हाइड.

ोपावर अिभयाि7 की एव Pौ4ोिगकी स 3 ा

टी०एच०डी०सी०हाइड. थान, िटहरी
ोपावर न
THDC Institute of Hydropower Engineering & Technology
(CONSTITUENT INSTITUTE OF UTTARAKHAND TECHNICAL UNIVERSITY)
Bhagirathipuram, Tehri, Uttarakhand, India
Website: h ttp://www.thdcihet.ac.in, E- mail: t hdcihet001@gmail.com, Fax: 01376-
236816
No: THDC-IHET/Adm-2020/ Form No.......................

ADMISSION FORM
(Session 2020-2021)
Affix your recent
passport size
1. Programme applied for (Mark inbox):
photograph
A. Mechanical Engg. B. Electrical Engg.
C. Electronics Engg. D. Civil Engg.
E. Computer Science & Engg.

2. Name of the Candidate (In English)……………………………………………………………………….

3. Name of the Candidate (In Hindi)………………………………………………………………………….

4. Father’s Name…………………… ……………………..Mother’s Name…………………………………

5. Father’s Occupation……………………………Deptt. (if in Govt.Service)……… ………………..

6. Mother’s Occupation………………………….. Deptt. (if in Govt.Service)…………………………..

7. Date of Birth (DD/MM/YYYY……………………………. Gender: Male [ ] Female [ ]

8. Category: GEN [ ] OBC [ ] SC [ ] ST [ ] EBC [ ] OTHER [ ]
9. Academic Record: (Please attach copies of Certificate/Marks Sheet)

High School: Year …………………………Marks%.................................................

Intermediate: Year………………………….Marks%(PCM)..................................

BSc/Diploma: Year………………………….Marks%..................................

10. Permanent Address: ……………………………………………………………………………………….…......

......................................................................................................................................................................................
City………………………….........…. Pin………………………….State…………………………………...................
Phone No. (With Code)…………………………………......Candidate Mobile No.……………………………..............

E-mail……………………………………………………Parents Mobile No…………………………………………

 हाइड. ोपावर अिभयाि7 की एव Pौ4ोिगकी स 3 ा
टी०एच०डी०सी०हाइड. थान, िटहरी
ोपावर न
THDC Institute of Hydropower Engineering & Technology
(CONSTITUENT INSTITUTE OF UTTARAKHAND TECHNICAL UNIVERSITY)
Bhagirathipuram, Tehri, Uttarakhand, India
Website: h ttp://www.thdcihet.ac.in, E- mail: t hdcihet001@gmail.com, Fax: 01376-
236816
11. Religion: [ ] Hindu [ ] Muslim [ ] Christian [ ] Sikh [ ] Jain [ ] Buddhist

12. Father’s Annual Income Range: 0-1 Lac [ ] 1-2 Lacs [ ] 2.5 lacs[ ] Above 4.5Lacs[ ]

13. Hostel Requirement: Yes...................... No..........................

14. Local Guardian Address: ……………………………………………………………………………………......

.....................................................................................................................................................................................

City………………………….........…. Pin………………………….State…………………………………..................

Phone No. (With Code)…………………………………................ Mobile……………………………..............

Payment Details

Amount Deposited..............................................................................................................................................................

Bank Reference No DU………………………...... Invoice no .......................................Date…………….............

Transaction No:................................................................... Date:................................................................................................

Signature of Student