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OFFICE OF THE CONTROLLER OF EXAMINATIONS TEZPUR UNIVERSITY: NAPAAM: TEZPUR -784028 NOTIFICATION F.

11-13/ 1 /2007(Acad)/ 320 Dated 1st June, 2012 Applications are invited in the prescribed format enclosed herewith from the candidates securing any of the top 10 ( ten) positions in the higher secondary examinations conducted by the North Eastern States with at least 85% of marks in aggregate for Direct Admission to B.Tech. in Mechanical Engineering/ Computer Science & Engineering/ Electronics & Communication Engineering/ Civil Engineering/ Food Engineering & Technology programme of his/her choice of discipline with free studentship. The last date of receipt of such application is 20th June, 2012. Encl: Prescribed format Sd/(B. Sahariah) Controller of Examinations

TEZPUR UNIVERSITY: NAPAAM (TEZPUR): ASSAM Prescribed format for Direct Admission to B. Tech. programme: 2012-13 (For the candidates securing any of the top 10 (ten) positions in the higher Secondary ( 10+2 level) Board/ Council examinations of North Eastern States) 1. Name of the candidate ( in Full Block letter) 2. Fathers / mothers name 3. Permanent address : : :

4. Address for correspondence : 5. Date and place of Birth (Enclose a copy of the PRC) :

6. Name and address of the institution last attended:

7. Marks secured in the HSLC ( 10th level ) examinations Total marks Marks secured Percentage of marks : : :

8. Position secured in the 10+ 2 level examinations of 2011: 9. Marks secured in the 10+2 level examinations Total marks Marks secured Percentage of marks: : : :

10. Have you filled in the application form of Tezpur University for admission: Yes / No If yes, state the form no. : 2. 3. 4. 5.

11. Choice of discipline* in order of preference: 1. 12. Declaration to be signed by the candidates:

I declare that I shall abide by the Statutes, Ordinances, Rules, Orders etc of the University that will be in force from time to time. I also declare that the information given above is true and complete to the best of my knowledge and belief, and if any of it is found to be incorrect, my admission shall be liable to be cancelled and I shall be liable to such disciplinary action as may be decided by the university.

Countersignature of the Parent/ Guardian with date

Signature of the candidate with date

Disciplines: (1) Computer Science and Engg. ( CSE) (2) Electronics and Communication Engg. (ECE) (3) Mechanical Engg. (ME) (4) Civil Engg. (CIV) (5) Food Engineering Technology (FET) Note: : Enclose Mark sheets of the HSLC and HS examinations and Rank certificate of HS examination.

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