DEENBANDHU CHHOTU RAM UNIVERSITY OF SCIENCE & TECHNOLOGY, MURTHAL

PG ADMISSIONS ACADEMIC SESSION 2014-15 - PHYSICAL COUNSELING AND ADMISSION FORM

I, ______________________________ S/o / D/o Sh. _____________________________ hold valid GATE
score / merit of PG admission entrance test 2014-15. I apply in AIC/HOGC/SC/BC-A/BC-
B/SBC/EBP/PH/ESM/FF/DFF category for admission as per preference given below.
Sr. No. Name of Programme/ Course University/ Affililated College
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I am aware that if I do not submit the required qualifying degree certificate/ detailed marks card & other relevant
documents by 30/09/2014, my admission shall stand cancelled.
Signature of Candidate
Report of documents verification and admission committee
The candidate is found eligible and has been provisionally admitted in the Programme___________________ in
the course _______________of University/ Affiliated College______________ under the category _____.
He/She has deposited Fee of Rs. ___________(in figures) ______________________________________ (in
words) vide DD/Fee receipt No. ______________ Dated _____________. Photocopies of documents (duly
attested) submitted by the candidate from the list below have been verified from original documents as
applicable.
Filled print out of online application form with admission cum counseling card and two passport size
photographs.
Demand Draft of Fee/Fee receipt ( DD shall be in favour of Registrar, Deenbandhu Chhotu Ram
University of Science & Technology, Murthal (Sonipat) Payable at SBI DCRUST, Murthal ( Branch
Code:- 14374). Fee may also be deposited directly in SBI Branch of the University).
Certificates showing the detailed marks in all subjects in the qualifying examination
( upto pre final semester for candidates appearing in qualifying examination).
Matriculation/Hr. Secondary Examination Certificate as proof of age.
Conversion Table/Formula showing equivalence between percentage and CGPA of the qualifying
degree.
Valid GATE/JRF score card (wherever applicable).
Medical Fitness Certificate from a Gazetted Medical Officer.
Character Certificate (Annexure I). For gap period, if any, the candidate will submit an affidavit from
the notary/first class magistrate certifying his/her good conduct.
Haryana Resident Certificate (Annexure II).
Certificate from the Employer (Annexure-III)
SC/BC/SBC/EBP/PH/FF/DFF/ESM(Annexure -IV, V , VI, VII, VIII, IX, X, XI, XII).
Declaration by parents (Annexure XIII).
Sponsorship and Relieving Certificate (Annexure XIV, XV).
Resident of Murthal certificate ( Annexure XVI).
List of documents ( not submitted at the time of admission) to be submitted by the candidate latest by 30/09/2014.
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Member Member Convener
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Admission Slip (for candidates)
Mr./ Ms....................................... S/o /D/o Sh. .............................................. has been provisionally admitted in
the Programme.......................... in the course..........................................of University/ Affiliated
College...................................................................................................................... under the category ..................

Dated:............. Convener
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Intimation for Fee Deposition
Mr./ Ms..............................has been provisionally admitted subject to deposition of fee amounting to Rs.--------
in university account No.31559481201 at SBI,DCRUST, Murthal Branch and submit the receipt to the
convener,admission committee immediately after depositing the fee to confirm admission.
Convener