Advt. No.

- /2020
Registration No. Name of The Candiclate Roll No. Date Birth

B.Tech/B.E as Per Advt.

Full MarkV
I Sem.Iv{/S Year
Sem.
Sem. Year
4' Sem.
Sem. Year
Sem.
Sem. Year
Sem.

A/DGPA/ YGPA/ OGPA/ GPA/CPI ( Ye#l.lo )

N YGPA/ etc.)
.Sc. Engg.

Marks obtained in B.Tech/B.E/B.S/B.Sc.

5/100 of o/o
=

M. as Per Advt
Semester/Year
Full MarkV Cert. No. &

Write )

,A/DGPA/
YGP N OGPA/
GPA/CPI
M.
l0l100 of _o/o:
0o/o of Marks obtained in M.Tech/lvI.E /M.S

Ph.D as Per Advt.

Date of of Ph.D.
Date of Issue Result
Date of Issue
Is Date of Result of Ph.D Mentioned In Degree ? ( Write YesNo )
Is Relevant ect etc.) ln Result ( Write YeVNo ) &
Degree ?
Subject

If Relevant Not Mentioned tn Ph.D Degree & Only Title of Thesis &
Mentioned Then No. & Date-
Submit Result Notification/Course Work Certifi
catelCertifi cate Issued By Concerned
University Regarding Thesis Under Relevant Subject
 ( 5 Marks As PerAdvt.)

Relevant as PerAdvL
( Write YeVf.loJ ( Yes Mentioned Dept. & Srate)
Dept. -
State -
( Write ) Yes
ContracU TEOIP ) ? )

( 5 Marks Per Year

,Maximum -2 5 Marks Jvlore Than 06 Months
Treated As 0
Year As Per

B.Tech/B.E/B.S/ M. Tech/I,t.E iIvI.S Ph.D Marks Exoerience Total Marks

B.Sc. Engg. (
l0o/o of o/o Marks
) ( 05 Marks ) 05 MarkV
5o/o of o/o Allotted
Marks Allotted_by
Commission ( See Under User
Id & Password Allotted
Marks as Claimed By
Candidate

*'-m
3ffi#S#S',u $-* a sqq q *,q @ a-srq-{ { rctrd yr., d €ndi-6 d c*r'r' d)

gFfi(E'Y iDI ERTIEN