TIRUPATI GROUP OF INSTITUTIONS

Ratia - Sardulgarh Road, RATIA (FATEHABAD) HARYANA

Admission Form
S. No.:---- Specimen Copy----Name: Fathers Name:... Mothers Name:. Sex (Male/Female): Date of Birth:.. Category ... Haryana Resi./Others:. Religion. Address for Correspondence:. VillageP.O:. Distt:..State: Pin CodePhone/Mobile No............................. Courses: B. Ed. D. Ed. D. Pharm. Diploma in Civil Engg. Diploma in Mech. Engg.
Affix latest Passport size photograph in the box

Diploma in Elect. & Comm. Engg.

A A A A Diploma fin Civil Engg. Diploma in Mech. Engg. (Lateral Entry) f f (Lateral Entry) f A A f f f Diploma fin Elect. & Comm. Engg. (Lateral Entry) f f i i i i A A f f x x x x Educational Qualification: f f i i A f f x x l Examination l Board/ l Month l & Reg. No. Subject Marks Obt/ % age f i i a a a Passed University Year a Studied Max. Marks f x x l l t t t t i a a e e e e Matric x l l t t s s s s a a e e t t t t l Senior Secondary t t s s P P P P a e e t t a a a a t s s P P s s s s Graduation or any e t t a a s s s s Equivalent s P P s s p p p p t a Qualification o a s s o o o P s s p p Post Graduation or r r r r a s s o o t t t any Equivalent t s p p r r s s s Qualification s s o o t t i i i i p r r s s Any Other z z z z o t t i i e e e e r s s z z t i i e DECLARATION: e p p p p s z z h h I hereby solemnly h affirm and declare that information giveni in admission form is correct andh e e true to the best of p p o o o o z my knowledge and belief. I further declare that I have not concealed any information & eligible for admission h h t t t t e p p o as per eligibility conditions and Sirsa/ o o o policy declared o in the prospectus issued by Haryana Govt./C.D.L.U., o h h t t NCTE, New Delhi/ Bhiwani/Directorate of Technical Education, Panchkula/HSBTE, g SCERT, Gurgaon/HBSE, g g g p o r r r is found false and Panchkula/PCI & AICTE New rDelhi. If at any o stage any information provided/given by meo h t t g g a a a a incorrect my admission in the concerned course shall stands cancelled and legal proceedings may initiated o o o r r p p p p t g against me as per the court of law. g a a h h h h o r r p p g a a h h i i i i r p p n n n n Signature of Student Date: a h h i i p n n t t t t For h Only i Office Use i h h h h n n t t e e e e i h h n t t e e b b b b h Checked By: Signature with seal of h o o o o t e e b b x x x x Principal/Chairman h o o e b b x x o o b x x o