0 valutazioniIl 0% ha trovato utile questo documento (0 voti)
82 visualizzazioni3 pagine
1. Jayendra Kumar, a male OBC candidate from Chhattisgarh, applied for admission to engineering programs through the CG PET-2014 exam.
2. In the PET exam, he received a general rank of 9611 and category rank of 3994. He scored 47.735 total marks.
3. He listed Disha Institute of Management & Technology, Raipur as his top four preferences for admission and engineering programs.
1. Jayendra Kumar, a male OBC candidate from Chhattisgarh, applied for admission to engineering programs through the CG PET-2014 exam.
2. In the PET exam, he received a general rank of 9611 and category rank of 3994. He scored 47.735 total marks.
3. He listed Disha Institute of Management & Technology, Raipur as his top four preferences for admission and engineering programs.
1. Jayendra Kumar, a male OBC candidate from Chhattisgarh, applied for admission to engineering programs through the CG PET-2014 exam.
2. In the PET exam, he received a general rank of 9611 and category rank of 3994. He scored 47.735 total marks.
3. He listed Disha Institute of Management & Technology, Raipur as his top four preferences for admission and engineering programs.
DIRECTORATE OF TECHNICAL EDUCATION, CHHATTISGARH, RAIPUR
APPLICATION FORM FOR ALLOTMENT/ADMISSION TO FIRST YEAR OF FOUR-YEAR FULL-TIME
DEGREE COURSES IN ENGINEERING / TECHNOLOGY FOR THE ACADEMIC YEAR 2014-2015 Based on CG PET-2014 APPLICATION ID : EN14113412 VERSION NO : 2 PET-2014 ROLL NO : 25081383 Personal Details : Candidate's Name JAYENDRA KUMAR Father's Name SANJAY KUMAR Mother's Name BASANTI BAI Domicile Status Chhattisgarh Domicile Category OBC Date Of Birth September 22, 1996 Gender Male Mother Tounge Hindi Family Income ( ) <1,00,000 Religion Hindu Region Rural Belong to BPL Class No Correspondence Address S/o MR. SANJAY KUMAR VILLAGE POST BARBANDA VIA MANDHAR COLONY RAIPUR Permanent Address S/o MR. SANJAY KUMAR VILLAGE POST BARBANDA VIA MANDHAR COLONY RAIPUR State Chattisgarh State Chattisgarh District Raipur District Raipur Block Dharsiwa Block Dharsiwa Pin Code 493111 Pin Code 493111 Telephone 1 () Telephone 2 () E-Mail ID Mobile No 9617348399, 9926297892 Special Reservation Details : Belong to Sainik Class No Belong to Freedom Fighter Class No Belong to Person with Disability Class No PET-2014 Details : Physics Marks 17.347 Chemistry Marks 11.000 Mathematics Marks 19.388 Total Marks 47.735 General Rank 9611 Category Rank 3994 12th Std./H.S.C. Details : Physics Marks 57.00 / 100.00 Chemistry Marks 73.00 / 100.00 Mathematics Marks 56.00 / 100.00 Aggregate Marks 283.00 / 500.00 Physics, Chemistry and Mathematics Marks 186.00 / 300.00 H.S.C. Board Chhatisgarh Board of Secondary Education (CGBSE), Raipur H.S.C. Roll No. 2141803461 Year of Passing 2014 Name of School/Institute GOVT H S SCHOOL MANDHAR RAIPUR Counseling Fees Details : Challan Amount ( ) 300/- Challan Date July 7, 2014 Bank Name State Bank of India Branch Name BAIRAN BAZAR City Name RAIPUR List of copies of Documents required to submit at Document Verification Centre (Originals must be shown at Document Verification Centre for Verification) : Sr. No. Document Name 1. Rs. 300/- Challan f or Counselling Fee. 2. S.S.C. (Std.X) Mark Sheet. 3. H.S.C. (Std.XII) / Diploma Mark Sheet. 4. PET-2014 Score Card. 5. Domicile Certiif icate issued by any Authorisied/Competent Of f icer in Prof orma - 5 / 6 / 7 / 8 as Applicable. 6. Permanent Caste Certif icate (Leaving Creamy Layer) in Prof orma - 2. 7. Caste Verif ication Certif icate. Declaration I have read Information Brochure and all the rules of allotment and on understanding these Rules, I have filled this Application Form for consideration of submission of application form at Document Verification Centre(DVC) for the Allotment to Engineering / Technology Course for the academic Year 2014- 2015. The information given by me in this application is true to the best of my knowledge & belief. If at later stage, it is found that I have furnished wrong information and/or submitted false certificate(s), I am aware that my allotment stands cancelled. Further I will be subject to legal and/or penal action as per the provisions of the law. Place : Date : Printed On : July 7, 2014 12:20:52 PM Application Last Modified On : July 7, 2014 12:20:39 PM Signature of Candidate (JAYENDRA KUMAR)
DIRECTORATE OF TECHNICAL EDUCATION, CHHATTISGARH, RAIPUR OPTION FORM FOR ALLOTMENT/ADMISSION TO FIRST YEAR OF FOUR-YEAR FULL-TIME DEGREE COURSES IN ENGINEERING / TECHNOLOGY FOR THE ACADEMIC YEAR 2014-2015 Based on CG PET-2014 APPLICATION ID : EN14113412 VERSION NO : 2 PET-2014 ROLL NO : 25081383 Options Given By Candidate : Preference No Institute Code Institute Name University Name Status Choice Code Course Name 1 EN114 Disha Institute of Management & Technology, Raipur CSVTU Private 11405 Electrical & Electronics Engineering 2 EN114 Disha Institute of Management & Technology, Raipur CSVTU Private 11410 Mechanical Engineering 3 EN114 Disha Institute of Management & Technology, Raipur CSVTU Private 11407 Electronics & Tele Communication Engineering 4 EN114 Disha Institute of Management & Technology, Raipur CSVTU Private 11404 Computer Science & Engineering Declaration I have read Information Brochure and all the rules of allotment and on understanding these Rules, I have filled this Option Form for consideration of submission of Option Form at Document Verification Centre(DVC) for the allotment to Engineering / Technology for the academic Year 2014-2015. The information given by me in this Option Form is true to the best of my knowledge & belief. At later stage, if it is found that I have furnished wrong information then I am fully aware that the Option Form submitted will not be altered/modified/changed in any case and I will be responsible for any further consequences arises due to my mistake. I also undertake that options filled by me are may own choice, I have filled it based on my own inclination/knowledge and not due to any pressure/ignorance/unwanted influence. I also herewith undertake that, at later stage, if it is found that I have submitted false certificate(s)/document(s), I am aware that my allotment stands cancelled. Further I will be subjected to legal and/or penal action as per the provisions of the law. Place : Date : Option Form Printed On : July 7, 2014 12:20:52 PM Option Form Last Modified On : July 7, 2014 12:20:39 PM Signature of Candidate (JAYENDRA KUMAR)