APPLICATI
ON FORM
CHRISTIAN COLLEGEOF ENGINEERING & TECHNOLOGY
Managed By St Thomas Mission, Bhilai
Approved & Acreditted by AICTE, Affiliated to CSVTU, Bhilai
COLLEGE
CODECGP
ET
EN108
Provides educational opportunities to all aspiring youth to excel in life
PROVIDES EDUCATIONAL OPPORTUNITIES TO ALL ASPIRING YOUTH TO EXCEL IN LIFE
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
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.
Verified By : Name & 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. Passport Size Photograph
12. Income Certificate / Salary Slip
13. Affidavit (Student & Parent)
14. Bank Details of Student
15. Aadhaar Card Copy
16. Ration Card (Color)
17. Recommendation Letter from Church (Only for Minority student)
UNDERTAKING
FOR OFFICE USE ONLY
Name of the Parent & Signature
Mobile No. :
Name of the Student & Signature
Mobile No. :
Caste Gen SC ST OBC OTHERS
Religion
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, self attested .
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.
APPLICATION FORM
Affix a Stamp SizeStudent Photograph
AffixStamp Size Guardian
Photograph
STUDENT INFORMATION
(First Name) (Middle Name) (Last Name)
Mobile
Mobile Email
Landline
Signature of Student
Affix a Stamp SizeParents Photograph
Mobile Email
Present Address
Address
NationalityMother Tongue
Aadhaar No.
Permanent Address
PARENT INFORMATION
LOCAL GUARDIAN INFORMATION
Fathers Name Mothers Name
Mobile
Guardian Name
Relation
Address
Date of Birth
Name of Student(Fill in Capital only)
Form No:
Fathers Occupation
Sector
Annual Income
Organization Name
Department Designation
Office Address
Tel. [O] Mobile
Annual Income
Organization Name
Department Designation
Office Address
Tel. [O] Mobile
(DD/MM/YYYY)
/ /
Name & Signature of Parent Name & Signature of Guardian
Govt. Public Private
Service Business Agriculture
Mothers Occupation
Sector Govt. Public Private
Service Business Agriculture
Gender Male Female TG
Hostel Facility Required Yes No
Blood Group
Please rank these branches in order of your preference:
Exam Passed Board Name of School Place & State Total Marks Marks Obtained Percentage
Class X
Class XII
Exam Roll No. All India Rank (AIR) State Rank Category Rank Total Marks Marks Obtained
JEE
CGPET
Mechanical Engineering
Computer Science & Engineering Electrical Engineering M. Tech. CAD/CAM Robotics
Electronics & Telecommunication Engineering M. Tech. Nanotechnology
U. G. Course: P. G. Course:
B.E.Particulars of Qualifying Examinations:
Please attach copies of certificates of examinations passed.
PercentageExam Passed Board / University Name of School / College Place & State Total Marks Marks Obtained
Class X
Diploma
B.E. II Year Lateral EntryParticulars of Qualifying Examinations:
Please attach copies of certificates of examinations passed.
Particulars of Qualifying Examinations:M. E. / M. Tech.
Please attach copies of certificates of examinations passed.
PercentageBoard / University Name of School / CollegeExam Passed Place & State Total Marks Marks Obtained
Class X
Class XII
B.E.
GATE Exam
st th(1 to 8 sem)
FEED BACK OF ENGINEERING ASPIRANTS 2017 -18
Signature of the candidate
1.Name of the student
2.Father's Name
5. Are college officials cordial & helpful?
6. It the communication methods of the college strong & reliable?
7.Is the hospitality good?
8.If you do not get branch of your choice, will you take admission in this Institute?
9.Would you recommend this college for admission?
10.Any other comment that you may have
3.How did you about the college?
4.Why did you select this College? ( ) tick mark one or more
Because hostels (Boys/Girls) are inside the college campus
Because the infrastructure and the living conditions are good
Because the free structu
