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    Application Form IIMT 24-25 19830

    Uploaded by

    rehasinghania13

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Application Form IIMT 24-25 19830

    Uploaded by

    rehasinghania13
    15 views3 pages

    Original Title

    Application_form_IIMT_24-25_19830

    Copyright

    © © All Rights Reserved

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    Copyright:

    © All Rights Reserved
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    Download as pdf or txt
    15 views3 pages

    Application Form IIMT 24-25 19830

    Uploaded by

    rehasinghania13

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    IIMT GROUP OF COLLEGES, GREATER

    NOIDA

    APPLICATION FORM

    APPLICATION NO:
    IIMT/24-25/19830

    Programme Details
    B.TECH ARTIFICIAL INTELLIGENCE
    Program UG COURSE Course
    AND DATA SCIENCE

    Personal Details
    Applicant’s Full Name MR NAITIK RAJ Gender MALE
    Date of Birth 05/10/2007 Mobile Number +91-7678267631
    Whatsapp Mobile Number +91-9334170455 Email ID PRATIKSYSTEM8987@GMAIL.COM
    Religion HINDUISM Father's Mobile number +91-7678267631
    Nationality INDIAN Do You Have Aadhar Card? YES
    Aadhar Card No. 968174863338 Social Category GENERAL
    Passport No. Physically Handicapped? NO
    Medical History(If Any) Parent's Name ANJANI KUMAR

    Address Details
    Is Permanent Address Same As Address For Communication? : YES
    Current Address ( For Communication) Permanent Address
    Country INDIA INDIA
    State BIHAR BIHAR
    District MUZAFFARPUR MUZAFFARPUR
    City MUZAFFARPUR MUZAFFARPUR
    Address Line 1 PATHAI PATHAI
    Address Line 2 MUZAFFARPUR MUZAFFARPUR
    Pincode 843113 843113

    10th / SSC Details


    Obtained
    Year Of Marking Marks Maximum
    School Name Board Stream percentage/
    Passing Scheme Obtained Marks
    CGPA
    CENTRAL BOARD
    ANAND PREP
    OF SECONDARY 2022 PCM PERCENTAGE 306 500 61.20
    PUBLIC SCHOOL
    EDUCATION (CBSE)

    12th / HSC Details


    After 10th Qualification 12TH PCM/PCB Percentage 70.00
    Obtained
    School Year Of Result Marking Marks Maximum
    Board Stream percentage/
    Name Passing Status Scheme Obtained Marks
    CGPA
    ANAND CENTRAL BOARD
    PREP OF SECONDARY
    SCIENCE 2024 DECLARED PERCENTAGE 350 500 70.00
    PUBLIC EDUCATION
    SCHOOL (CBSE)

    Diploma/ITI
    School Year Of Result Marking Marks Maximum Obtained
    Board Stream
    Name Passing Status Scheme Obtained Marks percentage/CGPA

    Graduation Details
    College /
    Degree Year of Result Marking Marks Maximum Obtained
    Institute University Stream Mode
    Name Passing Status Scheme Obtained Marks Percentage/CGPA
    Name

    Entrance Test Details


    Do You Appear Any Entrance Test? NO Entrance Exam Details
    Registration ID Year Result Status Score
    Entrance Exam JEE
    Entrance Exam CLAT
    Entrance Exam MAT
    Entrance Exam CUET
    Entrance Exam GMAT
    Entrance Exam LSAT
    Entrance Exam NEET
    Entrance Exam JEECUP

    Upload Documents

    Upload Your Signature Upload 10th Marksheet YES

    Upload 12th Marksheet YES Upload Graduation Marksheet NO


    Upload Post Graduation Marksheet NO Upload Aadhar Card YES
    Upload Your ID & Address Proff YES Upload Transfer Certificate YES
    Upload Character Certificate YES Upload Migration Certificate YES
    Upload Cast Certificate NO Upload Income Certificate NO
    Upload Father's Passport Size
    Upload Domicile Certificate NO NO
    Photograph
    Upload Mother's Passport
    Upload Father's Signature NO NO
    Size Photograph
    Upload Mother's Signature NO
    Other (Local Guardian) Uploads

    Upload Passport Size


    Upload Other's Signature
    Photograph
    NO NO

    Declaration
    I Certify That The Information Submitted By Me In Support Of This Application, Is True To The Best Of Knowledge And Belief. I Understand That
    In The Event Of Any Information Being Found False Or Incorrect, My Admission Is Liable To Be Rejected / Cancelled At Any Stage Of The
    Program. I Undertake To Abide By The Disciplinary Rules And Regulations Of The Institute.
    1-50% fee is required to be paid at the time of admission. If less than 50% payment is made, the fee shall be forfeited in case of cancellation.
    2- In the case of any dispute arising out of the admission of the student during his/her academic course or thereafter in the college, the same
    shall be resolved by the sole arbitrator appointed by the Chairman of IIMT Group of Colleges under the arbitration and Conciliation Act and his
    decision shall be binding on both the parties. No student shall have any right to agitate the matter in any Court of law including Consumer
    Forum.

    Applicant Name NAITIK RAJ


    Parent Name ANJANI KUMAR
    Date 24/10/2024
    Place MUZAFFARPUR

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