BMU BTech Application Form 2016

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Founded by:

THE HERO GROUP

SCHOOL OF ENGINEERING & TECHNOLOGY

B.TECH
FROM HERE TO THE WORLD

For office use only

Please affix recent

Admission Form No. 16 B - .....................................

passport size
colour photograph

ADMISSION APPLICATION FORM - 2016


(All entries should be made in block letters)

PROGRAMMES APPLIED FOR


Please write 1,2,3,4,5 to select the programmes and to indicate your order of preference (with 1 being most preferred )
Civil Engineering
Computer Science
Mechanical Engineering
Electronics & Communication Engineering
Computer Science & Engineering

STUDENTS PERSONAL DETAILS


1. Name
3. Male

2. Surname
Female

4. Date of Birth

m m

5. Mobile No.

6. Email ID

7. Blood Group

8. Person with Disability (PWD)

9. Nationality

10. Category (Gen / OBC / SC / ST)

11. Haryana Domicile (If Yes, please attach domicile certificate)

Yes

Yes

No

No

ADDRESS DETAILS
12. (a) Current Address

13. (a) Permanent Address (If different from Current Address)

(b) City

(b) City

(c) State

(c) State

(d) Country

(d) Country

(e) Pin Code

(e) Pin Code

PARENTS / GUARDIANS DETAILS


14. (a) Name
(b) Relationship with the applicant
(c) Occupation / Profession
(d) Email ID
(e) Mobile No.
(f) Organisation Name and Address
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ACADEMIC QUALIFICATIONS
It is mandatory to attach self-attested photocopies of all education certificates / marksheets.
Originals must be submitted at the time of interview, if selected.
15(a).

Educational Qualifications (Convert Grades / CGPA to percentage as applicable)


Board

School

Class

Year of
Passing

Score in %

Subjects

X
XI
XII
Pre-Board
XII#
Class XIIth Roll No.:
15(b).

Please mention your individual subject marks of class XI and class XII
Subject

Actual

Class XI

Out of

Actual

Class XII

Out of

Physics
Chemistry
Mathematics
English
16. Entrance Examination
Name

Roll No.

Year

Score

Rank

Other entrance tests (please specify)


As soon as you get your final result for class XII & JEE / BITSAT / SAT score, please inform us. Your pre-board result
entitles you to a provisional admission only.

17. Academic Projects


Significant projects / research / creative work undertaken in Class X, XI and XII.
Attach pages with details of academic projects.
18. Extra-curricular Activities
Period of participation*

Activity

Level of participation**

Attach additional pages, if required.


*Refers to class X, class XI and class XII.
**Refers to School, Inter-School, State, National and International.
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Comments / Achievements

19. Please write an ESSAY on the topic mentioned below. The essay should be an original effort to allow the selection
committee to judge your ability. The essay should be between 500 and 750 words.
Tell us in your own words why you want to do this programme and how the programme of your choice will be helpful
in achieving your life and career objectives, and what you hope to achieve at BMU?
Please type your essay in double space and attach it with the application form.
Please specify the no. of pages attached _______
20. Please attach any relevant material that may add to our understanding of your academic and co-curricular profile,
over and above the information presented in the application form.
Please specify the no. of pages attached _______
21. Have you ever been subjected to disciplinary action by any School / College / University attended by you?
Yes

No

If yes, please specify the details.

22. Do you have a criminal record?


Yes

No

If yes, please specify the details.

23. How did you come to know about BMU?


Referral

TV

Print

Social Media

Emailer

SMS / WhatsApp

School / College Presentation

Bookstores

Online Portals

Education Fairs

Coaching Institutions

Others

Please share further details regarding where you have seen our ads:

PAYMENT DETAILS
Application Fee: `1500
DD No. / Cash /
Online Ref. No.*

Dated

Amount (INR)

Bank Name

Branch

*Payment can be made online via our website www.bml.edu.in


Please return completed application form along with cash receipt / demand draft favouring 'BML Munjal University',
payable at Delhi, and courier the same to our corporate office: 502-B, 5th Floor, Rectangle One, Saket District Centre,
Saket, New Delhi - 110 017, India.

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DECLARATION OF APPLICANT
I, the undersigned,...............................................................................Son/Daughter of........................................................................apply for
admission to BML Munjal University and hereby declare that:
All the information submitted to BML Munjal University otherwise in any manner or whatsoever, is complete and factually
correct and accurate to the best of my knowledge. In case it is found that I have concealed, suppressed or distorted any
information/fact it would render me ineligible for admission, and my admission to BML Munjal University could be cancelled and
I shall have no claim whatsoever against the University.
I understand that BML Munjal University reserves the right to reject my application/admission entirely at the discretion of the
University authorities.
I understand that in the event of my not fulfilling the requirements of any sort as prescribed by the University, the University
shall be entitled to cancel my admission at any time besides other actions as considered necessary by the University
authorities.
In the event that I am awarded a scholarship, I understand that it can be withdrawn at any time at the sole discretion of the
management of BMU.
In case of any dispute, the decision of the competent authority of the University shall be final and binding on me.
Signature of the Parent / Guardian ...................................................

Signature of the Applicant........................................................

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

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

ENCLOSURE LIST FOR APPLICATION FORM


1.

Photograph pasted on page 1 of the form

2.

Marksheets in descending order:


Class XII

Class XI

Class X

3.

Class XII Admit Card

4.

Entrance Test Admit Card (JEE / BITSAT / SAT / Others)

5.

Scorecard for Entrance Tests (JEE / Others)

6.

Other educational and professional certificates (if any)

7.

Printout of the Essay (Please limit to 750 words)

8.

Any other attachment(s) (Please specify)

9.

Demand Draft / Cash Receipt / Online payment receipt

10. Haryana Domicile Certificate (if applicable)


Note: For any sheet attached to the form, applicant should write his / her name and application form no.
We will not be able to declare your result in case all the information required is not
submitted.
Campus:
67th KM Stone, NH-8, District Gurgaon-123 413, Haryana, India.
Delhi Office:
502-B, 5th Floor, Rectangle One, Saket District Centre, Saket, New Delhi-110 017, India.
Toll Free No.: 1800-103-6888
Email: [email protected] Website: www.bml.edu.in
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FROM HERE TO THE WORLD

ANNEXURE - I
LATERAL ENTRY
Academic Mentor:
FROM HERE TO THE WORLD

1. Name:

2. Current College/University/Diploma Institute:

3. Current Course/Programme:

4. Course Applying for:

5. Please tick the box if you have attached the following information: [For degree students only]
a. First semester results *
b. Second semester results
c. Specific details of subjects studied in the first year of college/university - including course
names, course description, text book names, and grades obtained *
d. Details of your college/universitys grading and CGPA system.
e. Number of students in the programme you are currently studying
6. Please state, in detail, the reasons for leaving your current course: *

7. Have you been awarded any scholarship at college/university?


Yes

No If yes, briefly specify the details.

8. Please tick the box if you have attached the following information: [For diploma holders only]
a. Diploma marksheet **
b. Details of your diploma institutes grading and CGPA system.
9. Number of students in your batch during diploma............................
Please note:
Fields 1-4 are mandatory for all students.
Fields marked with * are mandatory for degree students.
Fields marked ** are mandatory for diploma students.
We will not process any application that does not contain all mandatory information.
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