.

'rf,f,g{ gfrffiq qefteroq, sreTgq

ftrs{ 6:pqr rqrun$ Eilkd)
frqw /vq/zozg/ l+ ( < sffigx f+tr-o' !/oa/zozs
wfir
rfwrn d RfrffiT A f{sq srqlfrfirq qRqf,{ d sTrqn q{
fr.+o,. ff,ftq q{ @q t rAqr tts)
(r'lmFro. m zozt-z+)

d fr.}r.qfis tt"{zr { Err) gm fuqo sfr .d ff w qs /qwla qMq (Branch

q-{eltrq
Upgradation) d elun w t'qyT frqr qmr B q{ zozz-zs fr ff{ S rrrrztrr t ft.t-o.. cprq s{ t
q-iRTn td un d fu Tfqrq tmro,
V 2o2s-z+ d fi.*o. Ffiq q{ @q t+$er) d srqr+ra t,
i gs cfu-fi if qTfr-d Ei s-6-d d t enil<c qa wqern o1 i-q-sr{e www.ieciabatnur.ac.in q{ B-qqrer
t t Wf $q t -Tt gS onnfi qa r4tvn d ura qr-ut t f{fr 2s srrrffi 2o2s d6 r-S-mTq fr;t qriii r

qpql1{oru cMc A arffi of ffi-f, G ern EI-ct 6} yerfi t frqFT/algrqe qi r{q-il d

qnqq tcorqr riTiltr I sqlr{oro qMq (Branch Upgradatioo) t$ fufkd q)-q-aT u-qeft fr-Ffd
ftftT qrastrT yrNFI, ilm-ffi PrerT G sRreT"r ft"+TFT d entn mqfo qs'-14-14-zooz7cflfuq{ (t;
Ho s tr-dT$ zots G fiqrf,qt ilf,-ffi RreTr q.q. dqd sl y. mffi7a/tat lfrl2o1s/1224
t
.ncrd, Ho- za/ot/zots frn Tn $, q) fu tr-zlrf,{rf,q of iq_ql{c www.mptechedu.ors d
t
BqFreI t ctrsrl s-flI=t fu Eqo ,I{
!-rsTfrtr-f,r m-q fr r4qen of oi-dr srrkr sra fr on-]fi q-{gf, oT
q-f,.d d I oil-ilq-{ .ra d qrq arni qB qt-d (ffirilBT al T{fr ftErgqR t':-
l- JEE Mains 2022 (Marksheet / Photocopy)
2- I sem.Admission slip (2022) Issues by DTE
3- Marksheet of I and II Sem.
4- Certificate of Category / Class
5- M.P. Domicile Certificate
srfiffirT q-elfu-qrd-q

,6."g
ile,- t. qr;q/€orq qftq-f{ of sTpf sTffi Mqerro-q am 3ITqITCKT q{TSTI 6 qSTTT gq q
+arft.f, mi fr HK sto} o1 tRe crgirx qfr qri.fr r

2. 3rEqrq ff npn d-{a q* qft R w unlurerefi d ft\ qy4/vott cMq

o1 6Tffi cfr qfr qri.ft r

3. Eq-dg{ :ifrffirr
qrtft-qrd-q, crqdgq fr ffifua
E-rdi t
c-}yT sfr qr*ar el,fr,-
(i) Civil Engineering (ii) Mechanical Engineering (iii) Electrical Engineering
(iv) Electronic & Communication Engineering (v) Computer Science (vi) Inlorrnation
Technology (vii) Industrial Production (viii) Artificial Intelegnce and Dala Science
(ix) Mechatronics.

\oqdw /wTasr,sJ
qfrfuR-: l.rrrtrl
/ 2023 / qcrdgq fu{im / oa / zozs
fr'qTrnEqeT EE-dg{ Efrffiq q-erh-ere-q q-s-dgq or gs erpr-q d r+rq fu d qs
rpt d unTuraretr o'r er-{'ra orqrqi r

zvM*gx pleTFrfr,q-q-dg{ gfrFrqfrJT q-elB-qrdq qqf,gq I

-SFtr
CFil-q
-
q-q-dgY Effrfr;qfu q-aB-qTds
q-qdg{
 q{dgr ti-frffir rflF+qrmq, s{dgr
Fnffi E]TI E{IrS dlfrd)
;"dw/va/2on/17.68 si-dg{, Hf-r S/oB/2023

riwrrn d Rh*qi+ #* t
cR*dq snqx qr
fr.+6. ff,fiq s{ (Tfrq ++ieg d rtcr
w
(*Htrro zon-ze)

srqlriorq cR{dc (Branch Upgradation) tg ftlfRir *.q-f,r {rqfi fa"q-d F-{sT

mqserT crs{, n-offi Rien gs sRTeTq'FqqTq d oilt{T rnqro gEF--14-14-2007lqflfuq
fi) g6-
a gar$ zors gq {{.qmfi ilfi-4o1 REn q.q. dqrd oT y m-qro/q/fiet./fr/zots/tzza.icrd,
frdo 28/07 /2ots fr ftd Tn t I fffi6 zz/os/zoze o1 Reft d R-fi {fld of q* frrrrgirR t
der RfuqrqMfrq t-
Eftq *Awt fu Rfuui
Branch UR OBC SC ST EWS TO'I'AL

Civil Engineering uR/x/F-01 oBCXOP-01 02

Mechanical Engs. STDUOP-01 01

Electrical Engg. uR/x/F-01 scxoP-01 03
uRxoP-01
E.& Tc. Engg. uR/x/F-01 scxoP-01 03
uru(oP-01
Comp.Sc. Engg. uru(oP-01 EWS-01 o:2

Info. Tech. uRxoP-01 ST/)UOP- 02 03

Artificial uR/xoP- 02 scD(oP- 01 03

Inteligence
Mechatronics URYS/OP- 01

-tt
02
uru(oP-01
Indu. Prod. Engg. scxop-or%[-
fotat -- -- 2t '- -
I

Z\N*-/
q-qdg{ gfrFuR T qsrfr€rrsr{
AqEgr
lootwTweoa/2)23/ qqE6i RET6 22/08/zozs

1. do-frqft Rreil, \4qrm{rcilq {{ngsT q!-{, q-gef nc,T q.c. dqTd

eTrgqf,,
I

2. Huilqro', ilfr-fiZft RIH[, $-qrarflE-q,q-dgET,t-fi, eEr,q.g. ,nq-rf, I

"-g.f

_QJ
ffi
\il-qi{gi iifrffiq relfr-moq
q-d-f,5r
 JABALPUR
JABALPUR ENGINEERING COLLEGE'
Application Form for Branch Upgradation
Session 2023'2024
capital Letters)
(To be completed by the candidate in

1. Name of APPlicant in full:

2. Date of Birth:
Mobile No.:
4. Sex (Male / Female):
5 Father's Name :

6. Address:

7. NationalitY:

8. Present Branch :

9. IEE2022 Roll No. :

10. RGPV Enrollment No':

transfer (only for III semester)
Preference wise name of branch

II u
VI
N
VII VII
aPPeared (month and Year)
11. Name of last examination in which
Semester. Branch

I SGPA
12. Result:- Semester

Semester II. SGPA

/ST/OBC) :
13. Category of the candidate (UR /SC
(UR /SC /ST/OBC lF /OP):
14. Category of present scat Allotted

15. Classof the candidate (Nil / Sainik / FF/TS):

Class of prescnt scat Allotted(Nil

/ Sainik / F'F/TS):
16.

best of my knowledge' I will be responsible for any

- The above Information is true to the
Candidature can be cancelled'
wrong / hidden information & my

Applicant Name
f-