AMITY UNIVERSITY LATERAL ADMISSION

APPLICATION FORM INSTRUCTIONS

Dear Applicant,

You are important to us.

We have exceptionally high standards for the talent that we take in to our programmes. Superior leadership
qualities, communication and interpersonal skills, commitment, problem-solving ability, Value driven mindset,
professionalism, flexibility, motivation and sharp intellectual curiosity are expected.

PLEASE READ THE INSTRUCTIONS CAREFULLY BEFORE YOU BEGIN TO COMPLETE YOUR
APPLICATION. THE APPLICATION FORM SHOULD BE FILLED IN YOUR OWN CLEAR AND LEGIBLE
HANDWRITING.

This Application form is valid for the Lateral Admission to Amity University Uttar Pradesh Campus in
Noida.

• For all details relating to Eligibility, kindly refer to the Admission Prospectus 2011.
(www.amity.edu/admission).

Duly filled in Application Form together with

• Certified copies of all relevant mark sheets from class Xth onwards till last completed semester / year.

• Authentic copy of semester / year wise detailed course structure, scheme of teaching and evaluation of the
course of study pursued, by the parent university / Institution.

• No Objection certificate from parent University / Institution.

should be submitted or sent to :

Amity Admission Office

Sector - 125
Noida - 201 303 (Adj. New Delhi)
Admission Helpline
Tel : 0120-2445252
Email : admissions@amity.edu

• You are advised to keep a photocopy of the complete application form.

• Incorrectly filled, incomplete & unsigned forms will be rejected.

• Amity does not take any responsibility for delay or loss of the material in post / transit.

We do not accept any donations for admission. Merit is the only criteria.
Any instances found, even at a later date, will lead to cancellation of admission.
 Amity University Application Form for Lateral Admission
1 Form No : 350869 Password : zwo2wp
(Payable by DD)
Affix
Self attested
recent colour
photograph
350869
here

First Name Middle Name Last Name

Personal Mr
Shweta Balyan
Ms
Physical Standard Date of Birth Nationality Category (Please tick)
Height Weight DD MM Y Y Gen. OBC SC ST
03 01 1992

Program Program Name Branch / Stream

Applying For
B.Tech. - Electrical & Electronics Engineering Noida
Semester
Applying For

Category :
(Refer www.amity.edu/lateral Non-Sponsored Sponsored Company Sponsored NRI Foreign
for Fee)

Educational Name of School / City Years Name of Board/ Main Percentage

Qualifications College / University attended Diploma / Degree Subjects Obtained
(Attach photocopies From:
Class 10 Aggregate
of all academic
To:
marksheets with
the form, from From: Arts PCB
class X onwards 10 + 2 To: Commerce PCM
till last completed Aggregate
Science
semester/ year. If the
system of marking of Graduation From: Semester Year
your school / college 1
To: 1
is on grading pattern, 2
convert grade into 3
2
marks / percentage 4
as applicable and 5
attach proof of 3
6
conversion.) 7
In absence of any 4
8
marksheet your 9
form will be 5
10
rejected. 11
6
12

Avg. Avg.

For Office use only

 Form No : 350869

Post Graduation From: Semester Year

(If applicable)
1
To: 1
2
3
2
4

5
3
6

Avg. Avg.

Reason for
transfer from
current
University /
Institution

Awards / Name Received when For what

Achievements,
if any (Last 2)

Professional Institution Course Full / Part Dates Qualification

Courses Time Attended Given

Employment
History Work Experience ? Yes No
(if applicable)
If “Yes”, total years of work experience Years Months

Details of current / last job

Organisation Name:

Address of Organisation:

City Tel.:

Dates
Full-Time Part-Time
From To

Last Designation : Last Salary Drawn :

Additional
Information
(any other
information you
would like to
share)
 Form No : 350869

Amity University Application Form for Lateral Admission

2
First Name Middle Name Last Name
Applicant Mr Shweta Balyan
Ms

Correspondence
Telephone Numbers (include STD)
Address
(For all communication
including letter of Home
admission)
Other
City: Pin:

State : Mob.

Permanent
Telephone Numbers (include STD)
Address
(If different from
correspondence Home
address)
Other
City: Pin:

State : Mob.

Accommodation
AC
Will you be requiring Hostel Accommodation ? Yes Non AC No

Mandatory
E-mail Address shwetabalyan620@gmail.com
(For any admission correspondence)

Previously Have you previously applied to Amity ? Yes No

Applied
Programme Year Were you selected ? Yes No

Family Name Age Qualification Occupation / Designation

Information Organisation
Father
Mother

Family at
Have any of your family members studied / worked with Amity ? Yes No
Amity
If, studied, Name Programme Year

If, worked, Name Institution Year

What is the relation to you

 Form No : 350869

Enclosures
Listed below is each item which must accompany this form. To ensure prompt and
Check List
(Incomplete forms accurate processing of your application, check each item you are enclosing with the
will be rejected) application.

Self Attested Photograph

Photocopy of Educational Marksheets

Others (Please specify)

Details of Payment of Form

Demand Draft No : Name of Bank :

Have you ever been suspended, dismissed or put on academic probation or warning at any
school or college ?

Yes No If “Yes” please explain on a separate sheet or paper.

Signature
I hereby certify that the information given in the Application (All relevant Forms) is complete
and accurate. I understand and agree that misrepresentation or omission of facts will justify
the denial of admission, the cancellation of admission, or expulsion.

I have read and do hereby consent to the Terms & Conditions for Admission being enclosed
with the Application Form.

Signature : Date:
 TERMS AND CONDITIONS FOR ADMISSION
1. Non-Liability: Prospectus Application Form and all other Admission Correspondence will be
sent by Post/Courier. Amity is not responsible for Postal/Courier delays or loss in transit.

2. Non-refund of fees: All fees once paid are not refundable for any reason whatsoever. Only
Security Deposit will be refunded after making necessary adjustments as required.

3.1 Cancellation of Admission: Amity reserves its right to cancel the admission of successful
candidate under any of the following circumstances :
(a) If the fees is not deposited by the stipulated date.
(b) If the candidate does not join the particular programme by the stipulated date even
though the fee has been deposited.
(c) If the candidate fails to furnish the proof of the stipulated minimum qualifications.
(d) If any instance of donation/unfair means is found after admission.
(e) If any of the document(s) submitted by you to Amity University is found to be forged,
fabricated or false during the period of your study, your admission shall be cancelled
immediately and fees shall be forfeited. In case you complete the course and obtain the
degree on the basis of documents which are later found to be forged, fabricated or
false, at any point of time, your degree shall be cancelled/ recalled.

3.2 Provision of Non Refund of Fees under Clause 2 will also apply in cases under Clauses
3.1 (b) and (c).

4. Right of Alteration/Modification:
(a) Amity reserves its right to alter or modify the structure of any of the programs to attain
the objective of excellence.
(b) Amity reserves its right to change the provided Fee Structure.
(c) Amity reserves its right to modify, alter and/or include any other Terms and Conditions
that may be deemed fit in the interest of the Institution.

5. Jurisdiction: Any dispute pertaining to admission, or any matter as a student or alumnus of

Amity shall be subjected to the jurisdiction of the Delhi Court only.

6. Limitation Clause: No dispute shall be raised after the expiry of 30 days from the date on
which the process of admission and/or selection is completed.

7. Agreement Clause: All successful candidates shall be bound by the above mentioned Terms
& Conditions of Amity.