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2. Waiting list application form - SIT

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SYMBIOSIS INSTITUTE OF TECHNOLOGYApproved by All India Council for Technical Education (AICTE)(Constituent of Symbiosis International Deemed University- Established under section 3 of the UGC Act 1956, Videnotification No. F.9-12/2001-U.3 of the Government of India)Accredited by NAAC with grade ‘A’Request for Inclusion in the <strong>Waiting</strong> List, for the academic year 2014-15To,The Director,<strong>SIT</strong>Date:Sir,I________________________________________________ have attended the counseling round forSET- ID: __________ / JEE (Main) ID: ________ but could not get admitted.(Please select appropriate)My SET score is ___________ / JEE (Main) score is __________My 12th % is ______.(With Physics & Mathematics as compulsory subjects along with one of the Chemistry /Biotechnology/Biology/Technical vocational subject)My Branch Preferences, in order of preference is: (Civil / Comp. Sc/ IT / E&TC / Mechanical)1._______________<strong>2.</strong>________________3.______________4._______________5.______________I request you to consider me in the waiting <strong>list</strong> in case of any vacancy. For this purpose I amdepositing a D.D. of amount Rs. 1, 00,000/- at your institution, with D.D. number ____________dated ___________Bank Name________________________.Thank you.__________________________Name & Signature of candidate:Address:E-mail ID:Phone / Mobile No.Father’s Name:Mother’s Name:cut here ------------------------------------------------------------------------------------------------ cut hereACKNOWLEDGEMENTDate: ___/___/2014We have received the D.D. of Rs.1,00,000/-. D.D. number __________ dated __________, Bankname ___________________from____________________________ against request for enrollmentfor the waiting <strong>list</strong> for F.Y. B. Tech.Name & signature of receiver, <strong>SIT</strong>:


SYMBIOSIS INSTITUTE OF TECHNOLOGYApproved by All India Council for Technical Education (AICTE)(Constituent of Symbiosis International Deemed University- Established under section 3 of the UGC Act 1956, Videnotification No. F.9-12/2001-U.3 of the Government of India)Accredited by NAAC with grade ‘A’

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