M.Tech. / M.Pharm.

Admission 2010
GAUTAM BUDDHA TECHNICAL UNIVERSITY (GBTU)
(Formerly U.P. Technical University, Lucknow)
I.E.T. CAMPUS, SITAPUR ROAD, LUCKNOW
ADMISSION NOTIFICATION FOR ADMISSION IN M.TECH. / M. PHARM.
SESSION-2010-11
Applications are invited for admission to first semester M.Tech. and M.Pharm.
Programmes (AICTE approved) in various disciplines at different institutions of
G.B. Technical University, Lucknow (Formerly U.P.Technical University, Lucknow) and
Mahamaya Technical University, Noida. The candidates has to fill an on-line application
form available on the website www.uptu.ac.in with all relevant details. The print copy
of the same along with requisite fee and certified copies of documents must reach to The
Registrar, G.B. Technical University, I.E.T. Campus, Sitapur Road, Lucknow - 2226 021
(U.P.) on or before 12th August, 2010.
The application fee be in the form of demand draft of Rs. 1000/- for General / OBC
candidates and Rs. 500/- for SC/ST & female candidates of all categories shall be in
favour of ‘Finance Officer, G.B. Technical University, Lucknow’ payable at
Lucknow. The details of sort listed candidates will be displayed on the university website
on 20th August, 2010. The counseling shall be held between 25th – 27th August, 2010.
The details of Admission Procedure/ Institute wise seats / specialization and other norms
/ eligibility criteria are available on university website www.uptu.ac.in.
Important Note: Candidates are advised to fill only one application form for one
course otherwise your candidature will be cancelled.
 ADMISSION PROCEDURE
1. ADMISSION

1.1 Gautam Budh Technical University, Lucknow (Formerly: U.P. Technical

University, Lucknow ) and Mahamaya Technical University, Noida will
permit admission to M. Tech. and M. Pharm. programmes of two-years
duration at various Institutions.
1.2 University will award the M. Tech. / M. Pharm. Degrees.
1.3 Reservation in admission shall be governed by the U.P. State Govt.
rules. The decision of University for filling up vacant seats shall be final
in case of non-availability of suitable candidates in any category.

2. COURSES OFFERED

2.1 M. TECH. PROGRAMMES / INSTITUTIONS / INTAKE

(i) GOVT. / GOVT. AIDED INSTITUTIONS

Institute Name of the Institution Stream of Specialization of M. Tech. Programme Intake

Code Engineering/
Technology
042 M.M.M. Engineering Civil 1. Environmental Engg. 18
College, Gorakhpur
Civil 2. Hill Area Development Engg. 10
Electrical 3. Power Electronics and Drives 18
Electronics 4. Digital Systems 18
Mechanical 5. Computer Integrated Manufacturing 18
Computer Sc. 6. Computer Sc. & Engg. 18
043 Bundelkhand Institute of Electronics 1.Digital Communication 20
Engineering &
Civil 2. Construction Technology & Management 18
Technology, Jhansi.
Mechanical 3. Manufacturing Science & Technology 18
Civil 4. Environmental Engineering 18
044 Uttar Pradesh Textile Textile 1. Textile Technology 18
Technology Institute,
Textile 2. Textile Chemistry 12
Kanpur.
052 Institute of Engineering Civil 1. Environmental Engg. 18
& Technology, Lucknow.
Bio-Tech. 2. Bio-Technology 18
104 Kamla Nehru Institute of Electrical 1. Power Electronics & Drives 18
Technology, Sultanpur.
Mechanical 2. Mechanical Engineering 18

(ii) PRIVATE INSTITUTIONS

Institute Name of the Stream of Specialization of M. Tech. Programme Intake

Code Institution Engineering
001 Anand Engineering Mechanical 1. Production Engg. 18
College, Artoni, Agra
004 Faculty of Engineering Chemical 1. Chemical Technology with 18
& Technology, R.B.S. Technology specialization in Food Technology
College, Agra
007 Shivdan Singh Institute Mechanical 1. Machine Design 18
of Technology &
Electronics 2. Communication & Information System 18
Management, Aligarh
010 United College of Computer Sc. 1. Computer Science & Engg. 18
Engineering and
Research, Allahabad
014 Sri Rammurty Smarak Inter-disciplinary 1. CAD - CAM 15
College of Engineering
& Technology, Bareilly Computer 2. Software Engineering 15
Science
027 Ajay Kumar Garg Inter-disciplinary 1. Automation & Robotics 18
Engineering College,
Electronics 2. Electronics & Communication Engg. 18
Ghaziabad
Electrical 3. Electrical Power & Energy System 18
029 Krishna Institute of Electrical 1. Power Electronics and Drives 18
Engineering &
Mechanical 2. Computer Aided Design 18
Technology, Ghaziabad
030 Indraprastha Computer 1. Computer Science & Engg. 18
Engineering College, Science
Ghaziabad Mechanical 2. Mechanical Engineering 18
032 ABES Engineering Computer Sc. 1. Computer Science & Engg. 18
College, Ghaziabad
Electronics 2. Electronics & Comm. Engg. 18
053 Azad Institute of Mechanical 1. Advance Computer Aided Design 18
Engineering &
Technology, Lucknow
054 Babu Banarasidas Mechanical 1. Production Engineering 18
National Institute of
Technology &
Management, Lucknow
064 Hindustan College of Electronics & 1. Control system 18
Science & Technology, Instrumentation
Farah, Mathura Mechanical 2. Mechanical Engg. 18
Electronics 3. VLSI Design 18
068 Meerut Institute of Bio-Tech. 1. Bio-Technology 18
Engineering &
Technology, Meerut
069 Radha Govind Computer Sc. 1. Computer Science & Engg. 18
Engineering College,
Meerut
082 Moradabad Institute of Mechanical 1. Mechanical Engineering 18
Technology, Moradabad
090 I.E.C. College of Computer Sc. 1. Computer Science & Engg. 18
Engineering &
Electrical Engg. 2. Electrical Power System 18
Technology,
Greater Noida
091 J.S.S. Academy of Electronics 1. Advance Electronics and Comm. Engg. 18
Technical Education,
Computer Sc. 2. Computer Science & Engg. 18
Noida
Mechanical 3. Manufacturing System Engg. 18
097 Galgotia’s College of Computer Sc. 1. Computer Science & Engg. 18
Engineering &
Electronics 2. Electronics & Comm. Engg. 18
Technology, Greater
Noida Information 3. Information Technology 18
Tech.
 127 IIMT Engineering Computer Sc. 1. Computer Science & Engg. 18
College, Meerut
133 Noida Institute of Engg. Mechanical 1. Computer Aided Design 18
& Technology,
Electronics 2. VLSI Design 18
Gr. Noida
Computer 3. Software Engineering 18
Science
189 Central Institute of Plastic Engg. 1. Plastic Engineering 18
Plastic Engineering &
Technology, Lucknow
190 DOEACC Centre, Electronics 1. Electronics Design and Technology 18
Gorakhpur

2.2 M. PHARM. PROGRAMMES / INSTITUTIONS / INTAKE PRIVATE INSTITUTIONS

Institute Name of the Institution Specialization of M. Pharm. Intake
Code Programme
006 Agra Public Institute of Technology & 1. . Pharmaceutical Chemistry 10
Computer Education, Agra
007 Shivdan Singh Institute of Tech. & 1. Pharmaceutics 08
Management, Aligarh
2. Pharmaceutical Chemistry 08
033 Raj Kumar Goel Institute of Technology, 1. Pharmaceutics 10
Ghaziabad
041 Archarya Narendra Dev College of Pharmacy, 1. Pharmaceutical Chemistry 10
Gonda
054 Babu Banarasi Das National Institute of 1. Pharmaceutics 18
Technology & Management, Lucknow
2. Pharmaceutical Chemistry 18
3. Pharmacognosy 10

056 Northern India Engineering College, Lucknow 1. Pharmaceutical Chemistry 10

066 Rajeev Academy for Pharmacy, Mathura 1. Pharmaceutics 18
2. Pharmaceutical Chemistry 18
068 Meerut Institute of Engineering & Technology, 1. Pharmaceutics 18
Meerut
2. Pharmaceutical Chemistry 18
078 Dr. K.N. Modi Institute of Pharmaceutical Sc. & 1. Pharmaceutical Chemistry 08
Research, Modinagar, Ghaziabad
081 Institute of Foreign Trade & Management, 1. Pharmaceutical Chemistry 18
Moradabad
2. Pharmacognosy 10
3. Pharmaceutics 10
093 Ram-Eesh Institute of Vocational and Technical 1. Pharmacognosy 10
Education, Gr. Noida
123 Saroj Institute of Technology & Management, 1. Pharmaceutical Chemistry 18
Lucknow
2. Pharmacognosy 18
133 Noida Institute of Engineering & Technology, 1. Pharmaceutics 10
Greater Noida
136 S.D. College of Pharmacy Vocational Studies, 1. Pharmaceutical Chemistry 10
Muzaffarnagar
164 Pranveer Singh Institute of Technology, 1. Pharmaceutical Chemistry 07
Kanpur
170 I.T.S. Paramedical College, Ghaziabad 1. Pharmaceutics 10
186 Kamla Nehru Institute of Management & 1. Pharmaceutical Chemistry 10
Technology, Sultanpur
188 Advance Institute of Biotech & Paramedical 1. Pharmaceutics 10
Sciences, Kanpur

3. Eligibility Criteria :
3.1. The applicant for M. Tech. / M. Pharm. programme must fulfill the following
criteria:

(i) For General / OBC candidates 60 % marks in Graduation in Engg. or Technology

/ B.Pharm. or equivalent.

(ii) For SC/ST candidates 55 % marks in Graduation in Engg. or Technology /

B.Pharm.or equivalent.

(iii) For admission to M.Tech. (Computer Sc., Information Technology and related
branches), candidates having degree of MCA, M.Sc.(CS) or M.Sc.(IT) with at
least 60% marks for General/OBC candidates and 55% marks for SC/ST
candidates are also eligible.

(iv) For admission to M.Tech. (Electronics Engg. and related branches), candidates
having degree of M.Sc. (Electronics) with at least 60% marks for General/OBC
candidates and 55% marks for SC/ST candidates are also eligible.

(v) For admission to M.Tech. (Chemical Technology and related branches),

candidates having degree of M.Sc. (Chemistry). with at least 60% marks for
General/OBC candidates and 55% marks for SC/ST candidates are also eligible.

(vi) For admission to M.Tech. (Hill area development Engg.) / M.Tech.

(Environmental Engg.): B.Tech./B.E. or equivalent in any branch of engineering /
technology OR B.Arch. or equivalent. OR M.Sc. in any discipline or Master
degree in Mathematics / Geography with at least 60% marks for General / OBC
candidates and 55% marks for SC/ST candidates are also eligible. Candidates not
having Mathematics at Intermediate level shall be required to compulsorily
qualify a non-credit course on Mathematics of Intermediate level in the first
semester of M.Tech. programme.

(vii) For admission to M. Tech. (Bio-Technology), candidate having degree of M.Sc.

in Physical/Chemical /Biological /Veterinary /Agricultural Science or
Biotechnology or Bioinformatics or equivalent degree in relevant disciplines or
B.E./ B.Tech. in Chemical / Bioinformatics / Biochemical / Food / Agriculture/
Environmental or equivalent degree in relevant discipline or MBBS / B.Pharm./
B.V.Sc. / B.D.S with at least 60% marks for General / OBC candidates and 55%
marks for SC/ST candidates are also eligible.

(viii) For admission to M.Tech. (Plastic Engineering), candidates having degree of

B.Tech./ B.E. in Chemical Engg./ Chemical Technology / Polymer Science &
Technology / Mechanical Engg. / Production Engg./ Petrochemical Technology or
 equivalent of above degrees / course or M.Sc. Chemistry / Industrial Chemistry /
Polymer Science with at least 60% marks for General / OBC candidates and 55%
marks for SC/ST candidates are also eligible.

(xi) For admission to M.Tech. (CAD-CAM), candidates must have following

qualifications: B.Tech./ B.E. in Mechanical Engg./ Automobile Engg./ Chemical
Engg./ Chemical Technology/ Civil Engg. or allied branches with at least 60%
marks for General/ OBC candidates and 55% marks for SC/ST candidates.

(x) For admission to M.Tech. (Automation & Robotics), candidates must have
following qualifications: B.Tech. / B.E. in Mechanical Engg. / Electrical Engg./
Electronics & Communication Engg. / Computer Science & Engg. or allied
branches with at least 60% marks for General / OBC candidates and 55% marks
for SC/ST candidates.

3.2 The equivalency of any degree for admission to any programme will be decided
by University. The eligibility criteria given above are minimum and mere
possessing the same does not qualify the eligibility for admissions. University
may prescribe any other requirements over and above these conditions.

4. SELECTION PROCEDURE

4.1 The candidate has to fill an application form on-line with all relevant
details and send print copy of the same along with requisite fee & certified
copy of documents related to qualifications on or before last date prescribed
by the university. The on-line application is available on website
www.uptu.ac.in.
4.2 The sort-listed eligible candidates shall be called for counselling. The
schedule of counselling will be available on university website
www.uptu.ac.in.
4.3 The number of seats, programmes & institutions may change.
4.4 Students having domicile of UP shall be given first preference and
subsequently the candidate having domicile outside U.P. could be
entertained only if seats are vacant / unfilled.1
4.5 Candidates with qualifications stated in section-3 and with Valid GATE/GPAT
score will be given first preference in admission.
4.6 Graduates in Engineering / Technology will be given second preference in
admission.

5.1 RESERVATIONS: Reservation shall be applicable as per state govt. norms for
Technical Education Department.
6. MEDICAL STANDARDS
6.1 Candidates called for counselling will have to submit an undertaking for Medical
fitness on Certificate number- 8.
6.2 The candidate should have to submit Medical certificate on proforma given as
certificate number - 9 at the time of admission in the college allotted.
Physically Handicapped / Disabled:
Type – I Minimum 40% permanent Visual impairment
Type – II Minimum 40% permanent Locomotors disability
Type – III Minimum 40% permanent speech and Hearing impairment

1
Subject to change as per latest instructions of Govt. of U.P. till the date of counselling.
7. COUNSELLING

7.1 Counselling shall be held at G.B. Technical University (formerly: U.P. Technical
University, Lucknow), IET Campus, Sitapur Road, Lucknow. The information
about counselling schedule, procedures and list of sort listed candidates
will be available on website: www.uptu.ac.in. only after 20th August, 2010.
NO separate counselling letter shall be sent. The candidates are advised to
visit website frequently for counselling details.
7.2 The candidates called for counselling will be required to come with original
certificates of qualifying examination, marksheet, weightage certificate, domicile
and category/reservation certificates etc. with one attested copy of each. In case
the candidates do not submit the proper category/ reservation certificate in the
prescribed proforma at the time of counselling, the advantage of reserved category
shall not be provided and they will be treated in General Category. If the candidate
has passed qualifying examination from outside of U.P., he/she has to bring the
domicile certificate of his/her parents (Father OR Mother) only at the time of
counseling. The candidate must note that his/her domicile certificate is not
acceptable, in place of his parent’s certificate and no request shall be entertained
for relaxation.
7.3 Verification of original documents shall be carried out at the time of counselling.
The candidates will not be considered for admission if he/she does not submit the
original documents at the time of counselling. However the originals will be
returned to candidate after verification.
7.4 The initial fee of Rs. 5,000/- will be deposited at counselling centre in the form of
Bank draft. This fee is adjustable against total fee payable at Institution if candidate
takes admission at allotted institute. The initial fee of Rs. 5,000/- will be forfeited if
the candidate does not take admission in allotted institution. Requests for return of
this fee in such case will not be entertained.
7.5 In addition to initial fee the candidate called for counselling has to deposit a
separate bank draft of Rs. 500/- as counselling fee. This counselling fee is non-
refundable.
7.6 All the Bank drafts must be prepared separately and drawn in favour of ‘Finance
Officer, G. B. Technical University, Lucknow payable at Lucknow.
7.7 The latest instructions of AICTE, Govt. of U.P. upto the date(s) of counselling shall
be applicable.

DOCUMENTS REQUIRED AT THE TIME OF COUNSELLING

The candidates are required to bring the following documents, in original along
with one set of photocopies with them at the time of Counselling:
(a) High School Certificate.
(b) Mark sheets of qualifying examination.
(c) Valid GATE Score Card
(d) Category and Subcategory certificate(s), if applicable.
(e) Passport size Photos. (2 Nos.)
(f) Domicile Certificate
(g) Medical Certificate / Undertaking
8 DOMICILE REQUIREMENTS
8.1 Candidates, who have passed the qualifying examination from an institution located in the
State of Uttar Pradesh and who do not claim for any reserved category are eligible for
admission to all the courses at all the institutions against available General (OPEN) seats
(No certificate required).
[Code: UPGE]
8.2 Candidates, who have passed the qualifying examination from an institution located in State of U.P.;
and are domicile of U.P.; and belong to Schedule Caste (SC) of U.P. / Schedule Tribe (ST) of U.P. /
Other Backward Classes of U.P. are eligible for admission against available reserved seats of their
category. Certificate no. 1 or 2 as applicable is required. List of SC, ST and OBC castes as per SC/ST
Act 1976 and Government Order 4/1/2001-TC/Ka-2/2002 dt. 19/09/2002 is attached in Appendix E.
[Respective Codes: UPSC / UPST / UPBC]
8.3 Candidates, who have passed the qualifying examination from an institution located outside
U.P.; and whose parents are domicile of U.P.; and who have not claimed for any reserved
category, are also eligible for admission to courses offered at all institutions under General
(OPEN) category. Such candidate has to produce the domicile certificate of his/her parents
(Father OR Mother only) at the time of counselling (certificate no. 3).
[Code: UPGD]
8.4 Candidates, who have passed the qualifying examination from an institution located outside
U.P.; and whose parents are domicile of U.P.; and who belong to Schedule Caste of U.P. /
Schedule Tribe of U.P. / Other Backward classes of U.P. are also eligible for admission
against reserved seats of their category. Such candidate has to produce the domicile
certificate of his/her parents (Father OR Mother only) (certificate no. 3) and category
certificate (no. 1 or 2 as applicable) at the time of counselling. List of SC, ST and OBC
castes as per SC/ST Act 1976 and Government Order 4/1/2001-TC/Ka-2/2002 dt.
19/09/2002 is attached in Appendix E.
[Respective Codes:
GDSC/GDST/GDBC]
8.5 The domicile requirement to son/daughter of following is relaxed and admission is
permitted to such:
(i) defence personnel settled in U.P. on the date of Entrance Examination after retirement /
being disabled in action or Defence personnel killed in action and the dependents settled in
U.P. on the date of Entrance Examination. Certificate no. 5 is required.
(ii) defense personnel who are not domicile of U.P., but are posted in U.P. on the date of
Entrance Examination. Certificate no. 5 is required.
(iii) employee of All India Services belonging to U. P. cadre. Certificate no. 11 is required.
[Code: GDDA]

Proforma of various certificates are available in Appendix – A

9. OTHER INFORMATIONS

1. Incomplete applications will be rejected.

2. No TA / DA will be admissible to the candidates called for counselling.
3. The decision of the University for the selection of candidates shall be final.
 Appendix–A
CERTIFICATE – 1 (izek.k i=k&1)
vuqlwfpr tkfr@tutkfr (UPSC/UPST/GDSC/GDST)
¼vH;FkhZ ds tUe ftys ds ftyk eftLV~zsV@izFke Js.kh eftLVªsV }kjk izekf.kr½

;g izekf.kr fd;k tkrk gS fd Jh@dq0 --------------------------------------------------------- iq=k@iq=kh Jh ----------------------------------------

fuoklh xkWao@’kgj ------------------------------------- rglhy ------------------------------------------------- ftyk ------------------------------------------- izns’k ---
------------------ dk tUe -------------------------------- tkfr esa gqvk Fkk vkSj ;g tkfr vuqlwfpr tkfr@tutkfr vkns’k
(la’kks/ku) ,DV 1956 ds vUrxZr Hkkjr ljdkj@mRrj izns’k ’kklu ----------------------------------------------------- ljdkj }kjk
ekU; vuqlwfpr tkfr@tutkfr gSA

vH;FkhZ ds gLrk{kj gLrk{kj

fnukad uke
LFkku eksgj
ftyk vf/kdkjh @ vfrfjDr ftyk vf/kdkjh@
flVh eftLV~zsV @ ijxuk eftLV~zsV @ rglhynkj
Note: Proforma of certificate shall be changed according to latest Govt. order.

CERTIFICATE – 2 (izek.k i=k&2)

mRrj izns’k ds vU; fiNMs+ oxZ ds fy, tkfr izek.k i=k dk izi=k (UPBC/GDBC)
;g izekf.kr fd;k tkrk gS fd Jh@Jherh @dqe kjh ----------------------------------------------------------------- lqiq=k@lqiq=kh Jh ---------------
----------------------------------------------------------------------fuoklh xzke ---------------------------------------------------- rglhy ----------------------------------------
uxj ---------------------------- ftyk --------------------------------------------- mRrj izns’k jkT; dh -------------------------------------- fiNMh tkfr ds
O;fDr gSaA ;g tkfr mRrj izns’k yksd lsok vuqlwfpr tkfr;ksa A vuqlwfpr tutkfr;ksa rFkk fiNMs oxksZa ds fy,
vkj{k.k vf/kfu;e] 1994 dh vuqlwph & 1 ds vUrxZr ekU;rk izkIr gSA
;g Hkh izekf.kr fd;k tkrk gS fd Jh@Jherh@dqekjh ------------------------------------------------------------------------------ mDr vf/kfu;e
1994 dh vuqlwph &2 (vf/klwpuk la[;k &22@16@92&dk 02@1995 Vh0 lh0 fnukad 8 fnlEcj] 1995 }kjk
;Fkk la’kksf/kr) ls vkPNkfnr ugha gSA
Jh@Jherh@dqe kjh ---------------------------------------------------------------- rFkk vFkok mudk ifjokj mRrj izns’k ds xzke ---------------------
Jh@Jherh@dqe kjh --------------------------------------- uxj -------------------------------------------- ftyk ----------------------------------- esa lkekU;r;k
jgrk gSA

vH;FkhZ ds gLrk{kj gLrk{kj

fnukad uke
LFkku eksgj
ftyk vf/kdkjh @ vfrfjDr ftyk vf/kdkjh@
flVh eftLVsªV @ ijxuk eftLV~zsV @ rglhynkj
uksV& vH;FkhZ /;ku nsa fd m0iz0 ds vU; fiNM+s oxZ ds fy, tkfr ize k.k viSzy 01] 2010 ds i’pkr dk cuk
gqvk gksuk vko’;d gS D;ksafd dzhehys;j ds vUrxZr vkus okys vH;fFkZ;ksa dks vkj{k.k dk ykHk vuqe U; ugha gSA
 CERTIFICATE - 3 (izek.k i=k&3)*
mRrj izns’k ewy fuoklh ds iq=k @ iq=kh (UPGD/GDSC/GDST/GDBC)
(ml ftys ds vf/kdkjh }kjk izekf.kr ftl ftyss ds ekrk@firk fuoklh gS)

;g izekf.kr fd;k tkrk gS fd Jh@Jherh ¼vH;FkhZ ds firk@ekrk dk uke½ --------------------------------------------

----------firk@ekrk Jh@dq0¼vH;FkhZ dk uke½---------------------------------------------------------------------------------
mRrj izns’k ds xk¡o@’kgj ---------------------------------------- rglhy ---------------------------------------------ftyk --
----------------------------------- ds ewy fuoklh gSa rFkk Jh@dq0 ¼vH;FkhZ dk uke½ -----------------------------------------
---------------------------------vius firk@ekrk ij iw.kZr;k vkfJr gSaA mDr irs ij Jh@dq0 ¼vH;FkhZ dk uke½ ---
----------------------------------------------------------------------ds ekrk@firk lkekU;r% fuokl djrs gSaA
fnukad gLrk{kj ftyk eftLV~zsV
LFkku iwjk uke
inuke
eqgj
¼ftyk eftLV~zsV dh lhy½
* ftyk eftLV~zsV vFkok ftyk eftLV~zsV }kjk vf/kÑr vij ftyk eftLV~zsV@lc fMohtu eftLV~zsV }kjk izek.k i=k gh
ekU; gksaxs tks ’kk0vk0 la0 &157@rhu &2003&77¼II½@83 fnukad 18 Qjojh] 2003 ds v/khu tkjh fd;k tk;sxkA
uksV& izek.k i=k&3 vH;FkhZ ds ekrk@firk dk cuk gksuk pkfg, D;ksafd vH;FkhZ ftUgksaus vgZdkjh ijh{kk mRrj izns’k
ds ckgj fLFkr fdlh fo|ky; ls mRrh.kZ dh gS ijUrq muds ekrk@firk mRrj izns’k ds ewy@LFkkbZ fuokl gSAa
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

CERTIFICATE – 4 (izek.k i=k&4 ) (Sub-Category UPFF)

mRrj izns’k yksd lsok ¼’kkjhfjd :i ls fodykax] Lora=rk laxzke lsukuh ds vkfJrksa vkSj HkwriwoZ lSfudksa ds
fy, vkj{k.k½ vf/kfu;e] 1993 ds vuqlkj LorU=rk laxzke lsukuh ds vkfJr ds izek.k i=k dk izi=k

izekf.kr fd;k tkrk gS fd Jh@Jherh ¼Lora=krk laxzke lsukuh dk uke½ ----------------------------------------------- fuoklh
xzke ----------------------------------------rglhy ------------------------------------------ uxj -------------------------------------------------
- ftyk ---------------------------------------- mRrj izns’k yksd lsok ¼’kkjhfjd :i ls fodykax] Lora=rk laxzke lsukuh ds
vkfJrksa vkSj Hkwriwo Z lSfudksa ds fy, vkj{k.k½ vf/kfu;e 1993 ds vuqlkj LorU=rk laxzke lsukuh gSa vkSj

Jh@Jherh@dq0¼vkfJr vH;FkhZ dk uke½ --------------------------------------------------------------------------- iq=k@iq=kh@ikS=k@

vfookfgr ikS=kh mijkafdr vf/kfu;e] 1993 ds gh izko/kkuksa ds vuqlkj mDr Jh@Jherh ¼LorU=rk laxzke lsukuh½ ------
-------------------------------------------------------- ds vkfJr gSaA

fnukad gLrk{kj
LFkku iwjk uke ,oa Iknuke
eqgj ¼ftyk eftLV~zsV dh lhy½
Note: Proforma of certificate may be changed according to latest Govt. order.
 CERTIFICATE – 5 (izek.k i=k&5)
mRrj izns’k@lsuk ny (Sub-Category UPAF)
¼vafre ;wfuV ds vkfQlj dekfUMax@ftyk lSfud dY;k.k cksMZ }kjk izekf.kr½

;g izekf.kr fd;k tkrk gS fd Jh@Jherh ¼vH;FkhZ ds firk vFkok ekrk dk uke½ ---------------------------------------fuoklh
xkWao@’kgj -------------------------------------------------- rglhy ---------------------------------------------- ftyk ----------------------------------mRrj izns’k] ds
fnukad ------------------------------dks lsok fuo‘Rr (Superannuated) ;q) esa ekjs x;s@viax gks x;s@mRrj izns’k esa
orZeku esa rSukr gSA os Hkkjrh; Fkylsuk@tylsuk@ok;qlsuk ds LFkku ------------------------------------------------------ fnukad-------------
------------- ls fnukad -------------------------- rd dk;Zjr Fks@gSaA
fnukad ;wfuV dekfUMax vkfQlj ds gLrk{kj
LFkku uke
eksgj
¼ftyk eftLV~zsV }kjk izekf.kr½
;g izekf.kr fd;k tkrk gS fd Jh@dq0¼vH;FkhZ½ -------------------------------------------------------- fuoklh --------------------------------- mRrj
izns’k xkWao@’kgj ------------------------------ rglhy --------------------------- ftyk ----------------------------------- mijksDr lsuk ny ds lsok
fuo‘Rr (Superannuated) ;q) esa ekjs x;s ;k viax gks x;s deZpkjh tks mRrj izns’k ds LFkk;h fuoklh gSa@Fks]
ds iq=k@iq=kh gSa mRrj izns’k Hkkjrh; Fkylsuk@ty lsuk@ok;qlsuk esa dk;Zjr Fks@gSaA
fnukad gLrk{kj
LFkku uke
eksgj
-------------------------------------------------------------------------------------------------------

CERTIFICATE – 6 (izek.k i=k&6) (Sub-Category UPHC) ¼dkmfUlfyax esa tek djus gsrq½
’kkjhfjd fodykax ds vf/keku ds fy, izek.k i=k ¼eq[; fpfdRlk vf/kdkjh }kjk izekf.kr½

1- ;g izekf.kr fd;k tkrk gS fd Jh@dq0¼vH;FkhZ½ ----------------------------------------------------------------------------------

iq=k@iq=kh Jh ¼firk dk uke½ -------------------------------------------------------------uhps fy[ks dkj.kksa ls ’kkjhfjd
:i ls fodykax gSaA
¼dsoy eq[; fpfdRlk vf/kdkjh gh dkj.k fy[ksa½-------------------------------------------------------------------------------------
2- vH;FkhZ dh mijksDr fodykaxrk dks fuEu izdkj dh fodykaxrk dh Js.kh esa j[kk tk ldrk
gSA
¼d‘i;k P dk fu’kku yxk;sa½
Type - I: Minimum 40% permanent Visual impairment
Type-II: Minimum 40% permanent Locomoter disability
Type-III: Minimum 40% permanent Speech Hearing impairment

3- ;g Hkh izekf.kr fd;k tkrk gS fd mijksDr fodykax fLFkfr vH;FkhZ ds bUthfu;fjax

f’k{kk izkIr djus esa ck/kd ugha gksxhA

vH;FkhZ ds gLrk{kj fpfdRlkf/kdkjh ds gLrk{kj

uke uke
fnukad eqgj
 CERTIFICATE – 7 (izek.k i=k&7)
* FORMAT FOR MEDICAL CERTIFICATE
(To be obtained from a Chief Medical Officer or Medical Officer of a participating U.P. State Funded Engg. Institute)

This certificate has to be submitted at the time of admission in the college allotted.
Name of Candidate: Age: Sex:
Category: Subcategory :
Father's Name:
( To be filled in by the Candidate )
L.T. M.I. Colour Vision:

VISION
Without glass:
Height Weight Chest Abdomen
With glass:

History Operation Kockh's Colics B.P.

Seizures Asthma Piles Diabetes

E Pulse Tonsil DNS Hernia
X
A
M Pallor L.Nodes CSOM Hydrocele
I
N Cardiovascular CNS
A
T Respiratory GIT
I
O
N Genitourinary Others
Is the candidate physically handicapped/Disabled: (Please tick) Yes / No
If yes, type of handicap/disability: Type - I: Minimum 40% permanent Visual impairment
(Please trick P the type of handicap/disabilty) Type-II: Minimum 40% permanent Locomoter
disability
Type-III: Minimum 40% permanent speech and Hearing
impairment
Any other finding:
Certified that the candidate is physically fit/unfit/temporally disqualified to pursue engineering studies

Signature of Candidate Signature of the issuing Medical Officer ( with Offical stamp)

------------------------------------------------------------------------------------------------------------

CERTIFICATE – 8 (izek.k i=k&8)

UNDERTAKING BY CANDIDATE FOR MEDICAL FITNESS

I certify that I have no such physical handicap/disability which would hinder the pursuit of
studies in the courses in which I am seeking admission. If at stage it is found that I have a
physical handicap/ disability which would hinder the pursuit of studies in the courses in which I
am seeking admission then my admission will be liable to be cancelled. I will produce medical
fitness certificate from a C.M.O./C.M.S. at the time of my joining the institution allotted by SEE-
2009 counselling.

Dated: Counter Signed by Father / Guardian Signature of the Candidate