhaar Card Copy
UNDERTAKING
FOR OFFICE USE ONLY
Mobile No. :Mobile No. :
Mechanical Engineering
Computer Science & Engineering
Civil Engineering
Electrical Engineering M. Tech. CAD/CAM Robotics
Electronics & Telecommunication Engineering
M. Tech. Nanotechnology
U. G. Course: P. G. Course:
Please rank these branches in order of your preference:
Particulars of Qualifying Examinations:
Particulars of Qualifying Examinations:
Particulars of Qualifying Examinations:
Exam Passed
Exam Passed
Exam Passed
Board
Board/University
Board/University
Name of School
Name of School/College
Name of School/College
Place & State
Place & State
Place & State
Total Marks
Total Marks
Total Marks
Marks Obtained
Marks Obtained
Marks Obtained
Class X
Class X
Class XII
Class XII
JEE
B.E.
Class X
CGPET
G
