Indian Institute of Technology Roorkee
WELCOME TO INDIAN INSTITUTE OF TECHNOLOGY ROORKEE
IMPORTANT DATES
Date of Registration : 23rd July 2017 (Sunday)
Date of Orientation : 25th – 30th July 2017
Language Proficiency Test : 28th July 2017
Classes Begin : 31st July 2017 (Monday)
REGISTERATION SCHEDULE –JULY 23, 2017
VENUE: CONVOCATION HALL
Venue ‐Block‐A Venue ‐Block‐B
Time Branch Code
Branch/Programme Branch Code
Branch/Programme
08.00 to 09.00 am R‐4104 B.Tech. (Biotechnology) R‐5101 B. Architecture
09.00 to 10.15 am R‐4110 B.Tech. (Computer Science and Engineering)
R‐4107 B.Tech.(Chemical)
10.15 to 12.00 noon R‐4111 B.Tech. (Electrical) R.4109 B.Tech.(Civil)
12.00 to 12.30 pm
R‐4114
B.Tech.(Electronics and Communication Engineering)
R‐5302 Integrated M.Tech. (Geological Tech.)
12.30 to 01.00 pm R‐5303 Integrated M.Tech. (Geophysical Tech.)
01.00 to 01.30 pm LUNCH
01.30 to 03.00 pm R‐4127 B.Tech. (Metallurgical. & Materials Engineering)
R‐4125 B.Tech. (Mechanical)
03.00 to 03.30 pm R‐4117 B.Tech.(Engineering Physics)
R‐4136 B.Tech. ( Production & Industrial)
03.30 to 04.00 pm R‐5502 Integrated M.SC (Applied Mathematics)
R‐4135 B.Tech.(Polymer Sc. & Engineering)
04.00 to 04.30 pm R‐5507 Integrated M.Sc. (Physics)
R‐5503 Integrated M.Sc. (Chemistry)
04.30 to 5.30 pm Late arrived candidates Late arrived candidates
INDIAN INSTITUTE OF TECHNOLOGY ROORKEE ROORKEE
SESSION 2017-2018 DOCUMENT CHECK LIST
Name of Student …………………………………. Branch ……….………………………………. Enrollment No. Please fill-in the required information and paste photographs wherever necessary and bring the following documents when you report at IIT ROORKEE for joining and registration on July 23, 2017 (Sunday) To be submitted at Academic Counter:- Receiver’s Signature 1 JEE (Advanced)-2017 Seat allotment letter issued by the Organizing chairman
JEE (Advanced) - 2017.
2 One set of Self-attested mark sheets and passing certificates of 10th (High School) & 12th
(Intermediate) classes and original for verification at counter.
3 Category certificate on prescribed format: OBC (as per APPENDIX- 5 given in JEE (Advanced) -2017 Information Brochure, to be issued on or after 01-04-2017 by the competent authority), SC/ST (as per APPENDIX- 4 given in JEE (Advanced) -2017 Information Brochure), if applicable, and one self-attested photocopy of each.
4 Form A – Admission Form.
5 Photo copy of Father’s/Mother’s IT Return form/Income Certificate-if non-salaried/ Form 16-if salary (whichever is applicable)) and copies of Adhaar Cards. 6 Transfer/Migration and Character Certificate in Original.
7 Form -IV (Medical Certificate from registered medical practitioner).
8 Annexure-IX (Undertaking duly signed by student and parent/guardian) 9. One Copy of Registration Card (Deputy Registrar, Academics Copy)
To be submitted at Dean of Students Welfare(DOSW) counter
10 Form B – Undertaking. 11 Annexure I, Annexure II and Annexure III (the Pledge, one out of 3 Copies). 12. Identity Card and Medical Booklet 13. One Copy of Registration Card (DOSW Copy) To be submitted at Chairman Coordination Committee of Bhawans (CCB) counter 14. Bank Draft for mess security and advance along with deposit Form (Annexure-IV a/b) 15. One Copy of Registration Card (CCB Copy) To be submitted at Accounts counter
16. Bank Draft for Institute Fee and Challan form (Annexure –V) To be collected and submitted during registration from ICC Counter
17. Email-Id form of Information Super Highway Centre
Checked by:
(Name and Signature) Note: 1. Candidate will sequence all necessary document as above. 2. One Bank Account for each student is required; account opening facilities may be available outside the venue of the Registration. 3. Facility for preparing anti ragging under taking on non-judicial stamp paper of Rs. 10 is not available at IITR. Please get it available at your place/city so that smoothly registration be carried on.
FORM A
To be submitted at Academic Counter INDIAN INSTITUTE OF TECHNOLOGY ROORKEE
ROORKEE SESSION 20__-20__
ADMISSION FORM
Enrolment No.
1. Programme:……………………………………….
Department………………………………………………….……………………………………………………
2. Name of the Student (in Hindi)…………………………………………….………………………………….
(In English)……………………………………………………………………………………………………….
(In Capital Letters as entered in High School Certificate) 3. Adhaar Card No. of the Student
4. Father’s Name …………………………………………..……………………………
5. Mother’s Name …………………………………..
6. Date of Birth …………………. (DD/MM/YY)
7. Category (GEN/SC/ST/OBC etc.) …………… …
8. Father’s Occupation………………………………………………………………….
9. Father’s Income……………………
10. Father’s PAN No ……………… 11. Attach Copy of Father’s last income Tax Return Form/Form-16 Yes/No 12. Mother’s Occupation……………………………………………………………………
13. Mother’s Income……………………
14. Mother’s PAN No ……………… 15. Attach copy of Mother’s last income tax return/Form-16 (If applicable) Yes/No 16. Father’s Mobile No…………….. 17. Mother’s Mobile No…………….. 18. Student’s Mobile No……………….......
17. State of Domicile ………………18. Nationality…………………19. Religion ………... 20. Gender……
21 Minority (Y/N)……………. if yes please specify the community ……………………………
22 Category Certificate issuing officer address………………………………………………………………… ……………………………………………………………………………………………………………………
23 Physically Disabled (Y/N)...……………Type: (Orthopedic/Hearing/Visual)………………………………
24 Name of the Guardian………………………………………………………….........
25 Address of Parent/Guardian………………………………………………………………………… ……………………………………………………………………………………………………………… ……………………………………………………………………………………………………………… Pin Code……………………………………………… Telephone No.(……….)…………………..
S.T.D. CODE
E-mail address:………………………………………. Mobile No……………………………………
26. Address of Parent/Guardian (for correspondence)…………………………………………………………. ………………………………………………………………………………………………………………………….. ………………………………………………………………………………………………………………………….. …….……………………………………………………………………………………………………………………. Pin Code……………………………………………. Telephone No.(………..)………………….
S.T.D. CODE
E-mail Address:…………………………………….. Mobile No…… ……………………………..
Affix Passport Size
Photograph
25. Academic qualifications (From High School onwards)
26. Declaration by the Student:
� I do hereby agree to abide by all the Ordinances/Statutes and Regulations of the Institute in force from time to time.
� I do hereby certify that entries made by me in this form are correct to the best of my knowledge.
� I do hereby solemnly declare that I have not been debarred at any time from joining any educational Institution or rusticated from the Institution/University last attended.
� I declare that I have not been associated (actively or passively) with any unlawful organisation in the past nor I would associate myself with such organizations in future.
� I hereby solemnly declare that I will maintain good conduct throughout my stay at this Institute.
� I understand that the Institute reserves the right to cancel my admission at any time during my stay at the Institute, if the Institute is satisfied that it was in the interest of the Institute to do so.
Date: ……………………. Signature of the Student……………………………..
27. Parent’s/Guardian’s Declaration:
I undertake to pay all Institute fees and subsidiary dues in respect of my ward/son/daughter Mr./Ms…………………
……………………………………………………who is being admitted to the Indian Institute of Technology Roorkee.
My Profession is ……………………………………………………and my monthly income is Rs………………………
I have sufficient means to defray the expenses to be incurred during his/her stay/studies at the Institute.
I hereby assure that my ward /son / daughter will abide by all Ordinances/Statutes and Regulations of the Institute. I hereby certify that the entries made by my ward in this form are correct to the best of my knowledge and belief.
Place ………………….. Signature of the Parent / Guardian Date: ………………...... Full Name ……………………………… Relationship…………………………….
Name of Institution/Board/ University from where Certificate/Degree obtained
Exam. Passed
Year of Passing
Division Max. Marks/ Scale of grade
Marks obtained/C GPA
Documents submitted
FORMAT OF INCOME AFFIDAVIT
TO BE SUBMITTED ON NON-JUDICIAL STAMP PAPER OF Rs.10/- AND SWORN IN BEFORE
A FIRST CLASS MAGISTRATE/ S.D.O./ B.D.O./ TEHSILDAR/ REVENUE OFFICER OF HIS JURISDICTION
Name of Student ………………………………………………..................... Enrollment No. …………………… Programme Name (Specify the name of Branch) …………………………………………………………… I ……………………………………………. Father/mother/guardian of Mr./Ms. ………………………………………. declare that my/our annual income from all sources e.g. service/ agricultural/ trading/ pension/ interest/ ………………………………………… (specify all types of other sources) including that of my spouse and unmarried children is Rs. ………………(Rupees ……………………………………………………………. only). The details are as follows:
(A) 1. From my profession/ Salary/ Pension as indicated Rs. _______________________ p.a. (Attach copy of IT Return and Form-16 if in service)
2. Income from Business/ Medical Practice / Legal Practice/Engineering Consultancy etc. Rs. _______________________ p.a.
3. Income from Agriculture Rs._______________________ p.a.
4. Income from land Properties Rs._______________________ p.a.
5. Income from investment in Bank/ Post Office etc. Rs._______________________ p.a.
6. Income from Share Certificate/ Debentures Rs._______________________ p.a.
7. Income from any other sources (i.e. Retirement Benefits for VRS/ VSS/
Interest income etc. if any) Rs._______________________ p.a.
(B) Income of my wife/ husband (if any) Rs._______________________ p.a. (Attach copy of IT Return and Form-16 if in service)
Form 16 to be enclosed)
(C) Income in the name of my son/ daughter Rs._______________________ p.a.
GROSS TOTAL INCOME (A+B+C) Rs._______________________ p.a.
Further, I declare that the information given above is true. I understand that the Merit-cum Means Scholarship/Freeship/Free Messing/Scholarship, if awarded to my son/ daughter, is liable to be withheld or discontinued at the discretion of the authorities of the Indian Institute of Technology Roorkee without assigning any reason. If subsequently (after award of the Scholarship to my ward) it is found that he/she has been granted any other Scholarship/ Stipend/ Financial Assistance etc. by the Institute/ Any Govt./Non-govt. organizations for the same period, I shall be bound to refund the whole amount of Scholarship/ Stipend/ Financial Assistance etc. to the scholarship awarding authority immediately. I shall also be personally held responsible for the refund of the Scholarships amount (paid to my son/daughter by the Institute) in the event of any information in this declaration being found incorrect/false later on.
_______________________________ (Signature of Father/Mother /Guardian,
if father and mother are not alive)
PAN NO.: ……………………………… Aadhar No. …………………………….
Sworn before me this ____________________ day of ____________________ 201__ and signed.
(SEAL with date) ______________________________________________ Signature of First Class Magistrate/ S.D.O./ B.D.O./ TEHSILDAR or any other Revenue officer of the district of the signatory
……… Note: The students are advised to keep a photocopy of the above referred certificate etc. in support of family income
submitted at IIT Roorkee for future reference.
INDIAN INSTITUTE OF TECHNOLOGY ROORKEE
FAMILY INCOME STATEMENT FOR THE FINANCIAL YEAR 2016-17 Name of Student …………………………………………..… Enrollment No. …………………………..
Programme …………………………………………………… All India Rank …………………………...
Category ……………………………………………………… Category Rank ……………………….....
Hostel Allotted ……………………………………………..... Student’s Mobile No ……………………
Father’s Name……………………………………………….. Mother’s Name……………………………
Name of Guardian ……………………………………………………………………………………………….. (If father and mother are not alive) FAMILY ANNUAL INCOME Source of Income Total Annual Income a. Father Service …………………… Designation………....
Self employed …………………………………….. Other (Please specify) …………………………… PAN NO ……………………………. (Please enclose Photocopy)
………………………… ………………………… …………………………
b. Mother Service …………………… Designation……….... Self employed …………………………………….. Other (Please specify) …………………………… PAN NO ……………………………. (Please enclose Photocopy)
………………………… ………………………… …………………………
c. Any other source of family Income
PAN NO.: …………………………
Grand Total income from All sources Supporting Documents to be submitted: Salaried Income Tax Return (ITR) and Form 16. Self Employed Income Tax Return (ITR) BPL card holders Attested copy of the BPL card (Signature of Student) (Signature of Father) (Signature of Mother) (Signature of Guardian,
If father and mother are not alive)
INCOME DECLARATION
(Only for those students of B.Tech./B.Arch. Ist year (Batch 2017-18) who are interested in availing financial Assistance in Vogue from the Institute.
The declaration of the Gross Annual family Income is must for students seeking financial Assistance in Vogue. Note:
1. Full tuition fees waiving off for the students whose family income less than 1 Lakh. 2. 2/3rd tuition fees waiving off for the students whose family income between 1 Lakh to 5 lakhs. 3. Free Messing – SC/ST students with Parental Income upto 4.5 lac are provided Free-Messing.
…………
FORM B
To be submitted at DOSW Counter INDIAN INSTITUTE OF TECHNOLOGY ROORKEE
ROORKEE SESSION 20-- -20--
Enrolment No.
UNDERTAKING
1. Undertaking of awareness of medical facilities at I.I.T. Roorkee Hospital
I……………………………………………………………………………………………………….…… Father/mother/guardian of Mr./Ms…………………………………………………………………………….hereby declare the following in respect of my ward to be admitted to B.Tech./B.Arch./5Yr.Integrated M.Tech./5Yr.Integrated M.Sc. Programme of study at IIT Roorkee.
I am aware of the following facts:
(i) The IIT Roorkee Hospital located in the campus and run by IIT Roorkee for its community has limited facilities. (ii) The IIT Roorkee Hospital may not be adequate for treatment of any patient with chronic or serious ailments. (iii) It is the responsibility of the guardians to take care of their wards for outside treatment. (iv) In case of emergency, I hereby authorize the Doctors of IIT Hospital to take decisions in connection with medicine/surgical treatment in the best interest of my son /daughter /ward. Despite the best efforts on the part of IIT Roorkee if any untoward thing happens to my ward, I shall not hold the Institute accountable for the same and will not seek any financial help or compensation for the same through any court of law.
Date:…………… Signature of the Parent /Guardian
2. Undertaking by the student for not owning motor driven vehicles for commuting inside IIT campus
I…………………………………………………………………………………….,…………………………....son/daughter/ward of Mr./Ms………………………………………………………………………………………..hereby give an undertaking that I will not own/drive motor driven vehicle for commuting inside the IIT Roorkee campus during my stay at I.I.T. Roorkee. If at any stage, I am found to violate the above undertaking my hostel seat will stand automatically cancelled without assigning any reason.
Date:…………….. Signature of the Student……………….. Counter Signature of Parent/Guardian………………….
3. Undertaking for not indulging in any kind of ragging and indecent behavior towards juniors / fellow student
I……………………………………………………………………………….……………….……………… son/daughter/ward of Mr./Ms………………………………………………………………………….hereby give an undertaking that I will not indulge in any act of ragging towards my junior students or indecent behavior or passing indecent SMS to fellow students during my entire stay at IIT Roorkee. Also, I am aware of the fact that if at any stage, I am found to violate the above undertaking, the IIT Roorkee authorities may take suitable action that includes expelling me from the Institute. I will not challenge action taken by the Institute for such violation in any court of law.
Date:……………. Signature of the Student………………. Counter Signature of Parent/Guardian…………………. 4. Undertaking by the student for not going towards Solani river area
I…………………………………………………………………………………………………....... son/daughter/ward of Mr./Ms. ……………………………………………………………………………hereby give an undertaking that I will not go / visit the Solani river area / go for swimming at Ganga Canal during my stay at IIT Roorkee. If at any stage I am found to violate the above undertaking and if any untoward thing happens to me, I/my parents/guardians shall not hold the institute accountable for the same and will not seek any compensation for the same from any court of law and the IIT Roorkee may take suitable action that includes expelling me from the hostel without assigning any reason.
Date:………… Signature of the student ……………Counter Signature of Parent/Guardian…………
Annexure -I
AFFIDAVIT BY THE STUDENT
I Mr./Ms……………………………………………………………Enrolment No………………………. of class…………….....Branch……………year………………Deptt……..……………………………S/o,D/o……………………………………………………………………………..having been admitted to Indian Institute of Technology Roorkee , R oorkee have received a copy of th e UGC Regulations on Curbing the menace of Ragging in Higher Educational Institutions, 2009, (herein after called the “Regulations”) carefully read and fully understood the provisions contained in the said Regulations. 1. I have, in particular, perused clause 3 of the Regulations and am aware as to what constitutes
ragging. 2. I have also, in particular, perused clause 7 and clause 9.1 of the Regulations and am fully
aware of the penal and administrative action that is liable to be taken against me in case I am found guilty of or abetting ragging, actively of passively, or being part of a conspiracy to promote ragging.
3. I hereby solemnly aver and undertake that
(a) I will not indulge in any behaviour or act that may be constituted as ragging under clause
3 of the Regulations. (b) I will not participate in or abet or propagate through any act of commission or omission
that may be constituted as ragging under clause 3 of the Regulations. 4. I hereby affirm that, if found guilty of ragging, I am liable for punishment according to clause
9.1 of the Regulations, 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.
5. 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 or 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
Signature of student Name…………………………
VERIFICATION Verified that the contents of this affidavit are true to the best of my knowledge and no part of the affidavit is false and nothing has been concealed or misstated therein. Verified at ……………………on this the day of …………………month of…………year………
Signature of student
Solemnly affirmed and signed in my presence on this the day of ……………………month of…………………..year………………… after reading the contents of this affidavit.
OATH COMMISSIONER
Annexure -II
AFFIDAVIT BY PARENT/GUARDIAN
I, Mr./Mrs………………………………………………………………………………………, my ward Mr./Ms……………………… ………………………………………(Enrolment No………………………. of class………………...Branch…………………..year……………….Dept.…...………………………………… having been admitted to Indian Institute of Technology Roorkee, Roorkee), have received a copy of the UGC Regulations on Curbing the menace of Ragging in Higher Educational Institutions, 2009, (hereinafter called the “Regulations”) carefully read and fully understood the provisions contained in the said Regulations.
1.I have, in particular, perused clause 3 of the Regulations and am aware as to what constitutes ragging.
2. I have also, in particular, perused clause 7 and clause 9.1 of the Regulations and am fully aware of the penal and administrative action that is liable to be taken against my ward in case he/she is found guilty of or abetting ragging, actively of passively, or being part of a conspiracy to promote ragging. 3. I hereby solemnly aver and undertake that (a) My ward not indulges in any behavior or act that may be constituted as ragging under clause 3 of the Regulations. (b) My ward not participates in or abets or propagates through any act of commission or omission that may be constituted as ragging under clause 3 of the Regulations. 4. I hereby affirm that, if found guilty of ragging, my ward is liable for punishment according to clause 9.1 of the Regulations, without prejudice to any other criminal action that may be taken against my ward under any penal law or any law for the time being in force. 5. 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 or being part of a conspiracy to promote, ragging; and further affirm that, in case the declaration is found to be untrue, the admission of my ward is liable to be cancelled.
Declared this …………………….…day of ……………….………month of………………..……..year
Signature of deponent Name………………………...
VERIFICATION Verified that the contents of this affidavit are true to the best of knowledge and no part of the affidavit is false and nothing has been concealed or misstated therein. Verified at ………………on this the day of ………………month of…………year………….
Signature of student Solemnly affirmed and signed in my presence on this the day of ……………………month of…………………..year……………….. after reading the contents of this affidavit.
OATH COMMISSIONER
(Annexure –III) (To be taken by all the new entrants)
INDIAN INSTITUTE OF TECHNOLOGY ROORKEE ROORKEE
SESSION 20-- -20--
Enrolment No.
THE PLEDGE
I..........................................................................., do hereby take a pledge that as a student of IIT Roorkee, I shall
1 Faithfully follow and abide by the Standing Orders for Students as enunciated by the Senate of the Institute; 2 Carry my identity card with me, specially when I move out of my Bhawan/Place of stay; 3 Not adopt any unfair means before, during or after the examination; 4 Not lift someone other’s work or any information from a book/article or internet and
shall not insert it in my class work submissions, project, seminar, reports, dissertation, etc., without proper acknowledgement, credit and reference; 5 Not plagiarize the class work submissions, reports, project, dissertation, etc.; 6 Not commit any cyber offence and shall not indulge in any act related to computers/electronic/information technology which may be construed to be an offence under the Indian Penal Code and/or international protocol on internet use/telephony/information access, etc. I do, hereby, undertake that I shall cooperate and assist in any enquiry and
disciplinary proceeding initiated by the Institute concerning any matter what so ever, including those as given heretofore.
Date: ___________ (Signature of the Student)
Name of the Student:______________________ Branch:______________________
Note to the student:
1 Please submit ONLY one signed copy of The Pledge at the Registration Counter (DOSW) at the time of Registration. 2 Handover one signed copy of The Pledge to your Parent/Guardian for record. 3 Keep one signed copy of The Pledge with you.
Annexure-IVa Coordinating Committee of Bhawans
IIT Roorkee Copy for CCB, IITR Dated:
Mess Dues Deposit receipt for Autumn Semester 20-- (For General/OBC Category candidates) Draft No……………………… Dated………………………….....
Paid Rupees ( In figures ) Rs 16,000/
(In words) Sixteen Thousand only
Name of Student ……………………………………………….....
( IN BLOCK LETTERS)
Enrolment Number……………………………………………......
Class & Branch…………………………………………………...
Bhawan…………………………. Room No…………………......
...................................Signature of Student
Payment received
Challan No………………
Seal & Signature of receiver
Annexure-IVa Coordinating Committee of Bhawans
IIT Roorkee
Copy for Student Dated: Mess Dues Deposit receipt for Autumn Semester 20-- (For General/OBC Category candidates) Draft No……………………… Dated…………………………..............
Paid Rupees ( In figures ) Rs 16,000/
(In words) Sixteen Thousand only
Name of Student ………………………………………………...............
( IN BLOCK LETTERS)
Enrolment Number……………………………………………................
Class & Branch………………………………………………...............…
Bhawan…………………………. Room No………………….................
................................Signature of Student
Payment received
Challan No………………
Seal & Signature of receiver
Challan No………………
Seal & Signature of receiver
Annexure-IVb Coordinating Committee of Bhawans
IIT Roorkee
Copy for CCB, IITR Dated: Mess Dues Deposit receipt for Autumn Semester 20-- (For SC/ST/PwD candidates) Draft No……………………… Dated………………………….
Paid Rupees (In figures ) Rs 15,480/
(In words) Fifteen Thousand Four Hundred Eighty only
Name of Student ………………………………………………............
(IN BLOCK LETTERS)
Enrolment Number…………………………………………….. .............
Class & Branch…………………………………………………......
Bhawan…………………………. Room No………………….........
…………………….... Signature of Student
Payment received
Challan No………………
Seal & Signature of receiver
Annexure-IV b Coordinating Committee of Bhawans
IIT Roorkee
Copy for Student Dated: Mess Dues Deposit receipt for Autumn Semester 20-- (For SC/ST/PD candidates)
Draft No……………………… Dated…………………………. Paid Rupees
(In figures ) Rs 15,480/
(In words) Fifteen Thousand Four Hundred Eighty only
Name of Student ………………………………………………. ...................
(IN BLOCK LETTERS )
Enrolment Number……………………………………………...............
Class & Branch…………………………………………………....................
Bhawan…………………………. Room No………………….......................
................................. Signature of Student
Payment received
Challan No………………
Seal & Signature of receiver
Challan No………………
Seal & Signature of receiver
Challan No………………
Seal & Signature of receiver
Annexure-V
INDIAN INSTITUTE OF TECHNOLOGY Roorkee
Institute Copy Dated: Remaining Institute Fee Deposit receipt for Autumn Semester 20-- Draft No……………………… Dated…………………………. ................
Paid Rupees ( In figures ) Rs 74,480/
(In words) Seventy Four thousand four hundred eighty only- Name of Student ……………………………………………….....................
(IN BLOCK LETTERS)
Enrolment Number……………………………………………......................
Class & Branch……………………………………………...........................
Bhawan…………………………. Room No………………….......................
………………………
Signature of Student
Annexure-V
INDIAN INSTITUTE OF TECHNOLOGY Roorkee
Student Copy Dated: Remaining Institute Fee Deposit receipt for Autumn Semester 20-- Draft No……………………… Dated…………………………. ................
Paid Rupees ( In figures ) Rs 74,480/
(In words) Seventy Four thousand four hundred eighty only- Name of Student ……………………………………………….....................
( IN BLOCK LETTERS)
Enrolment Number…………………………………………….....................
Class &Branch…………………………………………………..................
Bhawan…………………………. Room No………………….......................
………………………
Signature of Student
Payment received
Challan No………………
Seal & Signature of receiver
Payment received
Challan No………………
Seal & Signature of receiver
Annexure VII
Language Proficiency Test
All new undergraduate entrants have to appear in a Screening Test for selection in the appropriate option
of HSN-001- Communication Skills (Basic or Advanced). The duration of the test shall be one hour and
fifteen minutes. Details are given below.
Date: JULY 28, 2017
Time: 10:00-11:15 A.M.
Venue: Lecture Hall Complex
Mode: Multiple Choice Questions
Level: English Language Skills of + 2 Level
Syllabus: Basic Grammar, Vocabulary and Comprehension
Detailed Description of Syllabus
Areas of Grammar: Articles, Tenses, Voice, Verb Forms and Subject-Verb Agreement, Use of
Prepositions, Common Errors
Vocabulary: Synonyms, Antonyms, One Word Substitutes
Comprehension passage of Intermediate level of difficulty
Annexure IX
UNDERTAKING BY THE PARENT/GUARDIAN AND STUDENT FOR CONTINUATION OF STUDY AT IIT ROORKEE
I have been informed about the rule of Termination of Enrolment on Academic Ground: The enrolment of a student in a programme, shall stand terminated if he/she fails to earn the minimum number of credits specified at different yearly levels in the programme as given in Appendix‐‘J’, notwithstanding the fact that the student has or has not been put under academic probation. Semester withdrawal will be excluded to determine the yearly level of a student for this purpose. This condition will also not be applicable if a student is not allowed to register for the courses of current year in accordance with 18(2). The communication regarding termination of enrolment shall be issued by the Academic Section within fifteen days from the date of declaration of results.
The minimum requirement of earned credits and CGPA for continuation of registration is given in the table given below.
APPENDIX – J
MINIMUM REQUIREMENT OF EARNED CREDITS AND CGPA FOR CONTINUATION OF REGISTRATION
S. No. Year B. Tech. Programs Integrated Programs# B. Arch.
With Minor
Specialization
With
Honours
Dual Degree
(IDD)
M. Tech.
(IMT)
M. Sc.
(IMS)
1. I Yr* 22 22 22 22 22 22 22
2. II Yr 46 46 46 46 46 46 46
3. III Yr 72 72 72 72 72 72 72
4. IV Yr 100 106 106 100 100 100 100
5. V Yr 130 142 142 130 130 130 130
6. VI Yr 160‐
170**
178‐190** 178‐
190**
162 162 162 162
7. VII Yr ‐ ‐ ‐ 192‐200** 192‐200** 192‐
200**
226**
* Excluding NCC/NSO/NSS Discipline credits,
** The figure should not be less than the minimum prescribed for the program including Co‐curricular Activities
(CCA).
# Without Honours and Minor specialization
NOTE: These Credits include credits earned through Re‐examination. I hereby assure that my ward /son / daughter will abide by all Ordinances/Statutes and Regulations of the Institute and undertake that me and my ward have been well informed about the rule of Termination of Enrolment on Academic Ground.
______________________________________________________________________ Signature of Student Signature of Parent/ Guardian Date:______________ Date:_______________ Place:______________ Place:_____________
Form No.4
INDIAN INSTITUTE OF TECHNOLOGY, ROORKEE ROORKEE
MEDICAL EXAMINATION REPORT
(To be issued by a Registered Medical Practitioner)
GENERAL EXPECTATIONS
Candidate will have good general physique with
(a). Chest Measurement should not be less than 70 cm. With satisfactory limit of expansion and contraction. (b). Vision should be normal. In case of defective vision, it should be corrected to 6/9 in both eyes and 6/6 in the better eye. (c). Hearing should be normal, defective hearing should be corrected. (d). Heart and lungs should not have any abnormality and there should be no history of mental disease or Epileptic fits.
PERSONAL HISTORY
1. Name________________________________________________________________________
2. Name of Course of Study ________________________________________________________ 3. Parent/Guardian’s Name and Address ______________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
4. Age_______________ Years_____________________ Months__________________________
5. Sex_______________________
6. Identification Mark on the Body_____________________________________________________ (This can be a mole, scar or birthmark) 7. Major illness/operation had in the past:________________________________________________ (Specify nature of illness/operation)
MEDICAL CERTIFICATE (The following are to be filled by the Medical Officer conducting the medical examination) 1. Height________________cm. 2. Weight ____________________Kg.
3. Past History 4. Chest
(a) Mental Disease__________ (a) Inspiration____________________cm.
(b) Epileptic fit_____________ (b) Expiration____________________cm.
P.T.O.
5. Blood Group____________________ 6. Hearing__________________________________
7 Vision with or without glasses: ______________________________________________________
a) Right eye__________________ c) Colour Blindness__________________________
b) Left eye___________________ d) Uniocular Vision___________________________
8 Respiratory system: ______________ 9. Nervous system____________________________
10. Heart: 11. Abdomen:
a) Sounds___________________ a) Liver__________________________________
b) Murmur___________________ b) Spleen________________________________
12. a) Hernia____________________ b) Hydrocele______________________________
13. Vaccination Done- Information
14. Any other desease/ailment___________________________________________________________
Certified that Mr./Ms._________________________________________________________________
Son/Daughter of Mr./Ms._________________________________________________________________
(Note; * Strike out whichever is not applicable ) * (a) fulfills the prescribed standard of physical fitness and is FIT for admission to engineering / architecture / sciences / MBA course. OR * (b) does not fulfill the prescribed standard of physical fitness and is unfit/temporarily unfit for admission due to following ailments:
__________________________ ______________________ Signature of the Medical Officer Signature of the candidate
Full Name: _______________________________
Medical Registration No: ____________________
Official Seal: ______________________________
Date: ____________________________________
REGISTRATION PROCEDURE
Arrange & submit your papers in the order given below: NOTE: all candidate are requested to check & note their Enrollment Number
and his batch pasted both side of the Hall
8. Opening of e‐mail account ICC/IMG Counter Counter No.7 (ICC/IMG Counter)
9. Opening of Bank Account SBI/PNB counter Outside the Convocation Hall.
Candidate have to collect and fill the 5 Copies of the Registration cards and copy of Time Table of their respective branch from the entrance of the VENUE (CONVOCATION HALL)
1. For verification of Identity & Admission (on calling)
To present on DIAS
2. (a)To collect Registration Kit containing, Medical booklet, Identity card, Academic Calendar, Academic Programme & Syllabi, Ordinances, Regulations and Guidelines etc. (b) Medical booklet and Identity card to be submitted at the time of Registration on July 23, 2017.
Collect if from Counter No. 1
(Academic Section)
3 OBC Category Certificate verification Counter No.2
4. Documents verification/submission of document as per check list.
To be shown/given at Counter No. 3
(Academic Section) 5. Demand Draft for Institute fees with
Annexure V . To be submitted at
Counter No. 4 (Accounts)
6. Demand Draft for Mess charges with Annexure IV (a, b).
To be submitted at Counter No. 5 (CCB)
7. Identity card, Form B, Annexure I, Annexure II, one copy of pledge i.e. Annexure –III, Medical Booklet.
To be submitted at Counter No. 6 (DOSW)
Office of Dean of Students’ Welfare Indian Institute of Technology Roorkee
Information for new Entrants to UG programme Congratulations on clearing JEE -Advanced and most welcome to join us at IIT Roorkee! Travel Roorkee is 180 km from Delhi and the nearest airport is in Dehradun which is approximately 60 km away. Except for Roorkee/Hardwar/Dehradun bound trains, reaching Roorkee via Delhi is most advisable. If you are travelling from Delhi you can board a Roorkee/Hardwar/Dehradun bound train/bus. The bus services to and fro Delhi-Roorkee are quite frequent. You can board the bus to Roorkee from Maharana Pratap I.S.B.T. Kashmiri Gate, New Delhi. The train services are also quite regular. For instance, you can board Shatabdi/Jan Shatabdi depending upon your arrival time at Delhi. The trains take around four hours to reach Roorkee, while bus services may take little over 5 hours. Hiring a taxi is also an option – contact numbers of taxi operators, based in Roorkee, have been
provided at the end*. Accommodation The hostel accommodation is allotted on the basis of AIR Rank in JEE-Advanced. The key of the allotted room can be obtained from respective Bhawan Supervisor’s office between 8.00 am to 8.00 pm. either one day prior or on the day of registration While new students are entitled to stay in their allotted accommodation on arrival, accompanying parents have to make their own stay arrangements, as they are not allowed to stay with their wards in the hostel. For your
convenience, a list of hotels/lodges is provided at the end*. The room in the Bhawan (Hostels are referred to as Bhawans in IIT Roorkee) contains a cupboard, study table, tea-table, bed and electrical fittings like fan and tube light. You can also use common washing machines provided by the Bhawan administration. You are required to bring your own bedding, pillow, bucket, mug, lock, etc. (they can also be procured locally at Roorkee). Please remember that electrical appliances like cooler, heater, iron etc. are not allowed in the Bhawan rooms.
Additional information List of a few Lodges (close to IIT Roorkee campus)
List of a few Hotels (Within 1 Km of IIT Roorkee)
List of a few Hotels (Within 2 Km of IIT Roorkee)
List of a few Hotels (Within 3 Km of IIT Roorkee) List of a few Taxi operators
Sl. No Name Contact No. 01 BHATIA LODGE 9897736444 02 KHANNA LODGE -- 02 PRINCE LODGE 01332-320203, 9927561895 03 RAHI GUEST HOUSE 9219970474 04 SUVIDHA REST HOUSE 01331-276061, 9219
87200 05 ANAND LODGE 9045757608
Sl. No Name Contact No. 01 URVASHI HOTEL 01332 271029 02 RAJHANS HOTEL 837554555,9837337299& 01332 272722 03 AARTI HOTEL 01332-272304, 9897001359 04 PRESIDENT HOTEL 01332-273097, 9897119612, 9997980308 05 MOTEL DIVINE INTERNATIONAL 01332-218542, 8810079441 06 DYNASTY HOTEL 01332-271428, 9897060343 07 PRAKASH HOTEL 01332-270260,273838, 09997953317 08 CENTER POINT 01332-273040,274050 09 GRAND PREM DOOT 9219986656 10 KRISH HOTEL 9997413835 11 HOTEL ROYAL PALACE 1332-272678 12 SAGAR HOTEL & R
STAURANT 01332-271600
Sl. No Name Contact No. 01 HOTEL DEEP RESIDENCY 01332-267111, 08057794000 02 HOTEL SIDDHARTH 01332-264112 03 HOTEL DIAMOND 01332-278929, 9639930044 04 HOTEL VISHAL 01332-212921 05 HOTEL ARYAN 01332-279413, 9058122880
098 37 091002 Sl. No Name Contact No. 01 HOTEL SURYA 9719411903, 02 HOTEL ALL SEASONS 9997124446 03 HOTEL CENTRUM 01332-242411 04 HOTEL GODWARI
*These additional details are for your information only. IIT Roorkee does not take any responsibility for the services rendered.
1 ASHISH TRAVELS 01332-273669 2 CHOUDHARY TRAVLELS 9837094975 3 GANGA TRAVELS SERVICE 9760024232 4 GAUTAM TRAVELS 01332-276847,9837139329 5 LODHI TOURS & TRAVELS 01332-277641, 01332-274733 6 OM TRAVELS 01332-273875 7 RAJ TRAVELS 01332-273669, 9837241590 8 ROORKEE TAXI ASSOCIATION 01332-275173, 9219425163 9 ROORKEE TRAVELS 01332-261358, 9412070244 10 SAINI TRAVELS 9837058018,9412258018 11 SHAKUMBARY AUTO 01332-242267, 01332-242216 12 SHARMA TRAVELS 9837388032,9410747232 13 SHRI CHAND SHARMA 9837241590 14 VISHAL TRAVELS 9837072860 15 VOYAGE TOURS & TRAVELS 01332-270063, 9219405763 16 YOGYA HOLIDAYS 01332-272525, 9219541800