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Counselling Form Diploma

This document is a counseling form for admission to diploma engineering courses in Bihar for the 2015-16 session. It collects information from candidates such as name, gender, roll number, father's name, address, date of birth, secondary exam details, declaration of truth of information, institute and branch choice, documents produced, and space for observations by the counseling officer. The form is used to process admissions according to candidate preferences and verify eligibility documents.

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ABHISHEK KUMAR 12CS002
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179 views1 page

Counselling Form Diploma

This document is a counseling form for admission to diploma engineering courses in Bihar for the 2015-16 session. It collects information from candidates such as name, gender, roll number, father's name, address, date of birth, secondary exam details, declaration of truth of information, institute and branch choice, documents produced, and space for observations by the counseling officer. The form is used to process admissions according to candidate preferences and verify eligibility documents.

Uploaded by

ABHISHEK KUMAR 12CS002
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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BIHAR PRIVATE TECHNICAL & PROFESSIONAL INSTITUTIONS ASSOCIATION

Exam. Controller Off.: G 102, Ranjeet Complex, Talpetra Lane, Budha Marg, Patna -800001
Web site: - www.bihartechassociation.org, E-mail:- [email protected]
Phone No.: 0612-2237222, Mobile No. 8544419953

COUNSELLING PERFORMA FOR ADMISSION IN DIPLOMA IN


ENGINEERING COURSES SESSION: - 2015-16

1. Name of the candidate (Block Letters):- ...


2. Sex: Male Female
3. Roll No. of the Bihar Private Combined Competitive Examination: - ...
4. Fathers Name: - .
5. Address for Correspondence: - .
...
Phone No. Mobile No. E-mail Id.
6. Date of Birth . (In words) ..
7. Examination passed:-
Secondary Examination: Year of Passing ...
Division ...
% of Marks ...
8. Declaration by Candidate:-
(i) I declare that information furnished above are correct.
(ii) I promise to abide by all the rules and regulations of the institute during my studies in the college
and shall be liable to disciplinary action in case of committing misconduct.

(Signature of the candidate in full)

9. Institute and Branch allotted as per candidates choice:-


(i) Name of Institute ..
(ii) Name of Branch ..

(Signature of the candidate)


10. Documents produced for verification in original:-
(i) (ii)
(iii) (iv)
(v)

11. Observation of the Counselling officer (if any):-

Signature of Counselling Officer : ..

Name : ..

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