ek/ko izkS|ksfxdh ,oe~ foKku laLFkku] Xokfy;j&05

ekad@izo's k@LFkk-czka-m-@2013@----------

fnukad 22@07@2013

izfr]
izkpk;Z@funs'kd]
bathfu;fjax egkfo|ky;]
tcyiqj] mTtSu] jhok] lkxj]
,l-th-,l- vkbZ-Vh-,l- bankSj]
,l-,-Vh-vkbZ-] fofnkk]
;w-vkbZ-Vh- vkj-th-ih-Ogh-] Hkksiky
fo"k;%&jkT; ds vU; bathfu;fjax egkfo|ky;ksa ls bl laLFkk ds ch-bZ-@ch-vkdZ- r`rh; lsesLVj esa
LFkkukrj.k ds vk/kkj ij izoskA
egksn;]
mijksDr fo"k;kUrxZr ys[k gS fd jkT; 'kklu ds vU; bathfu;fjax egkfo|ky;ksa
kkldh; ,oa vkkldh; vuqnku izkIr ls bl laLFkku ds ch-bZ-@ch-vkdZ- r`rh; lseLs Vj esa
LFkkukrj.k ds vk/kkj ij izosk l= 2013&14 laca/kh lwpuk i= ds lkFk layXu dj vkidh vksj
Hksth tk jgh gSA d`i;k bl lwpuk dks vkidh laLFkk ds fo|kfFkZ;ksa dks voxr djkus dh O;oLFkk
djsaAs
bl laLFkku esa LFkkukrj.k ds vk/kkj ij izos k gsrq vkosnu i= izkIr gksus dh ,oa izosk
dkmalfyax dh frfFk 06-08-2013 dks le; 1%00 cts fu/kkZfjr dh xbZ gSA

MkW- latho tSu

funs'kd
izfrfyfi %&
1lapkyd] rduhdh fk{kk lapkyuky;] prqFkZ ry] lriqM+k Hkou] Hkksiky e-iz-

ek/ko izkS|ksfxdh ,oe~ foKku laLFkku] Xokfy;j&05

ekad-------------------------

fnukad 22@07@2013

lwpuk
l= 2012 esa ih-bZ-ih-Vh- ds ek/;e ls ch-bZ-@ch-vkdZ- izFke o"kZ esa izosf'kr e/;izn's k jkT; ds ewy
fuoklh ,sls Nk= tks fd orZeku 'kS{kf.kd l= 2013&14 esa ch-bZ-@ch-vkdZ- f}rh; o"kZ r`rh; lseLs Vj esa
izos k dh ik=rk j[krs gS RkFkk %&
1- ek/ko izkS|ksfxdh ,oa foKku laLFkku] Xokfy;j esa v/;;ujr~ gSA
2- jkT; 'kklu }kjk Lo'kklh ?kksf"kr vuqnku izkIr@v'kkldh; vuqnku izkIr@jktho xka/kh izkS|ksfxdh
fo'ofo|ky; dh ?kVd laLFkk lwph layXu esa v/;;ujr~ gSa] mudks lwfpr fd;k tkrk gS fd ek/ko
izkS|ksfxdh ,oe~ foKku laLFkku] Xokfy;j esa dqN fjDr gq;h lhVksa ij 'kk[kk mUu;u (Branch up
gradation) vFkok LFkkukarj.k (Transfer) ds vk/kkj ij izos k fn;k tkuk gSA ftlds fy, vkosnu
tks fd laLFkku dh osclkbV ij miyC/k gS] iw.kZ vkosnu laLFkku ds funs'kd dk;kZy; esa fnukad 0608-2013 dks le; 12%00 ctsa rd Lohdkj fd;s tk;sxsA fnukad 06-08-2013 dks le; 1%00 ctsa ls
izos k gsrq dkmaalfyax izfdz;k izkjaHk dh tk;sxhA lHkh vkosndksa dh mifLFkfr vfuok;Z gSA
3- vkosnu&i= ds lkFk :- 500@& dk fMek.M MkV tks fd funskd] ,e-vkbZ-Vh-,l-] Xokfy;j
(Director, MITS, Gwl
a ior) ds uke ls ns; gksxk] layXu djuk vfuok;Z gSA
4- vkosnu djus okys Nk=ksa dks vkosnu ds lkFk fuEu nLrkost layXu djuk vfuok;Z gksxk %&
(a) vkosnu i= ds lkFk ch-bZ-@vkdZ- izFke ,oa f}rh; lseLs Vj dh vadlwph izekf.kr izfr] vFkok lacaf/kr
egkfo|ky; ds izkpk;Z ls mRrh.kZ gksus dk izek.k&i= A lkFk esa nksuksa lsesLVj esa lS)kfUrd fo"k;ksa ds
izkIrkadksa dh i`Fkd ls izekf.kr izfrfyfi;ka Hkh lay
a Xu djuk vfuok;Z gSA
(b) vkosnu&i= ,d fu/kkZfjr izk:i esa laLFkku dh osclkbZV ls MkmuyksM dj gh Hkjk tkosA
(c) fo|kFkhZ ds orZeku laLFkk ds izkpk;Z }kjk tkjh vukifRr izek.k&i= (No. Objection Certificate)
vkosnu i= ds lkFk layXudjuk vfuok;Z gSA ewy fuoklh o tkfr izek.k i= layXu djsAa
5- fjDr lhVksa ij lS)kafrd fo"k;ksa (Theory Subject) esa izkIr vadksa vFkok xszM ds vk/kkj ij esfjV ds
vuqlkj miyC/k lhVksa esa 'kk[kk mUu;u ,oa LFkkukarj.k ds vk/kkj ij izos k fn;k tkosxkA blesa
oxZokj vkj{k.k ds fu;eksa dk ikyu Hkh fd;k tkosxkA
6- vkosnu dh vafre frfFk ;fn vko;d gqvk rks c<+kbZ tk ldrh gSA vH;fFkZ;ksa dks lykg nh tkrh gS
fd os laLFkku dh osclkbZV w.mitsgl
wa ior.ac.in dk fu;fer voyksdu djrs jgsA
7- bl iwjh izfdz;k esa fu.kZ; dk lokZf/kdkj laLFkku ds funskd o lapkyd rduhdh fk{kk e-iz- 'kklu
Hkksiky dk jgsxkA
8- vkosnu dh vafre frfFk 06-08-2013 le; 12%00 cts gSA
9- izos k gsrq dkmalfyax fnukad 06-08-2013 dks le; 1%00 cts ls izkjaHk dh tk;sxhA
10- ftu Nk=ksa us iwoZ esa vkosnu fd;k gS] os 06-08-2013 dks 12%00 cts rd nksuks lseLs Vj dh vad lwph
dh lR;kfir izfr layXu djuk vfuok;Z gSA

MkW- latho tSu

funs'kd
izfr]
123456-

Mhu & 'kS{kf.kd

laLFkku ds lHkh foHkkxksa ds lwpuk iVy
laLFkku jftLVkj
lapkyd] rduhdh f'k{kk lapkyuky; e/;izn's k 'kklu] Hkksiky
lHkh lEc) egkfo|ky;ksa ds izkpk;Z
osc eSustj] ,e-vkbZ-Vh-,l-] Xokfy;j

fuEu fyf[kr lwph esa of.kZr egkfo|ky;kas@laLFkkvksa ds ch-bZ- izFke o"kZ mRrh.kZ Nk= gh ek/ko izkS|ksfxdh
,oe~ foKku laLFkku] Xokfy;j esa ch-bZ- f}rh; o"kZ esa LFkkukarj.k (Tranfs er) ds vk/kkj ij izosk ds ik= gS %&
1tcyiqj bathfu;fjax dkWyst] xksdqyiqj jka>h] tcyiqj&482 011] e-iz2jhok bathfu;fjax dkWyst] jhok & 486 002 e-iz3bafnjk xka/kh bathfu;fjax dkWyst] lkxj & 470 005] e-iz4mTTkSu bathfu;fjax & 456 010] e-iz5;w-vkbZ-Vh- vkj-th-ih-Ogh-] Hkksiky & 462 036] e-iz6,l-th-,l-vkbZ-Vh-,l- bUnkSj& e-iz7lezkV v'kksd VsDukWykWth bafLVV~;wV] fofn'kk & 464 001 e-iz-

[Format of Application form for Branch up gradation in Government /Government Aided/University

Institutions]

MADHAV INSTITUTE OF TECHNOLOGY & SCIENCE, GWALIOR- 05

1.
2.

Name of the Candidate

Sex (Male/Female)

:
:

3.

Fathers Name

4.
5.

Telephone/Mobile No.
Category of the candidate

:
:

6.

(UR/SC/ST/OBC)
Class of the candidate

:
:

(Nil/Sainik/Freedom Fighter/Technical/Handicap)

7.

Quota of Present allotted seat

8.

(All India/M.P.)
Category of the Present seat

9.
10.
11.
12.

(UR/SC/ST/OBC, F/OP)
Class of the present seat
:
(Nil/Sainik/Freedom Fighter/Technical Stream/Handicap)
Present Branch
:....
PEPT 2012 Roll No.
Theory Grade/Marks in B.E. I year*
: Semester A
: Semester B .
: Total
.
Whether NOC from the present college has been attached** YES/NO

13.
14.
Branch Preferences (In order of Preference)
(1)_________________________________
(3)_________________________________
(5)_________________________________
(7)_________________________________
(9)_________________________________

(2)________________________________
(4)________________________________
(6)________________________________
(8)________________________________

Signature of Student
Note:
1. * Proper Certification from the Principal / Register / Controller of Examination for
Separte Theory Grades / Marks etc. is a must or the candidate may provide a copy of
officially issued marksheet of both the semesters.
2. **Except the students of MITS who are opting for branch change/up gradation all
the other eligible students must attach a NOC from their respective Principals
/Director. Without the documents mentioned in point 1 and 2 the candidate will not
be considered for transfer.
3. Candidates are required to fill all the branches of M.I.T.S., Gwalior in their order of
preference. Once for all the preferences filled on the form will be considered to be
final and the candidates will not be allowed to change preferences in any case.
4. The candidates of A.I. (Non domicile of M.P.)/NRI/PIO/FN/Gulf Quota/Tuition Fee
waiver will not be considered for branch upgradation/transfer.

DECLARATION OF STUDENTS
The information provided overleaf is correct to the best of my knowledge & belief. If at
any time any other above information is found incorrect then my admission may be
cancelled.

Signature of parent/Guardian

Signature of the

Candidate

NO OBJECTION CERTIFICATE
(From the Principal/Head of the Institution last Attended)
Shri/Ku_______________________________S/o. Shri_____________________________
Bonafide Student of ___________(semester/year) in____________________(Branch) of
this institution.
To best of my knowledge & belief he/she bears a good moral character. This institution
has no objection if he/she is transferred to ______________________________________

Date:__________
Place:_________

Signature with seal

Application without no objection certificate will be rejected.

Note :1.
2.

3.

Transfer will be done as per the rules of State Government.

Admission on transfer will be made subject to availability of seats in various
branches of engineering from fee will not be refunded even if there is no
vacancy in any branch.
Application will be entertained in the prescribed format (Original) only.