Programmes 'O'-Level 'A'-Level

Duration One Year

(Two Semester) One and Half Year (Three Semester)

Class Timings 2:00 pm to 6:00 pm

(Monday to Friday)

2:00 pm to 6:00 pm

(Monday to Friday)

Eligibility Criteria

10+2,

or

ITI certificate after class 10

Diploma in Engg. after 10+2 or

‘O’-level qualified or

Graduate degree in any discipline

Selection On the basis of past academic merit. On the basis of past academic merit.

Intake 30 20

Course fee Rs.5000/- per semester +

Rs.2000/- for Project work

Rs.6500/- per semester +

Rs.3000/- for Project work

Caution Deposit (Refundable)

Rs.3000/- Rs.3000/-

Important Dates:

Last Date of issuing admission forms 11-July-2019

Last Date of receiving filled in admission forms 11-July-2019

Displaying Selection List for admission 15-July-2019

Tentative Admission Dates 17-July-2019 to 22-July-2019

Commencement of Classes 05-Aug-2019

Application forms may be obtained from DOEACC Office, Department of Computer Science &

Engg. between 1:00 p.m. and 5:00 p.m. from 03-Jun-2019 to 11-July-2019 (On Working Days

only) by depositing an amount of Rs.50/- in cash or through Demand Draft in favor of Tezpur

University payable at Tezpur.

Application forms may also be downloaded from Tezpur University website www.tezu.ernet.in.

Downloaded forms must be submitted along with an amount of Rs.50/- in cash or through

Demand Draft in favor of Tezpur University payable at Tezpur.

(Contact No.: 03712-27-5361, 91-8486269199)

*Calls to the above numbers will be available only during office hours.

*Hostel Facility is not available for these courses.

NIELIT (Formerly DOEACC)

COMPUTER CENTRE::TEZPUR UNIVERSITY

APPLICATION FORM FOR ADMISSION TO ‘O’ / ‘A’ LEVEL COURSE

1. Admission sought for

(Please √ any one) ‘O’ Level / ‘A’ Level

2. Applicant's full name

(In Capital letters)

3. Father's Details

Name _________________________________________________________

Occupation _____________________________________________________

Contact No. ____________________________________________________

4. Mother's Name

5. Date of Birth (as per HSLC Admit Card)

(Attach HSLC Admit Card, self-attested)

6. Gender (Please √ ) Male / Female / Others

7. Marital Status (Please √ ) Married / Unmarried / Others

8. Category (Please √ ) Gen / SC / ST / OBC (Attach relevant certificate, self-attested)

9. Religion

10. Mobile Number

11. Email ID

12. Aadhar Card Number

(if any)

13. Address for

Communication

C/o ________________________________________________________

Landmark ___________________________________________________

Vill / Town / City______________________________________________

State_____________________ Dist.______________________________

P.O. ___________________________ Pin No. _____________________

For Office Use Only

1. Form Serial No.______________

2. Admitted on _______________________(Date of Admission)

3. Registered with Application No. _______________________________ & Registration No. _______________________from NIELIT

Affix one recent

Passport

Photograph

duly attested

14. Educational Qualifications (Starting from 10th Standard Onwards)

(Attach all relevant Mark sheets & Certificates, self-attested)

Name of Exam

Passed/Appeared

Board / University Year of

Passing

Division /

Class / Grade

% age / CGPA

obtained

15.

Are You Currently

Undergoing Studies,

elsewhere

Yes / No If Yes, Course Name ________________________________

Class / Level / Sem._________________________________

Name of the Institution ______________________________

16. Are You Currently

Employed

Yes / No If Yes, Please Specify _______________________________

________________________________________________

17.

Have you Completed

DOEACC ‘O’ Level Course

(For ‘O’ Level Applicant,

Please √ NA )

Yes / No / NA If Yes, Registration No. ______________________________

Grade Obtained ____________________________________

18. Any other information

Declaration

I…………………………………….. (Name of the Applicant), do hereby declare that all the statements

made above are true to the best of my knowledge and belief. If any of the above information

furnished by me in this form is found to be incorrect, fake, misleading or illegal at any point of

time, I will be solely responsible for any financial, social or legal action that may be taken

against me by the Centre / NIELIT at any point of time. Also if admitted, I agree to complete the

full term of the course and failing which, I shall forfeit the caution money deposited at the time

of admission.

Place:

Date: Signature of Applicant