(BE/BTech Admission) Dated: (To be filled by the candidate & is required to submit at the time of document checking alongwith attested copies of following documents) Name of the Candidate ______________________________________________________________ Category ____________________ JEE Roll No/LoginID ________________ Rank ________________ Sr No 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. Certificates 10+2 or equivalent examination DMC with 60% (55% for SC/ST) marks in any three of subject phy, chem, math and biology Matriculation/Higher Secondary Certificate (Date of Birth) JEE Admit Card - 2013 JEE Result Card - 2013 Reserved Category Certificate on the prescribed proforma and signed from the competent authority Character Certificate Medical Fitness Certificate Affidavit required in case of discontinuity of studies Anti-Ragging Affidavit from the student Anti-Ragging Affidavit from the parents Migration Certificate Income Certificate Undertaking if result of final exam is not declared Undertaking by student & parents Receive Yes / No_____ % Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No
Discrepancies (if any): The following documents are required: