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    New Student Admission Form

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    Vansh Shukla
    1) This document is a registration form for Vansh Shukla, who was admitted to the Bundelkhand Institute of Engineering & Technology, Jhansi for the B.Tech program in Electrical Engineering. 2) It provides his personal details like name, date of birth, category, rank in JEE, and contact information. 3) It also includes details of the fees paid and academic qualifications.

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    New Student Admission Form

    Uploaded by

    Vansh Shukla
    33 views1 page
    1) This document is a registration form for Vansh Shukla, who was admitted to the Bundelkhand Institute of Engineering & Technology, Jhansi for the B.Tech program in Electrical Engineering. 2) It provides his personal details like name, date of birth, category, rank in JEE, and contact information. 3) It also includes details of the fees paid and academic qualifications.

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    1) This document is a registration form for Vansh Shukla, who was admitted to the Bundelkhand Institute of Engineering & Technology, Jhansi for the B.Tech program in Electrical Engineering. 2) It provides his personal details like name, date of birth, category, rank in JEE, and contact information. 3) It also includes details of the fees paid and academic qualifications.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    33 views1 page

    New Student Admission Form

    Uploaded by

    Vansh Shukla
    1) This document is a registration form for Vansh Shukla, who was admitted to the Bundelkhand Institute of Engineering & Technology, Jhansi for the B.Tech program in Electrical Engineering. 2) It provides his personal details like name, date of birth, category, rank in JEE, and contact information. 3) It also includes details of the fees paid and academic qualifications.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    Bundelkhand Institute of Engineering & Technology, Jhansi

    (An Automonous Institute Funded by U.P. Government)


    REGISTRATION FORM ( 2021-22 )

    Personal Details

    Registration No. : 2021000293 Course Name : B. Tech.


    Branch Name : B. Tech. Electrical Engineering
    Student's Name : VANSH SHUKLA Semester : 1
    Father's Name : ASHOK SHUKLA Date of Birth : 24/10/2002
    Mother's Name : SUSHMA SHUKLA Caste Category : General-EWS
    Gender : Male Aadhar Card No : 712717038901
    Allotted Category : Spot Counselling PAN Card :
    Admission Mode : SPOT COUNSELING Nationality : Indian
    Religion : Hindu Blood Group : A+
    Identification Marks : NA Hostel Required : No
    Admission Category : Open JEE RollNo : 210310074147
    Rank : 354328
    Caste Certificate No. : 1167 Income Certificate No :

    Communication Details

    Student's Mobile No. : 7905420236 Student's Email ID : [email protected]


    Student's Alter. Mobile No. : 9670431160 Student's Alter. Email ID : [email protected]
    Father's Mobile No. : 9670431160 Mother's Mobile No. : NA
    Correspondence Address : 614 CHAMAN GANJ SIPRI BAZAR
    Correspondence District : Jhansi Correspondence State : Uttar Pradesh
    Correspondence Pincode : 284003 Correspondence Country : India
    Permanent Address : 614 CHAMAN GANJ SIPRI BAZAR
    Permanent District : Jhansi Permanent State : Uttar Pradesh
    Permanent Pincode : 284003 Permanent Country : India
    Local Guardian's Name : Local Guardian's Mobile :
    Local Guardian Address :

    Bank Details

    Name of Bank : Name of Account Holder :


    Account No. : IFSC Code :

    Institute Fee Detail

    Transaction No/DD /UTR No. : BIET0000270022 Transaction /DD/UTR Date : 25-11-2021


    Amount : 56800 Fee Tpye : Registration

    Qualification Details

    Qualification College/Institute Roll No Passing Max Obtainted %


    Year Marks Marks
    High School SHEERWOOD COLLEGE
    5120326 2019 500 460 92.00
    CBSE
    Qualifying Exam SHEERWOOD COLLEGE
    23661922 2021 500 441 88.20
    CBSE

    Declaration

    I Hereby declare that the above information is true to the best of my knowledge, Nothing has been concealed and no part of it is false. I
    futher declare that I have carefully read and understood the terms & condition of the Institute and do hereby agree to abide by the
    same. Bundelkhand Institute of Engineering & Technology, Jhansi has full right to cancel registration & allotment in case of false
    information submitted by me.

    (Student's Signature)

    Admission Provisional Yes/No

    (Faculty Adviser) (Head of Department) (Dean Academics)

    PRINT AS ON : 25/11/2021 *This is software generated report.* PAGE 1 OF 1

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