Application Form for Admission to First Year of B.Tech

KAKATIYA INSTITUTE OF TECHNOLOGY & SCIENCE:: WARANGAL Opp: Yerragattu Hillock, Vill: Bheemaram, Mandal: Hasanparthy. Warangal- 506 015, Ph. No: 0870-2564888, 2564322. APPLICATION FORM FOR ADMISSION TO FIRST YEAR OF B.TECH UNDER CATEGORY – B SEATS (MANAGEMENT) – 2013-2014

Note: The filled in Applications with the stated enclosures must be sent to “THE PRINCIPAL, KITS, WARANGAL, (AP)-506 015” by Registered post with Acknowledgment due as per the guidelines of APSCHE, Govt. of AP.

1. Name of the Candidate :

2. Name of the Father/Mother/Guardian :

3. Permanent Address :

4. Date of Birth and Age as on 31/12/2012. :

(Min. Age 16 years as on 31/12/2012)

5. Phone Nos. (Land & Mobile) & e-Mail ID :

6. Category : AP State / Out side AP State

Candidates Intermediate Intermediate Rank in AIEEE (JEE Rank in from Group % Aggregate % Main) EAMCET AP Sate

Out side AP State

7. Available Courses in B.Tech Course Opted in order of preference 1) Civil.Engg.- CE 2) Mech.Engg.-ME 1. 3) Electr&Instru.Engg.-EIE 4) Comp Sci&Engg.- CSE 2. 5)Electrical & Electrn..Engg.-EEE 6) Electr&Comm.Engg.-ECE 3. 7) Information Technology - IT

8. D.D. No. ______Date :______Bank &Branch______

(Rs. 1,000/- D.D. on “Principal, KITS Warangal” payable at SBH, Yerragattugutta Branch, KITS Campus, Warangal.)

DECLARATION We declare that all the particulars given above are true. We understand that any incorrect information will render the application liable for rejection and the admission granted on the basis of such incorrect information, will stand cancelled.

Signature of the applicant Signature of the Parent/Guardian ______(Name in Block Letters) (Name in Block Letters)

Enclosures:

1. SSC or its equivalent certificates (Photocopy)

2. Marks sheet of Intermediate or its equivalent (Photocopy) for ascertaining completion of qualifying examination for B.Tech.

3. Photocopy of Hall Ticket and Rank Card of EAMCET-2013/AIEEE (JEE Mains) - 2013 (as applicable)

4. Registration fee of Rs. 1,000/- in the form of a Demand Draft drawn in favour of “Principal, KITS Warangal” payable at SBH, Yerragattugutta Branch, KITS Campus, Warangal.