(Management Quota) - BE - ITM, Bhilwara

INSTITUTE OF TECHNOLOGY AND MANAGEMENT, BHILWARAAPPLICATION FOR THE PROVISIONAL ADMISSION IN B. TECH. I ST YEAR UNDERMANAGEMENT/ DIRECT QUOTA SEATS, SESSION 2011-12 (Day Shift)The PrincipalInstitute of Technology & Management, Bhilwara.Sub: Application for the provisional admission in B.Tech. I st Year under Management Quota/Direct Seats.Respected Sir,I understand that there are few seats vacant in B.Tech.I st year and I want to take admission in yourcollege, under management/Direct quota. Branch allotted to me shall be acceptable to me. I shall deposit therequired fee in advance (Non – refundable) & to be paid through demand draft only in favour of Institute ofTechnology & Management, Bhilwara, Payable at Bhilwara.My preferences of branches are as follows:-1. _____________________________2. _____________________________3. _____________________________4. _____________________________5. _____________________________My particulars are given below:-% Marks in XII ………….. Roll No. ………………RPET Rank …. ………….. Roll No. ………………AIEEE Rank … ………….. Roll No. ………………Therefore, I request your good self to kindly provide me provisional admission in your college.* If any admission is not approved by Rajasthan Technical University Kota, The Institute will not beresponsible for the same.Encl. (Please Tick) :-Name: ________________________________ * Copy of 10 th & 12 th Mark SheetFather’s Name ________________________________* Copy of RPET Admission Card/Score CardAddress: ________________________________ * Copy of AIEEE Admission Card/Score Card________________________________Phone No. with STD code : _____________________Mobile No :- ________________________________Mobile No:- Parents___________________________FOR OFFICE USE ONLYSignature of applicantProvisionally admitted and the admission is subject to availability of seats and to be confirmed by theRajasthan Technical University, Kota. Branch to be considered either of E & C / CSE / IT /Electrical/M.E. Fee Rs.…………………………... be deposited.Admission InchargePrincipalFOR ACCOUNTS USE ONLYFee Rs…………………. (Rupees ………………………………………………………………….) depositedfor provisional admission in B.Tech. I st year vide provisional receipt No. ……………dated………………….Account Section

INSTITUTE OF TECHNOLOGY AND MANAGEMENT, BHILWARAAPPLICATION FOR THE PROVISIONAL ADMISSION IN B. TECH. I ST YEAR UNDERMANAGEMENT/ DIRECT QUOTA SEATS, SESSION 2011-12 (Evening Shift)The PrincipalInstitute of Technology & Management, Bhilwara.Sub: Application for the provisional admission in B.Tech. I st Year under Management Quota/Direct Seats.Respected Sir,I understand that there are few seats vacant in B.Tech.I st year and I want to take admission in yourcollege, under management/Direct quota. Branch allotted to me shall be acceptable to me. I shall deposit therequired fee in advance (Non – refundable) & to be paid through demand draft only in favour of Institute ofTechnology & Management, Bhilwara, Payable at Bhilwara.My preferences of branches are as follows:-1. _____________________________2. _____________________________3. _____________________________4. _____________________________5. _____________________________My particulars are given below:-% Marks in XII ………….. Roll No. ………………RPET Rank …. ………….. Roll No. ………………AIEEE Rank … ………….. Roll No. ………………Therefore, I request your good self to kindly provide me provisional admission in your college.* If any admission is not approved by Rajasthan Technical University Kota, The Institute will not beresponsible for the same.Encl. (Please Tick :-Name: ________________________________ * Copy of 10 th & 12 th Mark Sheet)Father’s Name ________________________________* Copy of RPET Admission Card/Score CardAddress: ________________________________ * Copy of AIEEE Admission Card/Score Card________________________________Phone No. with STD code : _____________________Mobile No :- ________________________________Mobile No:- Parents____________________________FOR OFFICE USE ONLYSignature of applicantProvisionally admitted and the admission is subject to availability of seats and to be confirmed by theRajasthan Technical University, Kota. Branch to be considered either of E & C / CSE / IT /Electrical/M.E. Fee Rs.…………………………... be deposited.Admission InchargePrincipalFOR ACCOUNTS USE ONLYFee Rs…………………. (Rupees ………………………………………………………………….) depositedfor provisional admission in B.Tech. I st year vide provisional receipt No. ……………dated………………….Account Section

INSTITUTE OF TECHNOLOGY AND MANAGEMENT, BHILWARAAPPLICATION FOR THE PROVISIONAL ADMISSION IN B. TECH. II ND YEAR LATERAL ENTRYAgainst vacant Seats, Session 2011-12The PrincipalInstitute of Technology & Management, Bhilwara.Sub: Application for the provisional admission in B.Tech. II nd Year lateral entry under vacant seats.Respected Sir,I understand that there are few seats vacant in B.Tech. II nd year and I want to take admission in yourcollege, against vacant seats. Branch allotted to me shall be acceptable to me. I shall deposit the required feein advance (Non – refundable) & to be paid through demand draft only in favour of Institute of Technology& Management, Bhilwara, Payable at Bhilwara.My preferences of branches are as follows:-1. _____________________________2. _____________________________3. _____________________________4. _____________________________5._____________________________My particulars are given below:-% Diploma/B.Sc. ………….. Roll No. ……………% in Final Year …. ……….. Roll No. ……………Therefore, I request your good self to kindly provide me provisional admission in your college.* If any admission is not approved by Board of Technical Education, Jodhpur & Rajasthan TechnicalUniversity Kota, The Institute will not be responsible for the same.Tick) Encl. (Please :-Name: ________________________________ * Copy of Diploma/B.Sc. Mark SheetFather’s Name ________________________________Address: ________________________________________________________________Phone No. with STD code : _____________________Mobile No :- ________________________________Mobile No:- Parents___________________________Signature of applicantFOR OFFICE USE ONLYProvisionally admitted and the admission is subject to availability of seats and to be confirmed by the Boardof Technical Education, Jodhpur & Rajasthan Technical University, Kota. Branch to be consideredeither of E & C / CSE / IT / Electrical/M.E. Fee Rs.…………………………... be deposited.Admission InchargePrincipalFOR ACCOUNTS USE ONLYFee Rs…………………. (Rupees ………………………………………………………………….) depositedfor provisional admission in B.Tech. II nd year vide provisional receipt No. ……………dated…………….Account Section