Chaitanya Bharathi Post, Gandipet, Hyderabad-500 075

CHAITANYA BHARATHI INSTITUTE OF TECHNOLOGY(Autonomous) Chaitanya Bharathi Post, Gandipet, Hyderabad-500 075 Ph.No. 040-24193276/77/79/80 Fax: 040-24193278 Email: [email protected]

REGISTRATION FORM FOR ADMISSION TO M.E./M.TECH 2013-2014(B-CATEGORY)

IMPORTANT NOTES: Candidates are advised 1) to fill in and submit separate application for (a) each branch of engineering, if they are seeking admission in more than one course 2) to state clearly type of admission GATE/PGECET 3) to enclose attested photocopy of GATE/PGECET score/rank card/qualifying examination certificate/experience 4) to enclose the registration fee in the form of DD for Rs.500/- drawn in favour of Principal, CBIT. Last date for submission of registration form along with above stated copies in CBIT is 26/08/2013 (4:00 PM)

1. Registration for admission to course (s) (Tick mark appropriate course) a) ME (Civil) b) MTECH (Civil) (Structural Engg.) (Earthquake Engg) c) ME (MECH) d) ME (MECH) (CAD/CAM) (Thermal Engineering) e) ME (ECE) ME (ECE) (Communication Engg.) f) (Embedded Systems and VLSI Design) g) M.Tech (CSE) h) M.Tech (CSE) (Computer Science Engg.) (Computer Network – Information Security.) j) ME (EEE) (Power Systems & Power Electronics)

2. Name of the Applicant: :

3. Father’s /Guardian Name :

4. Date of Birth (According to S.S.C. or equivalent):

5. Address for Correspondence : with Ph. No. & E-mail address 6. GATE(Qualified)/PGECET Particulars

GATE/PGECET GATE SCORE/ PGECET RANK

HALL TICKET No.

7. Qualifying Examination Particulars :

B.E./B.TECH /OTHERS Branch

UNIVERSITY MONTH & YEAR MARKS SECURED & %

8. EXPERIENCE

Name & Address of the Organization Date of Joining

9. Registration Fee Particulars

Amount Rs.500/- D.D.No.&Date Bank

DECLARATION

Certified that the information furnished in the Registration form is true and correct to the best of my knowledge. I fully understand my admission will stand cancelled in case of information furnished by me is found to be false at any stage.

Place:

Signature of the Candidate

Date: Signature of the Father/Guardian