IMPORTANT INFORMATION / KEY DATES FOR MANUAL COUNSELING FOR

B.TECH. COURSE

SR.NO. PARTICULARS DATES

1. Last date of submission of application form along 06/08/2016 , upto 5.00 pm

with DD of Rs.1,000/- (Rs.500/- for SC only)
favoring Registrar, YMCA UST, Faridabad payable
at Faridabad.
Last date of submission of online application form 06/08/2016 , upto 5.00 pm
alongwith on-line deposition of application fee.
2. Date of display of vacant seats & merit list on 10/08/2016 at 5.00 pm
University website

3. Date of 3rd counseling in the University Campus 11/08/2016 9.00 am onwards in

MMC of University
(With reservation)
4. Display of vacant seats on University Website after 12/08/2016 at 5.00 pm
3rd counseling
5. Date of 4th Counseling in the University Campus 13/08/2016 9.00 am onward
(without reservation, if seats remain
vacant)

Note :

1. At the time of admission, candidate has to deposit a DD of Rs.39,600/-(Rupees Thirty

nine thousand and six hundred only) as semester fee in favour of Registrar, YMCA UST,
Faridabad, payable at Faridabad.
2. Candidate has to bring original documents for verification at the time of counseling.
3. Rest of the information / instruction will be same as per HSTES B.Tech. Brochure 2016.
4. No claim of change in merit list of the candidates will be entrained by producing any
category certificate / certificates.
5. If a candidate reports late for the verification of documents, then he will be eligible for
the available vacant seats at that time.
6. For further counseling, if any, please keep visiting University website
www.ymcaust.ac.in.

Dy. Registrar (Academic)

 YMCA UNIVERSITY OF SCIENCE & TECHNOLOGY
(Established by Haryana State Legislative Act No.21 of 2009,
Approved by AICTE & Recognized by
U.G.C. U/s. 2(f) and 12(B) of U.G.C. Act 1956)

Serial No. For office use........... Affix a Passport size

Photograph (attested).

APPLICATION FORM FOR MANUAL COUNSELING / ADMISSION B.TECH. 2016.

1. Branch wise option / choices

i. ii. iii

iv v. vi

2. A. HOGC(M) / HOGC(F)/SC(M)/SC(F) /BC-A(M)/BC-A(F)/ BC- B(M) /BC B(F)/

PH(M)/PH(F)/EBP(M)/EBP(F)/OTHERS (Write one) :________________________

B. JEE (Main) Rank 2016(Overall) __________________

C. JEE Roll No. ....

3. Name in Full (in block letters) :_____________________________________________

4. (A) Fathers Name (in block letters) : ____________________________________________

(B) Mothers Name (in block letter) : ____________________________________________

5. Date of Birth (dd/mm/yyyy) : _________________________________________

6. Address for correspondence : _____________________________________________

_____________________________________________PIN_______________________________

Mob./ Ph. No. _______________________E-mail. _____________________________________

7. Application fee details DD No. dtd.
Drawn on..(bank name) of Rs./-
8. A. Only for YMCA UST students studying since 1.8.2016 in the University (i.e. already admitted
students)

Counseling No. & Date of Admission (when admitted): _____________ Branch: ___________
Category: _____________
 B. Details of Educational Qualification:

Exam. Subject Year of Roll No. Name of the Maximum Marks % age
passing Board/University Marks Obtained Marks

10th
12th
9. Minority Community (Muslim, Christian, Sikh, Buddhist, Parsi etc) .

10. Details of gap year.

11. Aadhaar No

11. Family Income per annum...

12. List of enclosure

DECLARATION BY THE CANDIDATE

I hereby declare that all the entries made in this form are correct. I further declare that I fulfill the minimum
eligibility conditions laid down for admission. In case of detection of any false entry in respect of qualifying
examination / Rank card/, my admission may be treated as cancelled at any time during the course of my study
and I will have no claim for the Fee, etc.

Date:
Place: Signature of the candidate

DECLARATION BY THE FATHER / GUARDIAN OF THE CANDIDATE

I certify that my son / daughter / ward ______________________________ has applied with my knowledge and
consent. I hold myself responsible for his / her good conduct and its maintenance and payment of fees during the
period he / she will be on the University Rolls. My son / daughter / ward will not indulge in any act of ragging, and
shall follow the code of conduct prescribed for students of the University.

Date : Signature of the Father / Guardian

01 Set of the following documents is attached with application form:

Rank Card/Result Card.

Class 10th Certificate indicating date of birth and 12th mark sheet.
Domicile Certificate in case of HOGC.
Character certificate from Head of the Institution last attended.
Medical fitness certificate from a Govt. Gazetted Medical Officer.
Migration Certificate (to be deposited within one month after admission)
Certificate of reserved category
For Office use only:

Report of Documents Verification Committee

We have verified all documents with originals and the above candidate is eligible for admission with the
following discrepancies.

1 2.

3 4.

____________________ _____________________ ___________________

Sign., Name and Designation Sign., Name and Designation Sign., Name and Designation

Members of Admission Committee

_____________________ _______________________ _______________________ _________________________

Member Member Member Member

Chairman (Admission Committee)

COF

Received Sum of Rs._____________ vide receipt No._____________________ dated_____________

from _____________________ Rank No.__________________ on account of University fee and other
charges for B.Tech. Course.

Signature of Cashier

ON LINE REPORTING TEAM: