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Registration No./Login Id TH100884

Program Applied for BE / BTECH

Discipline/Department/

School(Order Preference)

1-Computer Engineering 8-Bio Chemical Engineering

2-Mechanical Engineering9-Computer Engineering (Honours in ComputerAnimation and Gaming)

3-Electrical Engineering10-Computer Engineering (Honours in MachineLearning and Data Analytics)

4-Mechanical Engineering (Production)11-Electronics (Instrumentation and Control)Engineering

5-Mechatronics Engg 12-Electronics and Communication Engineering6-Civil Engineering 13-Software Engineering & Management7-Chemical Engineering

Provisional Admission NA Payment Mode Online

Online Test City NA

JEE(Main)-2014 Application No. 40272980 JEE (Main)-2014 Roll No. 16900707

Name of the Board C.B.S.E. Board Roll No. 2708671

Candidate's Name JASKIRAT SINGH Category General

Father's Name DALJINDER SINGH Gender Male

Mother's Name TAJWINDER KAUR Parent's Email Id singhdaljinder1858@gmail.com

Track Suit Length / T-Shirt Size 44 / XXL Nationality Indian

Date of Birth 19-Jul-1994 Mobile No. 9815979554

Email ID jazzkirat.sunny@gmail.com Qualification XII

Communication Address #1858, phase-7 , Mohali,Punjab District MOHALI

City Mohali State Punjab

Pincode 160062 Country India

EXAMINATION DETAILS

Sr.No Examination Passed/Appeared Year of Passing Board/College/University Discipline/Major Subjects CGPA/% of Mark

10th Passed 2011 I.C.S.E.SCIENCE,MATH,ENGLISH,HINDI,SOCIALSTUDIES, COMPUTE

90.5

12th Appeared 2014 C.B.S.E. PCM,ENGLISH,PHYSICAL EDUCATION

Grad. YYYY

State from where Qualifying Exam

Passed/ AppearedChandigarh

Parents Annual Income Rs. 5,00,001 & AboveFrom where you came to know

about Thapar UniversityOthers

Payment Details

Order No THAPAR-OL1480963 Payment Date 11-Apr-2014

Undertaking

a I declare that I have not been debarred from joining any educationalinstitution or rusticated from the Institution/University/Board lastattended.

b I declare that all the statements made in this application are true tothe best of my knowledge and belief. I clearly understand that if anyof the statement is subsequently found to be untrue, my admissionto the University would stand cancelled.

c I have read the Prospectus and Instructions incorporated thereincarefully.

d I have satisfied myself that I fulfill the minimum educationalqualifications, physical and medical standard and that my admissionbe treated as cancelled if found deficient in these standards.

e I agree that admission may be granted to me on the terms andconditions stated in the latest edition of the Prospectus andInstructions of the University or such modifications thereof as maybe made by the authorities.

f I promise to abide by the rules and regulations of the University asapplicable from time to time. I undertake that so long as I am astudent of the University, I will do nothing either inside or outside theUniversity that will interfere with its orderly working and discipline.

g I am aware that ragging is totally banned, if found guilty of ragging, Iwould be liable to be punished as per rules and regulation of theUniversity/law of land.

Father’s/Guardian’s Undertaking (Not required for Candidates applyingfor PhD Programme)

My son/daughter/wardJASKIRAT SINGH

Is seeking admission with my consent and in the event of his/herbeing admitted to the Thapar University, Patiala, I will be personallyresponsible for (1) his/her good conduct and behaviour during his/herstay at the University (2) return of books issued to him/her by theUniversity and I undertake to pay regularly all his/her fees, HostelMess and Canteen dues and other expenses incurred on campus andeducational tours, expenses to cover any breakage or damage ofUniversity properly. I also agree that he/she will submit to thediscipline of the University. I am aware that ragging is totally bannedand agree to abide by the punishment meted out to my ward in casehe/she is found guilty of ragging.

Date :......................................................

Place:...................................................... Signature of Applicant

Date :.............................................

Place : ............................................. Signature of Parent/Guardian

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