UPSEE - 2014_ Confirmation Page for Application Number _280457
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Click Here to Print This Page Close CONFIRMATION PAGE : UPSEE - 2014 (APPLICATION FORM FOR ADMISSION TO FIRST YEAR IN B.TECH. / B.PHARM. / B.ARCH. / BHMCT / BFAD / BFA/ LATERAL ENTRY (SECOND YEAR) IN B.TECH. AND B.PHARM) Registration No. 280457 You have successfully submitted Application On-line. Kindly take the printout of this page. Paste your one passport size photograph and put your signature and thumb impression in the specified box. Send this form along with copy of Bank Challan (if fee paid by Bank Challan) to “REGISTRAR (UPSEE-2014), UTTAR PRADESH TECHNICAL UNIVERSITY, I.E.T.CAMPUS, SITAPUR ROAD, LUCKNOW-226021, U.P. ” to reach latest by 5 PM, 07-04-2014. Place of Application Form FillingON LINE APPLICATIONS( OH) Candidate's Name KAPIL KUMAR Date of Birth 21/09/1996 Father's Name HAR PAL SINGH Category UPSC Nationality INDIAN Sub-Category NOT APPLICABLE Parent's Domicile U.P. Rural Weightage NO Gender MALE Qualifying Exam DIPLOMA IN ENGG. Subjects in 10+2 NOT APPLICABLE Qualifying Exam Passed From UTTAR PRADESH Year of Passing 2014 Seeking Admission For SECOND YEAR (DIPLOMA HOLDER ONLY, OTHER THAN B.ARCH.) / B.SC. GRADUATES 2nd Year (Lateral Entry) DIPLOMA IN ENGINEERING Paper(s) to Appear PAPER-6 Choice of Exam Centres 1ST : MORADABAD, 2ND : BAREILLY, 3RD : MEERUT DECLARATION I certify that the particulars given by me in this Application Form are correct to the best of my knowledge and belief and any mistake / misinformation detected at the time of counselling or at any stage will result in the cancellation of admission. I have carefully read the Information Brochure of UPSEE 2014 and agree to abide by the terms and conditions laid down therein. Further, it is entirely my responsibility to prove the eligibility for admission to the 1st year of B.Tech. / B.Arch ./ B.Tech. (Agriculture Engg.) / B.Tech. (Bio Tech) / B.Pharma. / B.HMCT / BFAD / BFA / 2nd year of B.Tech. / B. Pharma course in respect of qualification and entitlement for admission against reserved category, if claimed, to the satisfaction of the UPSEE 2014. Further, I undertake that I will be visiting the web site (http://upsee.nic.in, http://www.uptu.ac.in) regularly for any information and I declare that all the information regarding UPSEE-2014 provided on these websites will be treated as served. Mailing Address: Name: KAPIL KUMAR Address: VILLAGE BHOLA SINGH MILAK SONAKPUR DEHAT TEHSIL AND DIST MORADABAD District: MORADABAD State: UTTAR PRADESH PinCode: 244001 Email ID: [email protected] Mobile No. 9368014782 Uploaded Signature Uploaded Thumb Impression Left Hand Thumb Impression Signature of the Candidate(Not in capital letters) Signature of Parent /Guardian Send this form along with copy of Bank Challan (if fee paid by Bank Challan) to “REGISTRAR (UPSEE-2014), UTTAR PRADESH TECHNICAL UNIVERSITY, I.E.T.CAMPUS, SITAPUR ROAD, LUCKNOW-226021, U.P. ” to reach latest by 5 PM, 07-04-2014 . Details of Transaction(Punjab National Bank). Transaction ID.: 4111703 Amount: 507.01 Date of Transaction 03/04/2014 Card Type : VISA/Mastercard RegistraƟon No: 280457 Note : Please ensure that all the entries are filled up and transaction details of bank are available on the confirmation page, failing which your application is liable to be rejected. UPSEE - 2014: Confirmation Page for Application Number :280457 https://upsee.nic.in/Online/ConfirmationPage.aspx 1 of 1 4/3/2014 11:47 AM
Transcript of UPSEE - 2014_ Confirmation Page for Application Number _280457
Click Here to Print This Page CloseCONFIRMATION PAGE : UPSEE - 2014
(APPLICATION FORM FOR ADMISSION TO FIRST YEAR IN B.TECH. / B.PHARM. / B.ARCH. / BHMCT / BFAD / BFA/ LATERAL ENTRY (SECOND YEAR) IN B.TECH. AND B.PHARM)
Registration No. 280457
You have successfully submitted Application On-line. Kindly take the printout of this page. Paste your one passport size photograph and put your signature and thumb impression inthe specified box. Send this form along with copy of Bank Challan (if fee paid by Bank Challan) to “REGISTRAR (UPSEE-2014), UTTAR PRADESH TECHNICALUNIVERSITY, I.E.T.CAMPUS, SITAPUR ROAD, LUCKNOW-226021, U.P. ” to reach latest by 5 PM, 07-04-2014.Place of Application Form FillingON LINE APPLICATIONS( OH)Candidate's Name KAPIL KUMAR Date of Birth 21/09/1996Father's Name HAR PAL SINGH Category UPSCNationality INDIAN Sub-Category NOT APPLICABLEParent's Domicile U.P. Rural Weightage NOGender MALE Qualifying Exam DIPLOMA IN ENGG.Subjects in 10+2 NOT APPLICABLEQualifying Exam Passed From UTTAR PRADESH Year of Passing 2014Seeking Admission For SECOND YEAR (DIPLOMA HOLDER ONLY, OTHER THAN B.ARCH.) / B.SC. GRADUATES2nd Year (Lateral Entry) DIPLOMA IN ENGINEERINGPaper(s) to Appear PAPER-6Choice of Exam Centres 1ST : MORADABAD, 2ND : BAREILLY, 3RD : MEERUT
DECLARATIONI certify that the particulars given by me in this Application Form are correct to the best of my knowledge and belief and any mistake / misinformation detected at the time ofcounselling or at any stage will result in the cancellation of admission. I have carefully read the Information Brochure of UPSEE 2014 and agree to abide by the terms and conditionslaid down therein. Further, it is entirely my responsibility to prove the eligibility for admission to the 1st year of B.Tech. / B.Arch ./ B.Tech. (Agriculture Engg.) / B.Tech. (Bio Tech)/ B.Pharma. / B.HMCT / BFAD / BFA / 2nd year of B.Tech. / B. Pharma course in respect of qualification and entitlement for admission against reserved category, if claimed, tothe satisfaction of the UPSEE 2014. Further, I undertake that I will be visiting the web site (http://upsee.nic.in, http://www.uptu.ac.in) regularly for any information and I declare thatall the information regarding UPSEE-2014 provided on these websites will be treated as served.Mailing Address:
Name: KAPIL KUMAR
Address: VILLAGE BHOLA SINGH MILAK
SONAKPUR DEHAT TEHSIL AND DIST MORADABAD
District: MORADABAD
State: UTTAR PRADESH
PinCode: 244001
Email ID: [email protected]
Mobile No. 9368014782
Uploaded Signature
UploadedThumb Impression
Left Hand Thumb Impression
Signature of the Candidate(Not in capital letters)
Signature of Parent /Guardian
Send this form along with copy of Bank Challan (if fee paid by Bank Challan) to “REGISTRAR (UPSEE-2014), UTTAR PRADESH TECHNICAL UNIVERSITY,I.E.T.CAMPUS, SITAPUR ROAD, LUCKNOW-226021, U.P. ” to reach latest by 5 PM, 07-04-2014 .
Details of Transaction(Punjab National Bank).Transaction ID.: 4111703 Amount: 507.01 Date of Transaction 03/04/2014Card Type : VISA/Mastercard
RegistraƟon No: 280457
Note : Please ensure that all the entries are filled up and transaction details of bank are available on the confirmation page, failing which your application is liable tobe rejected.
UPSEE - 2014: Confirmation Page for Application Number :280457 https://upsee.nic.in/Online/ConfirmationPage.aspx
1 of 1 4/3/2014 11:47 AM
