B.

TECH APPLICATION FORM

APPLICATION NO: PDPU/B.TECH/4707

Preferences Details:
Resident Category ALL INDIA
Specialization Preference 1 Specialization Preference 2 Specialization Preference 3 Specialization Preference 4
INFORMATION AND
COMPUTER ENGINEERING CIVIL ENGINEERING ELECTRICAL ENGINEERING
COMMUNICATION TECHNOLOGY
Specialization Preference 5 Specialization Preference 6 Specialization Preference 7
MECHANICAL ENGINEERING PETROLEUM ENGINEERING CHEMICAL ENGINEERING

Personal Details:
Name MR DHYEY HITESHKUMAR PATEL Email Addres [email protected]
Mobile No. +91-9376913088 Date of Birth 23/07/2002
Gender MALE Blood Group B+
Aadhar Card Details 466457590417 Nationality INDIAN
Where do you hear about us? GOOGLE Are You Differently Abled NO
Nature of Deformity

Parents Details:
Father Mother
Name HITESHKUMAR RINABEN
E-mail [email protected]
Mobile Number +91-9879672277 +91-9537138735
Occupation BUSINESS TEACHER
Designation
Family's Annual Income ABOVE 5 LAKHS

Address Details:
Is permanent address same as address for communication? YES
Correspendence Permanent
Address Line 1 43 43
Address Line 2 RONVEL DHARAMPUR ROAD RONVEL DHARAMPUR ROAD
City Name VALSAD VALSAD
District Name VALSAD VALSAD
State Name GUJARAT GUJARAT
Country Name INDIA INDIA
Pincode 396055 396055

Educational Details:
Caste Category : OBC 12th Standard Passed From the School Located in. GUJARAT
Candidate Name As Per 12th Marksheet DHYEY HITESHKUMAR PATEL

12th Details:
Year of Marking Percentage /
Institute Board Stream Result Status
Passing Scheme CGPA
GUJARAT SECONDARY
BAPS SWAMINARAYAN AND HIGHER
SCIENCE 2019 DECLARED PERCENTAGE 69
VIDYAMANDIR,VALSAD SECONDARY
EDUCATION BOARD

Subject Wise Details:

 Obtained
Maximum Obtained Marks Maximum Marks Total Obtained Total Maximum
Subject Marks
Marks (Theory) (Practical) (Practical) Marks Marks
(Theory)
1 PHYSICS 72 100 36 50 108 150
2 MATHEMATICS 60 100 60 100
3 CHEMISTRY 47 100 27 50 74 150
4 ENGLISH 79 100 79 100
PC M/V Percentage

SAT Details:
Year of appearing Result Status Exam Roll No.
SAT

SAT Marks Scored Details:

Subject Obtained Marks Maximum Marks
1.
2.
3.
Overall Marks

JEE Details:
Year of appearing Result Status Score Exam Roll No. All India Rank JEE Application No.
JEE 2019 DECLARED 80.08 GJ13700030 233191

JEE Marks Scored Details:

Subjects Obtained Percentile Maximum Marks
1. PHYSICS 55.7522606 100
2. CHEMISTRY 87.9498493 100
3. MATHEMATICS 73.1261575 100
Overall Marks - 216.83 300

GUJCET Details:
Have you appeared for GUJCET Exam: YES
Year of Appearing Result Status Score Exam Roll No. GUJCET Rank
GUJCET 2019 DECALRED 26.25 E 872927 44.63

GUJCET Marks Scored Details:

Subjects Obtained Percentile Maximum Marks
1. PHYSICS 8.75 40
2. CHEMISTRY 11.25 40
3. MATHEMATICS 6.25 40
Overall Marks - 26.25 120

Declaration
I hereby declare that all the particulars stated in the application are true to the best of my knowledge and belief. I understand that, in the
event of suppression or distortion of any fact like educational qualification, age, category, nationality etc., made in my application form, I
shall be denied admission and if already admitted, my admission is liable to be cancelled at any point of time. I also understand that the
decision of the University regarding my admission is final and I shall abide by the decision. Further, if admitted, I promise to abide by the
students' discipline and other rules and regulations of the University in force from time to time.
Applicant Name DHYEY HITESHKUMAR PATEL
Parent Name HITESHKUMAR
Date 16/05/2019