Untitled Document
Admission Form (Session-2015) B.Tech and MBA
Select Course Select branch Admission Through Leet:
Name* Date of Birth* Date Month Year
Contact Number* E-mail Example: (gjiet@gjiet.com)
Father Name* Mother Name
Transport Required* Yes No Hostel Required* Yes No
Gender Male Female Category:* General SC ST Phy. Handicapped OBC
Correspondence Address Permanent Address
Details of Examination Passed*
Examination Board/university Year of Passing %age/CGPA Division
Please send Attested Photocopies of the following Documents as applicable
1. MET/JEE Main Admit Card 8. MET/JEE Main Score Card
2. Detailed Marks Sheet of 10th Class 9. 10th Standard certificate
3. 10+2 Detailed Marks Sheet 10. 10+2 Standrad Certificate
4. Detaied marks list of Degree in case of MBA admission 11. Migration Certificate
5. Character Certificate 12. Residence Proof( Domicile)
6. Medical certificate (on format by PTU Information Brochure 2011 only) 13. Four Passport size Photographs
7. Gap year certificate (if any) 14. Undertaking (in case of pending documents)
Security Code : b9e1Aj Enter the Code