VAISHNAVI INSTITUTE OF TECHNOLOGY

Tanapalli (V), Kuntrapakam (P), Tirupati 517 561. Ap, India.

Website: www.vitt.edu.in, E-Mail: vit.tirupati@gmail.com

Approved by AICTE, New Delhi & Affiliated to JNTU, Anantapur.

APPLICATION FORM FOR ADMISSION TO FIRST YEAR OF BE /B.TECH UNDER B - CATEGORY SEATS (MANAGEMENT QUOTA) 2012-13

1) 2) 3)

Name of the candidate

Name of the Father / Mother / : Guardian Permanent address :

4)

Address for Correspondence

5) 6)

Telephone Nos. (Land & Cell) : Percentage of Intermediate / Qualifying examination marks. : :

7) 8) 9)

AIEEE Rank (All India Rank) : EAMCET Rank Branch opted in order of preference : : (2) (3)
DECLARATION

(1) (5) (6)

(4)

1. We declare that all the particulars given above are true. We understand that any particulars given in this application, if found incorrect on scrutiny, will render the application liable for rejection. Admission, if granted on the basis of such incorrect information, will stand cancelled. 2. We also declare that we agree to pay the annual tuition fee as stipulated in G.O.Ms.No.639, dt.25.08.2012 and any difference in fee payable subject to further orders of Honble Supreme Court in I.A. No. 324 of 2012 in S.L.P (C) No. 34052 of 2011 and in the SLP (C) No. 34052 of 2011 and in the interlocutory applications filed therein. Signature of the Applicant _____________________ (Name in block letters) Enclosures: (1) (2) (3) (4) SSC or its equivalent certificate (photocopy). Marks sheet of Intermediate or its equivalent (photocopy) for ascertaining completion of qualifying examination. AIEEE -2012 Rank Card (photocopy) / EAMCET-2012 hall ticket (photocopy) and Rank Card (photocopy) Filled in applications with photo copies of the relevant certificates as mentioned in 1 to 3 above should be submitted to the Office, VITT, Tirupati Signature of the Father / Mother / Guardian ________________________ (Name in block letters)