aieee registration form

8/8/2019 Aieee Registration Form

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Engineering Courses Counselling Authority(Rajiv Gandhi Proudyogiki Vishwavidyalaya

Airport Bypass Road, Gandhi Nagar, Bhopal – 462 03Phone: 0755 – 2678 833, Fax: 0755 – 2678 834

Website: www.rgtu.ne

AIEEE – 2009 Registration Form(To be filled by the Candidate himself/herself)

01. AIEEE Roll No. …………………………………………………….

02. AIEEE Merit Marks …………………………… All India Rank...……………..(Attach photocopy of AIEEE score card)

03. Male/Female ………………………………………

04.Whether belongs to (i) J&K Migrant (ii) J&K Resident category (Tick whichever is applicable)

05. Name of the Candidate ………………………………………………………….

06. Father’s Name …………………………………………………………………..

07. Full Address ……………………………………………………………………..

……………………………………………………………………..

……………………………….. Pin Code ………………………...

08. Telephone No. …………………………….. Mobile No. ……………………………….

08. Email Address ……………………………………………………………………………

10. Demand Draft Details:-

Amount DD Number DD Date DD Bank DD City

Rs.

Note:- 1. Please mention AIEEE Roll No., Full Name, Address, Telephone No. and Mobile No. on

the back side of Demand Draft

I am aware that there are approximately only 348 All India seats available and counselling will be conducted till

vacancies exist. Chances of admission are subject to availability of seats. I am filling up this form to take chance

of admission, against vacant seats, if any. I am further aware that registration fee will not be refunded, in case I

am not called for counselling or all the seats are filled before my turn for counselling or I do not get seat of mychoice in the counselling.

Date: / /2009 Candidate’s Signature

Note :1. Candidate has to fill the choice form alognwith this registration form. In case, seats remain

vacant even after 2nd round of counseling, then seats will be allotted on the basis of choicesubmitted as per merit.

2. A candidate can claim eligibility either in J&K migrant or J&K resident seats, but not in both.

3. Candidate with aggregate negative marks in AIEEE – 2009 are not eligible.

Self Attested

Photograph of the candidate

http://www.rgtu.net/

http://www.rgtu.net/



Choice FormChoice No. Institute Name Branch

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

2728

29

30

31

32

33

34

35

36

3738

39

40

41

42

43

44

45

46

47



Choice No. Institute Name Branch

48

49

50

51

52

53

54

55

56

57

58

59

60

Candidate's Signat

aieee registration form

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