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BITE Admission Form

This document is an application form for Birsa Institute of Technical Education. It requests information such as the applicant's name, date of birth, address, academic qualifications, category of reservation, and documents to be attached. The applicant agrees to abide by the rules of the college and hostel and not engage in ragging activities. The form must be signed by both the applicant and parent/guardian.

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Supriya Sharma
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23 views

BITE Admission Form

This document is an application form for Birsa Institute of Technical Education. It requests information such as the applicant's name, date of birth, address, academic qualifications, category of reservation, and documents to be attached. The applicant agrees to abide by the rules of the college and hostel and not engage in ragging activities. The form must be signed by both the applicant and parent/guardian.

Uploaded by

Supriya Sharma
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Birsa Institute Of Technical Education

(BITE)
www.bite.edu.in
APPLICATION FORM
(Put tick marks whichever is applicable)
Session: ..............................

FOR OFFICE USE ONLY


Appl.Form No.

Paste your Passport


size Photograph here.

Index No.
University Name
Enrollment No

Applicant Signature

FOR APPLICANTS USE


(Please fill-up the Form after reading the Prospectus carefully and in Capital letters. Put tick Mark Whenever applicable.)

1. Course Name :__________________________________________________________________


2. Name of the Applicant: _____________________________________________________________
3. Fathers Name

4. Mothers Name

: _____________________________________________________________

5.

_____________________________________________________________

Date of Birth of the Applicant

: ________________________________________________________

6. Nationality:_______________

7.Sex: Male ( ) Female ( )

10. Category of Reservation

( )

: SC:

ST: (

9. Material Status____________________
OBC: ( )

General: ( )

13. Academic Record:


S.No

Examination

1.

SSC /
equivalent

2.

HSC /
equivalent

3.

Three Year
Degree/
equivalent

4.

Other

Board /
University

Year
of Passing

Subjects Taken

Max.
Marks

%
Marks

14. Address for Communication: ____________________________________________________________

_______________________________________________________________________________________
State:

________________________________Pin Code:

_______________________________________

Contact No: _____________________________________________________________________________

15. Permanent Address: ___________________________________________________________________

_______________________________________________________________________________________
State:

________________________________Pin Code:

_______________________________________

Contact No: _____________________________________________________________________________

16. List of Documents attached:


th
Attested Xerox copy of all Mark Sheet and certificate of 10 , 12th, Graduation, Post graduation. , Character
Certificate, Medical Certificate, and Migration certificate.
Attested Xerox copy of Certificate in respect of Reservation.
Character Certificate.
Four (4) Passport size coloured photographs.

UNDERTAKING

a) All information furnished by me in this form and the documents attached are correct and genuine. I shall be liable
for any action deemed fit if any of them is proved contrary.
b) I shall abide by the rules of the college and the hostel as shall be laid down by the government or any authorized
person from time to time. I shall have no objection if my name is struck off the Rolls of the College in case of violation
of the rules / unsatisfactory conduct at any time.
c) I shall not resort to ragging activities or any other acts of misbehavior in the College premises or outside to the
newly admitted students in College. In case, it is found that I am involved in such ragging activities, I will be sent home
and my name will be struck off from the institution.

Full Name & Signature of the Applicant

..............................................

Date :

Signature of the Parent/Guardian

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