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रा ीयNATIONAL INSTITUTE OF TECHNOLOGY DELHI

य सं थान( (An autonomous Institute under the A

से टरए-७ ,इि टटूशनलए रया, नरेलादरूभाष/Tele

Instructions for

National Institute

1. Physical Reporting/ Admission Date at Admitting Institutes, Website

2. Reporting Time: 10:00 AM to 05:00PM.3. Reporting Venue: Auditorium4. Each First Year B. Tech student have to fill all the Admission related forms

available: InstituteWebsite*(www.nitdStudents to be Admitted at NIT Delhi

5. Institute Fee Structure is available on Website*(www.nitdelhi.ac.in

6. Each First Year B.Tech. Studentfollow below link:https://a

7. The Orientation Programme and Academics.

8. Students are advised to check*(www.nitdelhi.ac.inAcademics

9. UG rules and regulations are available at the Institute Website*(www.nitdelhi.ac.inAcademics System B. Tech Rule & Regulations).

10. PleaseRefertheAnnexure-Iforeporting as per JoSAA guidelines.

11. Please Contact the below office

AcademicsOffice,RoomNo.206(AcademicBlock,1stFloor) National Institute of Technology Sector A-7,Institutional Area, Narela,Delhi 110040. Contact: +9111-33861036E-mail: [email protected]: www.nitdelhi.ac.in

As per JoSAA schedule

रा ीय ौ ोिगक सं थान िद लीNATIONAL INSTITUTE OF TECHNOLOGY DELHI

मानव संसाधन िवकास मं ालय ,भारत सरकार के अधीन एक वाय सं थाautonomous Institute under the Aegis of Ministry of HRD, Govt. of India)

नरेला , द ल -११००४०,भारत/Sector A-7, Institutional Area Narela, Delhi-110040

Tele :+9111-27787500-503, फै स /Fax: +9111-27787503

वेबसाइट/Website: www.nitdelhi.ac.in

Instructions for New B. Tech. Candidates taking First Admission at

Institute of Technology Delhi

/ Admission Date at Admitting Institutes, as per the Schedule given

Reporting Time: 10:00 AM to 05:00PM. Reporting Venue: Auditorium Each First Year B. Tech student have to fill all the Admission related forms

delhi.ac.inAcademicsAdmissions/RegistraStudents to be Admitted at NIT DelhiApplication Forms for UG. Institute Fee Structure is available on

www.nitdelhi.ac.inAcademicsFee Structure). Student have to submit the affidavits regarding

antiragging.in/site/affidavits_registration_for

Orientation Programme and Classes will commence as per the Notification by Office of Dean

check the Academic Calendar from the Institute Academics Academic Calendar).

regulations are available at the Institute www.nitdelhi.ac.inAcademics

B. Tech Rule & Regulations). orthedocumentsrequiredfortheB.TechAdmissi

guidelines. office for any admission related Queries:

AcademicsOffice,RoomNo.206(AcademicBlock,1stFloor) Technology Delhi

Area, Narela,

33861036 (O) [email protected], [email protected]

www.nitdelhi.ac.in

Reporting Date and Time

10:00 AM onwards in NIT Delhi

िद ली NATIONAL INSTITUTE OF TECHNOLOGY DELHI

)मानव संसाधन िवकास मं ालय egis of Ministry of HRD, Govt. of India)

110040, INDIA

First

as per the Schedule given in JoSAA

Each First Year B. Tech student have to fill all the Admission related forms(Annexure I) and

ation(B)New

Institute Fee Structure is available on

anti-ragging rm.aspx

Classes will commence as per the Notification by Office of Dean

Website

regulations are available at the Institute

ion/Physical

NIT Delhi Auditorium

NATIONAL INSTITUTE OF TECHNOLOGY DELHIय सं थान(

(An autonomous Institute under the Aसे टरए-७ ,इि टटूशनलए रया

दरूभाष/Tele

B. Tech. Admissions Under

Documents Required during Admission / Physical

Note: Each candidate is mandatorily required to produce documents/certificates.

*Candidate will not be allowed admission,

S. No. Compulsory Documents to be

1. Provisional seat allotment letter downloaded from the JoSAA website

2. Printout of the registration form, locked choices.

3. Original Admission LetterVerification Certificate(Original Counselling)

4. Birth certificate Authority/Class X (Higproof of date of birth.

5. Four Passport size Colored

6. Provisional Seat Allotment Letter (last round)

7. Class X (High School) mark sheet and certificate

8. Original mark sheet of Class XII applicable)

9. Pass Certificate of Class XII applicable)

10. Photo ID proof as per Govt. of India norms, especially Aadhaar Card.

11. Original category Certific[OBCNCLCertificatemustbeissuedonorafterApril01, current year (If Applicable). (Refer:“Formats for Certificates”

12. Note: Caste certificatMaharashtra State mWelfare department (in case of SC and OBC Category) and

रा ीय ौ ोिगक सं थान िद लीNATIONAL INSTITUTE OF TECHNOLOGY DELHI

मानव संसाधन िवकास मं ालय ,भारत सरकार के अधीन एक वाय सं थाautonomous Institute under the Aegis of Ministry of HRD, Govt. of India)इि टटूशनलए रया, नरेला , द ल -११००४०,भारत/Sector A-7, Institutional Area Narela, Delhi

Tele :+9111-27787500-503, फै स /Fax: +9111-27787503


Tech. Admissions Under JoSAA

Documents Required during Admission / Physical Reporting

Note: Each candidate is mandatorily required to produce the following

e will not be allowed admission, if he/she fails to produce original documents/certificates for verification:

Compulsory Documents to be Submitted Nature

Provisional seat allotment letter downloaded from Original

Printout of the registration form, locked choices. Original Letter and Original Document

Certificate(Original DVC) (Issued by JoSAA Original

issued by competent gh School) Board Certificate as

Self Attested Photo Copy

Four Passport size Colored Photographs Original Provisional Seat Allotment Letter (last round) Original Class X (High School) mark sheet and certificate Self Attested

Photo CopyOriginal mark sheet of Class XII / Diploma(if Self Attested

Photo CopyPass Certificate of Class XII / Diploma (if Self Attested

Photo CopyPhoto ID proof as per Govt. of India norms, especially Self Attested

Photo Copyicate(OBC-NCL/SC/ST)

mustbeissuedonorafterApril01, Applicable). (Refer: JOSSA website

Certificates” for formats)


te (SC/ST/OBC) issued by must be validated by Social

Welfare department (in case of SC and OBC Category) and



)मानव संसाधन िवकास egis of Ministry of HRD, Govt. of India)

7, Institutional Area Narela, Delhi-110040, INDIA

Annexure-I

if he/she fails to produce original documents/certificates for

Originals Required for Verification

--

---

---


YES

--

---


YES


YES


YES


YES


YES


YES

TribalWelfaredepartment(incaseofSTcategory)ofMaharashtraGovernment. The SC/ST/OBC candidates of Maharashtra state have to produce their caste validity certificate in the exact format available on JOSSA website (https://jossa.nic.in).

13. Undertaking in required format (for OBC-NCL Candidates Only as per JoSAA format) (If Applicable)

Original ---

14. Certificate of Persons with Disability (for PWD Category as per JoSAA format)) (If Applicable) Self Attested

Photo Copy YES

15. Character Certificate, Transfer Certificate & Migration Certificate. Self Attested

Photo Copy YES

16. Original Grade/marksheet of qualifying examination for all semesters.


YES

17. Proof of payment of seat Acceptance. Self Attested Photo Copy

YES

18. Original course completion certificate from head of the university/ Institute in case result is awaited.

Original --

19. Medical Certificate as per JoSAA format. Original --

20. Family Income Certificate (Certificate/ Document as per the Govt. of India norms as following in Table I. No notary/ ITR will be applicable).

Original --

21.

Affidavit(s):

(a) An Affidavit (on stamp paper of Rs.10)for giving reason for study gap(if any) duly signed by the Oath commissioner/Notary public/ Executive magistrate (If Applicable).

(b) An Affidavit by the Student (Anti Ragging Measures) (online generated).

(c) An Affidavit by the parent/guardian (Anti-ragging measures) (online generated).

(d) For students availing hostel, two sets of Affidavits in original of (B) & (C) are to be submitted. (Online generated).

Original --

22. An Undertaking* by the student (As per Institute Format)

Original --

Formats for above Affidavits are available on NIT Delhi Institute website. The online anti-ragging form may be filled using the following link:

http://antiragging.in/site/affidavits_registration_form.aspx

Note: If the original documents/certificates are not in English/Hindi, duly certified English/Hindi version/translation of such documents/certificates shall be required during verification.

Table I

INCOME CERTIFICATE ISSUING AUTHORITY IN VARIOUS STATES/UNION TERRITORIES

Sr. No. State/Union Territory Income Certificate Issuing Authority 1 Andaman & Nicobar Tahsildar 2 Andhra Pradesh Tahsildar 3 Arunachal Pradesh District Magistrate & Collector 4 Assam Revenue Circle Officers 5 Bihar Circle Officer of Circle Office 6 Chandigarh Sub Divisional Magistrates 7 Chhattisgarh Naib Tahsildar 8 Daman & Diu & Dadra & Nagar

Haveli Mamiatdar, Daman and Mamlatdar, Diu

9 Delhi SDM of Govt of NCT of Delhi 10 Goa Mamlatdar of all Talukas

11 Gujarat District Collector/Depurt Collector/Asstt. Collector/Prant Officer/Mamlatdar

12 Haryana CRO (Tehsildar/Naib Tehsildar concerned) 13 Himachal Pradesh Tahsildar of Revenue Department

14 Jammu & Kashmir Sub Divisional Magistrate (not below the rank of Tahsildar)

15 Jharkhand Sub Divisional Officer in each District 16 Karnataka Tahsildar 17 Kerala Village Officers

18 Lakshadweep Deputy Collectors in Agatti and Minicoy and SDOs in the remaining Islands

19 Madhya Prade4sh Tahsildar/Naib Tahsildar 20 Maharashtra Tahsildar

21 Manipur District Authorities i.c. DC/ADC/SDO (not below the rank of SDO/SDM

22 Meghalaya Employer in case of Govt. employee and by the MP/MLA/DC/SDO Civil in case of others

23 Mizoram District Magistrate or any other officers authorized by District Magistrate

24 Nagaland Dy. Commissioners, addl. Dy. Commissioners and Sub-Divisional Officers (C)

25 Odisha Revenue Officers 26 Punjab CRO (Tehsildar/Naib Tehsildar concerned) 27 Pondicherry Tehsildar, Deputy Tehsildar 28 Rajasthan Tehsildar

29 Sikkim Special Executive Magistrate (Block Development Officers, Rural Management & Development Deptt.)

30 Tamil Nadu Zonal Deputy Tehsildar 31 Tripura Deputy Commissioner of Respective Districts 32 Uttar Pradesh Tehsildar

33 Uttaranchal Tehsildar/SDM/City Magistrate

34 West Bengal 1. Dist. Magistrate or -District Level Addl. Dist. Magistrate

2. Sub-Divisional Officer – Sub Divisional Level of the concerned

3. Block Development officer - Block Level of the concerned Blocks

4. The Collector, Kolkata – Kolkata Municipal Corporation.

5. The Collector, Kolkata – Student residing within Civil Jurisdiction of Hon’ble High Court, Kolkata

6. Other areas covered in Kolkata Police are concerned i.e. areas over which collector, Kolkata does not exercise jurisdiction – concerned District magistrate or any other Officer Authorized by the District Magistrate of the respective district i. e. South 24 Paraganas and North 24 Paraganas



से टरए-७ ,इि टटूशनलए रयादरूभाष/Tele

Form of Application for

(*The candidate should fill in all the entries)

1. Name of the student in English

(IN BLOCK LETTER) Name of the student in Hindi

2. Date of Birth

3. Gender (Male/Female)

4. Father’s name in English (In block

Father’s name I nHindi

5. Mother’s name in English (In block

Mother’s name in Hindi

6. Main Category (Open/SC/ST/OBC

7. PwD (Yes/No)

8. Name of Qualifying Examinationfor entry into the NIT Delhi

Board / University/Institute

Roll No & Year of passing the exam

Percentage / CGPA (with scale)

9. JEE Main Roll Number

10. JEE Main Score & Year

11. JEE Main General Rank

12. JEE Main Category Rank

13. Name of Branch admitted (at NIT

14. Admitted Category (Open/SC/ST/OBC

15. Amount of Fee Paid (to CSAB/JoSAA/DASA)

16. Present Email Address of Student (Correct and

Mandatory for all communication)

17. Present Working Contact of Student (Mobile)

18. Present Working Contact of Parents (Mobile)

रा ीय ौ ोिगक सं थान िद ली NATIONAL INSTITUTE OF TECHNOLOGY DELHI

मानव संसाधन िवकास मं ालय ,भारत सरकार के अधीन एक वाय सं थाautonomous Institute under the Aegis of Ministry of HRD, Govt. of India)इि टटूशनलए रया, नरेला , द ल -११००४०,भारत/Sector A-7, Institutional Area Narela, Delhi

Tele :+9111-27787500-503, फै स /Fax: +9111-27787503


Form of Application for First Registration as a Student of NIT DelhiThe candidate should fill in all the entries)

English :

:

:

:

block letters) :

:

Mother’s name in English (In block letters) :

:

(Open/SC/ST/OBC/Gen-EWS) :

:

Examination passed :

:

exam :

scale) :

:

:

:

:

NIT Delhi) :

(Open/SC/ST/OBC-NCL/OCI/CIWG/Gen-EWS):

CSAB/JoSAA/DASA) :

Present Email Address of Student (Correct and

Mandatory for all communication) :

Present Working Contact of Student (Mobile) :

Present Working Contact of Parents (Mobile) :

Signature of

NATIONAL INSTITUTE OF TECHNOLOGY DELHI



tudent of NIT Delhi

Signature of the Student

Page 1 of 2

Document Verification: (Attach Self attested copy of each document)

S. No. Compulsory Documents to be Submitted Nature Originals Required for Verification

23. Provisional seat allotment letter downloaded from the JoSAA website

Original --

24. Printout of the registration form, locked choices. Original ---

25. Original Admission Letter and Original Document Verification Certificate(Original DVC) (Issued by JoSAA Counselling)

Original ---

26. Birth certificate issued by competent Authority/Class X (High School) Board Certificate as proof of date of birth.


YES

27. Four Passport size Colored Photographs Original --

28. Provisional Seat Allotment Letter (last round) Original ---

29. Class X (High School) mark sheet and certificate Self Attested Photo Copy

YES

30. Original mark sheet of Class XII / Diploma(if applicable)


YES

31. Pass Certificate of Class XII / Diploma (if applicable)


YES

32. Photo ID proof as per Govt. of India norms, especially Aadhaar Card.


YES

33. Original category Certificate(OBC-NCL/SC/ST) [OBCNCLCertificatemustbeissuedonorafterApril01, current year (IfApplicable). (Refer: JOSSA website “Formats for Certificates” for formats)


YES

34. Note: Caste certificate (SC/ST/OBC) issued by Maharashtra State must be validated by Social Welfare department (in case of SC and OBC Category) and TribalWelfaredepartment(incaseofSTcategory)ofMaharashtraGovernment. The SC/ST/OBC candidates of Maharashtra state have to produce their caste validity certificate in the exact format available on JOSSA website (https://jossa.nic.in).


YES

35. Undertaking in required format (for OBC-NCL Candidates Only as per JoSAA format) (If Applicable)

Original ---

36. Certificate of Persons with Disability (for PWD Category as per JoSAA format)) (If Applicable) Self Attested

Photo Copy YES

37. Character Certificate, Transfer Certificate & Migration Certificate. Self Attested

Photo Copy YES

38. Original Grade/marksheet of qualifying examination for all semesters.


YES

39. Proof of payment of seat Acceptance. Self Attested Photo Copy

YES

40. Original course completion certificate from head of the university/ Institute in case result is awaited.

Original --

41. Medical Certificate as per JoSAA format. Original --

Page 2 of 2

42. Family Income Certificate (Certificate/ Document as per the Govt. of India norms mentioned in table I): No notary/ ITR will be applicable).

Original --

43. Affidavit(s):

(e) An Affidavit (on stamp paper of Rs.10)for giving reason for study gap(if any) duly signed by the Oath commissioner/Notary public/ Executive magistrate (If Applicable).

(f) An Affidavit by the Student (Anti Ragging Measures) (online generated).

(g) An Affidavit by the parent/guardian (Anti-ragging measures) (online generated).

(h) For students availing hostel, two sets of Affidavits in original of (B) & (C) are to be submitted. (Online generated).

Original --

44. An Undertaking* by the student (As per Institute Format)

Original --


The document(s) at Sr.No. are not produced, so he may be allowed for admission/registration provisionally subject to production of the documents on or before 15thSeptember of that current year. After that, admission of candidate will be cancelled without any further intimation.

Signature of the Verifying Officer

For Accounts Branch: Balance Fee of Amount Rs. _(in figures):______________________________________ (in words) for admission in B. Tech. at NIT Delhi is collected from above student.

Signature of Accounts Branch with stamp

For Academic Section:

Branch:

Signature the Official in Academic Section



से टरए-७ ,इि टटूशनलए रयादरूभाष/Tele

To,

The Warden NIT Delhi

Sir,

It is requested that I may be allotted a roominstructions mentioned overleaf and certify that I will abide by the rules and regulations of the hostel. Further, I shall also be responsible for the furniture, Fixtures and fitting in my room. In case any penalty/fine, which the authorities may deem fit. My particulars are asunder:

Name (Capital): ………………………………………………………………………………………………………………. Date of Birth:

………………………………………Blood Group: ……………………………………………………...

Roll No. : .……………………………………..Branch:

………………………………………Mother’s Name: …………………………………………………..

Quota (HS/OS): ……………………………………….Nationality: ………………………………………………………

If Foreign National (a) Passport No.:………………(b)Visa No.: ……………

address:…….….………………………………………………………………………………………………

……………………………………………………………………………………………….Pin Code……………………….. Phone No. &/or Mobile No.

: …………………………….E-Mail ID: …………………………………………………….... Local Address:

………………………………………………………………………………………………………...

Guardian Name: ……………………………………Contact No.: ..............................................................................

Date:………………………..

(Countersign of the Parents/Guardian) with date ……………………………………………………………………….

Received hostel fee of Rs ………………………………………

Date:…………………………

Room Allotted: ………………………………………………………………………………………………………………..

Received the following (yes/No):

I. Bed…………………. 2. Study Table………………… 3. Study Chair ………………. 4. Fans …………………….. 5.Bulbs

Holder/TubeFittings……………………………..6.Anyother………………………………………………….

Signature of Hostel Official

रा ीय ौ ोिगक सं थान िद ली

NATIONAL INSTITUTE OF TECHNOLOGY DELHIमानव संसाधन िवकास मं ालय ,भारत सरकार के अधीन एक वाय सं था

autonomous Institute under the Aegis of Ministry of HRD, Govt. of India)इि टटूशनलए रया, नरेला , द ल -११००४०,भारत/Sector A-7, Institutional Area Narela, Delhi

Tele :+9111-27787500-503, फै स /Fax: +9111-27787503


Hostel Request Form

room in the Hostel. I have carefully gone through the instructions mentioned overleaf and certify that I will abide by the rules and regulations of the hostel. Further, I shall also be responsible for the furniture, Fixtures and fitting in my room. In case of violation, I may be imposed any penalty/fine, which the authorities may deem fit. My particulars are asunder:


………………………………………Blood Group: …………………………………………………….............

………………………………..Branch: ………………………………………………………......... Father's Name:

………………………………………Mother’s Name: …………………………………………………..

Quota (HS/OS): ……………………………………….Nationality: …………………………………………………………..

If Foreign National (a) Passport No.:………………(b)Visa No.: …………………..(c) Duration of Visa: ……………... Permanent

address:…….….……………………………………………………………………………………………………..


Mail ID: …………………………………………………….... Local Address:

………………………………………………………………………………...................


Signature of the Applicant……………………………

Parents/Guardian) with date ……………………………………………………………………….

(For Office use only)

……………………………………… (………………………………………………………..)

Signature of dealing Assistant/SuptA

………………………………………………………………………………………………………………..


Holder/TubeFittings……………………………..6.Anyother………………………………………………….

(Signature of Applicant)

Warden




Hostel. I have carefully gone through the instructions mentioned overleaf and certify that I will abide by the rules and regulations of the hostel. Further, I

, I may be imposed


………………………………………………………......... Father's Name:

………………………………………Mother’s Name: …………………………………………………..

……..(c) Duration of Visa: ……………... Permanent


Mail ID: …………………………………………………….... Local Address:


Applicant……………………………

/A…………………….


(Signature of Applicant)

Photo

Page 4 of 2

Instructions:

1. Rules and regulations concerning hostels enforced from time to time arc to be strictly followed.

2. The room allotted must be occupied first before making any request for repair/maintenance.

3. The inmate own is full responsible for the security of room fittings, fixtures and furniture.

Proper inventory needs to be signed at the time of allotment of room and the items issued

ought to be surrendered in the same condition at the time of vacating the room. Any damage

will be chargeable for the inmates.

4. The hostel inmates are required to deposit mess fee in advance (adjustable) for mess bills as

per instructions.

5. Hostel inmates are not allowed to permit any outsider in their rooms in the hostel for any

reason what so ever, without the prior permission of the warden.

6. An inmate can have laptop, camera, mobile, PC etc. on his own risk. The hostel administration

shall not be responsible for any kind of loss/damage of such items.

7. The inmates are advised to get these items insured in their own interests. The inmates are

required to be decent in their behavior and dresses in and around the hostel premises as well

as in mess and common/TV room.

8. Thefollowingarestrictlyprohibitedinthehostelandthedefaulterswillattractharshpunishment:

i) Ragging is a cognizable offence. Any reported incident shall lead to filing of FIR with the

police by the Institute

ii) Smoking, consumption of alcohol, drugs and other intoxicants is strictly prohibited

iii) Writing on the walls, doors, cupboards etc. and pasting obnoxious posters in the rooms

shall be treated as acts of indiscipline.

iv) Use of VCR/VCD and screening of movies on the computer is banned in the hostels.

v) The inmates are advised not to misuse electricity/water etc. and observe cleanliness.

9. The hostel inmate is permitted to leave the hostel after intimating (formally) to the

hostel warden for his/her home as per the address available with the hostel. In case

he/she goes anywhere else after leaving the hostel, the hostel administration shall not

own any responsibility for the same. The parents are requested to make a note of the

same.

10. The inmates have to sign their presence in the daily attendance register maintained in

the hostel as per the instructions.

11. It is the responsibility of the parents/students to inform the change of contact

detail/home address/parent's telephone number in case of change.

12. In case of emergency the authorities will have the right to ask any inmate to vacate his/her

room without providing any alternative accommodation.

13. In any circumstance, the decision of the Chief Warden shall be a binding on the hostel inmates.

14. The parents and hostel inmates are required to make a note of the important telephone numbers

of the Warden and other authorities of National Institute of Technology Delhi available on

different banners at prominent places and on Institute website.

15. It is mandatory for the parents/guardians of the students to intimate the authorities of NIT Delhi

incasetheirwardinformsthemaboutbeingraggedorbeinginvolvedinanyactofragging.

16. The student will abide by the rules and regulations of hostel and will obey the 'gate timings

enforced from time to time.

17. In case of emergency, students may call to Chief Warden/Warden. ([email protected])

"Ragging is prohibited as per the decision of the Supreme Court of India in Writ Petition No. (C) 656/1998"

Signature of the Parent Signature of the Student___________________________________

Page 5 of 2

UNDERTAKING

1. I hereby do undertake to devote myself to studies, games and such extramural activities as are recognized by the Institute authority during my stay at the institute and shall appear in all class tests / seminars / quizzes, mid semester examinations and end semester examinations whenever required to do so by the concerned teacher or institute authorities. I shall also abide by all the rules/regulations of the Institute as amended from time to time.

2. I do clearly undertake that my name may be removed from the Roll of the Institute or I may be finally rusticated or expelled from the institute, if I directly or indirectly take part in any movement or agitation to stage Dharna and Strike in the institute for any reasons whatsoever, or which induces directly any other activity that in the opinion of the institute is subversive of institute’s discipline.

3. I also do undertake that concealment of any material fact in any application or furnishing of wrong information which might be detected at any stage even after my admission may render me disqualified and any amount paid by me towards institution fees etc. may stand forfeited.

4. I hereby declare that I was never involved or punished in any case of indiscipline during my School/College career so far. There is no enquiry pending against me with the School/College/ Police/District authorities or any other relevant authority in India or Abroad. In case the above declaration is proved false, then my admission in the National Institute of Technology, Delhi may be cancelled, the amount deposited be forfeited,andIwouldnotbeentitledtoanyclaimwhatsoeverontheaccount.

5. I have gone through the rules and regulations regarding ragging and disciplines of the Institution.

I hereby solemnly affirm that I shall abide by all the orders of the institute authorities for violation of these rules. I will have no claim against the order of the rustication, and/or expulsion from the institution and/or hostel.

Date Signature of the Candidate

I certify that my son/daughter/ward seeks the admission with my knowledge and consent that I held myself responsible for his good conduct, maintenance of discipline, and timely payment of fees during the period he/she is on the Institute Rolls. I undertake to make the payment of Mess and other dues of my son/daughter/ward regularly and timely. I have carefully studied the above undertaking.

Date Signature of Parents/ Guardians

Permanent Address

Pin Code

Email (of Student) Email (of Parents)

Phone / Mobile (of Student)

Phone / Mobile (of Parents)

Page 6 of 2

UNDERTAKING FOR LATE SUBMISSION OF DOCUMENTS: UNDER VERY SPECIAL CIRCUMSTANCES

I, (name of student) admitted in

(Name of course) undertake to produce the following

certificate(s) related to my admission at National Institute of Technology Delhi latest by

September 15 of the current year. Failing to do son, admission of the candidate from NIT

Delhi will be immediately cancelled without any further notification.

1.______________________________________________________________________________________________________

2.______________________________________________________________________________________

3.______________________________________________________________________________________

4. ______________________________________________________________________________________________________

5. ______________________________________________________________________________________________________

6. ______________________________________________________________________________________________________

7. ______________________________________________________________________________________________________

I understand that, in case I fail to produce the above certificate(s) by 15thSeptember of the current year, my admission will be automatically and summarily cancelled without showing any reason thereof and all my fees paid by me will be forfeited.

Dated: Signature of the Student

Name

I understand that my ward has not produced the above certificates during admission, and the same has to be submitted by him/her by 15thSeptember 2019. I have carefully studied the above undertaking.

Dated: Signature of Parents /Guardian

Name:

Page 7 of 2

OBC Undertaking

Declaration / undertaking - for OBC Candidates only

I,_ son/daughter of Shri resident of village/town/city district

State hereby declare that I belong to the community which is recognized as a backward

class by the Government of India for the purpose of reservation in services as per orders contained in the

Department of Personnel and Training Office Memorandum No.36012/22/93-Estt.(SCT), dated8/9/1993. It is also

declared that I do not belong to persons/sections (Creamy Layer) mentioned in Column 3 of the Schedule to the above

referred Office Memorandum, dated 8/9/1993, which is modified vide Department of Personnel and Training Office

Memorandum No.36033/3/2004Estt.(Res.)dated9/3/2004, further modified vide OM No. 36033/3/2004-Estt. (Res.)

dated 14/10/2008, again further modified vide OM No. 36036/2/2013-Estt (Res) dated 30/05/2014. I also declare

that the condition of status/annual income for creamy layer of my parents/guardian is within prescribed limits as

on financial year ending on March 31, 2020.

Place: Signature of the Candidate

Date:

Declaration/undertaking not signed by Candidate will be rejected.

Personal Details:

DATA ENTRY FORM FOR B. Tech STUDENTS

Student's Name (In English-AllCA PS) as per Matriculation Certificate

Student's Name (In Hindi)

Gender (Male/Female)

Date of Birth (DD/MM/YYYY)

Father's Name (In English)

Mother's Name (In English)

Correspondence Address (with pin code)

Permanent Address (with pin code)

Urban/Rural

Contact Number (Landline /Mobile)

Father Mother Candidate

Email Address Father Mother Candidate

Local Guardian

(Name and Address with contact details)

Main Category (Open/Open Pwd/SC/SCPwD/ST/ STPwD/OBC/OBCPwD) As per

certificate

Bonafide State of Candidate (Name of State)

Religion

Nationality

Blood Group Mother Toungue

Identification Mark Place of Residence (Rural / Urban)

Epic Card No. (Voter ID)

Aadhaar Card Number/ NAD ID

PAN Card Number Nearest Railway

Station (From home)

Passport Number With Validity Date

Place of Birth (As per Birth Certificate)

Family Income of the Parent's (Per Annum)

Bank Details of the Student

S.B. Account No.:_______________ ______________________________ Name of the Bank/Branch: IFSC Code:

Educational Details:

CLASS

NAME OF

BOARD

YEAR OF PASSING

PERCENTAGE /

CGPA

MARKS OBTAINED/TOTAL

MARKS

NAME OF SCHOOL WITH COMPLETE

ADDRESS

NAME OF THE STATE (IN WHICH

SCHOOL IS LOCATED)

X

XII

Exam Details:

JEE Mains Roll Number JEE Main Score (Current Year)

JEE Main All India Rank JEE Main Category Rank

SAT Score (For DASA students)

Admission Details (As per CSAB/JoSAA/DASA):

Allotted Branch

Allotted Category (Open/OpPwd/SC/SCPwD/ST/STPwd/OBC/OBCPwD/OC I/CIWG

Seat Alloted in Home State or Other State Quota or DASA

*In case of DASA: Please Specify CIWG/ Non-CIWG/ SAARC etc. very carefully

Loan Details (If applicable):

Applied for Loan (Yes/No)

If Yes, Mention the details of

the Bank Applied for Loan

Hostel Requirement (If applicable): Hostel Accommodation Required or not (Yes/No).

In case you want to avail hostel, a separate form of hostel form Of hostel must be filled and submitted to the Chief Warden office.

Note: In case you want to avail hostel facility the application form of hostel must be filled and submitted to the Chief Warden Office.

Declaration by Student:

I hereby declare that the information given above are correct and true to the best of my knowledge and belief and nothing has been concealed therein. If any wrong information is found on my part, I shall be liable to face the disciplinary action.


Date: _ Name of Student: _ (IN BLOCK LETTERS)

To be filled by Academics Office:

Branch: Hostel Name/Location and Room Number: Signature by the Official from Academic Section