Online Registration For All Bengal Entrance Exam (2017 - 18)
 
STUDENT ID
   
Course Applied For:*  
Foundation Course (4 months course to be combined with UG program only)
   
UG PG
Choice of Stream 1 Specialization
(Select multiple as per your choice)
Choice of Stream 2  
Choice of Stream 3  
*Note: For selecting course from different groups one needs to fill two different Application forms.
Paste Your Recent Picture (Approximate 60 KB)*
 
Personal Details:*
Full Name (IN CAPITALS - AS IN HIGH SCHOOL/SECONDARY SCHOOL CERTIFICATE):
Date of Birth:* Place of Birth:* Gender:*
DAY : MONTH : YEAR :
Male Female
Father's Name:* Mother's Name:*
Qualification: Qualification:
Occupation:*
Service Business
Parent's Contact No:*
Household Income (Per Annum):*
Less than (Rs.) 3,00,000 (Rs.) 3,00,001 - 5,00,000 (Rs.) 5,00,001 - 10,00,000 Above (Rs.) 10,00,000
ID Proof :*
Passport Voter ID Driving License UID Pan Card School ID Bank A/c.
Number:
Date of Issue:
DAY : MONTH : YEAR :
Permanent Address:*
 
Correspondance Address (If Different) :
   Check this box if Permanent Address and Correspondence Address are the same.
E-mail Address :* Nationality:*
Category:*
General SC ST OBC Minority Other
Physically Handicapped :*
Yes No
Source of Information :*  
Newspaper TV Radio Internet Staff Reference Hoardings
University Students Walk - in Education Fair Friends/Relatives Consultant Marketing Activities
 
Educational Qualifications:
Examination Passed Year of Passing Board/University School/College City State Aggregate (%/CGPA) Grade
X th *Standard :
XII th Standard :
Graduation :
Name of the Degree : Specialisation :
PG
Name of the Degree : Specialisation :
Diploma
Name of the Degree : Specialisation :
Any Gap in Academic Years:*
Yes No
Numbers of Years:
Specify the Year(s):
Reason:
 
Subjects Opted in Class XII (Only for Science Students):*
Medium of Study (Qualifying Examination):
Details of Marks (Full Marks to be filled first) :
  Phy. Chem. Comp./IP. Math. Bio. Eng. PCM (in %) PCB(in %)
Full Marks
Mark Obt.
 
Entrance Examination Details:
JEE Rank(AIR) JEE Rank(B.Arch) WBJEE Rank(Engg.)
WBJEE Rank(Medical) CAT(Percentile) 2014 MAT(Percentile)
GMAT(Percentile) XAT(Score) CLAT(Score)
Other if any, please specify :
   
 
Test Centre Location of AUAT (Adamas University Admission Test):*
Select Your Geo Location:
Country Name State Name Location Wise Exam Centre
 
 
Honour/Award (List your achievements in Sports, Cultural and Co-Curricular activities):
Name of Honour/Award Ranking Level Activity
 
Work Experience (If Any):
Job Description :
Employer(Last only) :
Designation : Period :
 
Year of Service (Min. 2 years exp. in a supervisor position) :
Does any of your sibling(s) study/studies at any of the ADAMAS Institutions?* Yes No If yes, please give details :
Name Relationship Program Year of Admission
 
Would you require? Hostel Accommodation* Yes No   AC Non - AC
Transport Facility* Yes No      
Fee Deposition Mode* Self Finance Education Loan
Original documents required during admissions process:
X, XII admit card results, Migration Certificates, 4 copy passpost size photo and any ID prof- (Aadhar Card/Voterís Card/Driving License/Passport/Pan Card).
 
Declaration by Student:
  • I hereby certify that the particulars furnished by me are correct and nothing has been withheld or wrongly stated.

  • I undertake that I will not associate/involve myself with any unlawful activity.

  • I undertake that I will neither smoke nor consume alcohol, drugs or any intoxicant, within University/Hostel premises.

  • I certify that I have never been debarred from appearing in any examination.

  • I also declare that no criminal offence/inquiry is pending against me.

  • I fully understand and undertake that I will attend all classes as per University time table. I also understand that I will not be allowed to appear in exam, in case my attendance falls below 75% level.

  • I undertake that I will submit my final result before last date of admission, failing which I will have no claim whatsoever and the University may cancel my admission.

  • I also clearly understand that if I am found to be directly/indirectly involved in any case of ragging at any stage of my stay in the University/Hostel, the University will have the right to expel me from the University/Hostel and also register a criminal case against me, as per the direction of Honourable Supreme Court of India.

  • In case of any dispute, the decision of the Registrar, ADAMAS UNIVERSITY shall be final and binding.

  • I have read and understood the rules of discipline of the University and shall abide by them. I also fully understand that in case of any violation, I can even be detained, rusticated, or expelled from the University.

I Agree
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