Common Entrance Examination 2013-14: Azad Group of Educational Institutions

Note : Please read the instructions carefully, given on the back page Application Form No. …………………..
AZAD GROUP OF EDUCATIONAL INSTITUTIONS

Approved by AICTE & Affiliated to Uttar Pradesh Technical University/Lucknow University, Lucknow
COMMON ENTRANCE EXAMINATION 2013-14

For Admission into B.Tech./B.Tech. (2nd Year)/B.Pharm./B.Pharm. (2nd Year)/BBA/MCA/MBA and Polytechnic Programmes
Under Reserved Seats for Minorities
APPLICATION FORM
(Please fill in the Block Letters) Roll No:- ……………………….

(To be filled by Office)
1. Name of the Candidate :……………………………………………………………………………

2. Father’s Name :…………………………………………………………………………… Affix self attested
Passport Size
3. Father’s Occupation :……………………………………………………………………………
Photograph
4. Address :………………………………………….………………………………..
……………………………………………………………………………
…………………………………………………………………… Pin Code……………………
5. Mobile No. : Candidate ………………………………… Parent/Guardian………………………………..
6. Gender : Male/Female
7. Qualifying Examination : Intermediate/B.A./B.Sc./B.Com./Other
Appeared/Passed:………………………………… Percentage of Marks..……………%
8. Programme (Course) : B.Tech./B.Tech.(2nd Year)/B.Pharm./B.Pharm.(2nd Year)/BBA/MBA/MCA
Applied for
9. (Write the name of the centre from the given list
Of the proposed examination centres)
DECLARATION
1. I hereby certify, that the particulars given by me in this Application Form are true to the best of my knowledge and
belief.
2. I understand that my admission will be strictly as per Gautam Buddha Technical University, Lucknow’s norms.
Signature of the Parent/Guardian……………………. Signature of the Candidate………………
Date :
AZAD GROUP OF EDUCATIONAL INSTITUTIONS, LUCKNOW
(Under the auspices of Azad Educational Society, Lucknow)
Date of Examination : Wednesday 12th June 2013, Time: 10:00AM to 12:00 Noon
LIST OF EXAMINATION CENTRES FOR CEE-2013
S. No.. DISTRICT EXAMINATION CENTRE
1 Aligarh Zakir Husain Model Hr. Sec. School, Civil Line Dodhpur, Aligarh-202001
2 Allahabad Majidia Islamia Inter College, 275, Tulaipur, Shaukat Ali Marg, Allahabad-211001
3 Ambedkar Nagar Quami Inter College, Tanda, Ambedkar Nagar-224190
4 Badaun H.S. Islamia Inter College, Kachehri Road, Badaun-243601
5 Deoria O.K.M Inter College, Vill & Post Lar, Deoria-274502
6 Etawah H.M.S Islamia Inter College, (Primary Section) Mohalla Urdu, Etawah-206001
7 Faizabad Darsgah-e-Islami Inter College, Mugalpura, Faizabad-224001
8 Gonda Jigar Memorial Inter College, Faizabad Road, Gonda-271001
9 Gorakhpur Mian Saheb’s Islamia Inter College, Bakshipur, Gorakhpur-273001

V.H.H.S Rahmania Inter College, Moh-Haiderganj, Town-Maudaha, Hamirpur-
10 Hamirpur
210507
Azad Institute of Engg. & Technology, CRPF Colony, Bijnour Chauraha, Lucknow-
11 Lucknow
226002
12 Lucknow Amirudhaula Islamia Inter College, Lalbagh, Lucknow.
13 Lakhimpur Kheri Islamia Inter College, Near Road Bus Stand, Lakhimpur-262701
14 Pratapgarh Abdul Kalam Azad Inter College, Pratapgarh-230001
15 Kannauj Dr. Zakir Husain Memorial Inter College, Seemant Nagar, Gursahaiganj, Kannauj.
16 Sant Kabir Nagar National Inter College, Vill & Post-Mooradiha Bage, Sant Kabir Nagar-272125
17 Sultanpur Haji Mohd Hanif Memorial Inter College, Lollepur, Sultanpur-228001
Note:
(1) The Application form can be obtained from the above centre and to be submitted there only.
(2) Application form can also be downloaded from are website: www.agei.in & can be submitted at any of the above centre.
CEE - 2013 SCHEDULE
Last Date of Form Submission : 11th June 2013
Result Declaration : 18th June 2013
Counselling for Admission : 20th June 2013 to 25th June 2013
For any query or problem, please call on any of the Following Mobile Nos:-
B.Tech. B.Pharma/
Course B.Tech. B.Tech. MBA/BBA MCA
(2ndYear) B.Pharma (2nd Year)
Mr. Md. Umar/ Mr. Shujaat Prof. S.H. Shabbir/ Dr. Shafeeq Ahmad/
Name Mr. Nadeem Mr. Irfan Aziz
Mr. M. Salman Karim Mr. S.M. Mohiuddin Mr. Haroon Ahmad
9415013339 9838360908/ 9415013342

Mob No. 9452989460 9415094607 7860869219
9889545471 9415766424 9935227978
Phone No.: 0522-2817608 Fax : 0522-2817609

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Note : Please read the instructions carefully, given on the back page Application Form No. …………………..

AZAD GROUP OF EDUCATIONAL INSTITUTIONS

COMMON ENTRANCE EXAMINATION 2013-14

(Please fill in the Block Letters) Roll No:- ……………………….

1. Name of the Candidate :……………………………………………………………………………

Signature of the Parent/Guardian……………………. Signature of the Candidate………………

3 Ambedkar Nagar Quami Inter College, Tanda, Ambedkar Nagar-224190

4 Badaun H.S. Islamia Inter College, Kachehri Road, Badaun-243601

5 Deoria O.K.M Inter College, Vill & Post Lar, Deoria-274502

7 Faizabad Darsgah-e-Islami Inter College, Mugalpura, Faizabad-224001

8 Gonda Jigar Memorial Inter College, Faizabad Road, Gonda-271001

9 Gorakhpur Mian Saheb’s Islamia Inter College, Bakshipur, Gorakhpur-273001

14 Pratapgarh Abdul Kalam Azad Inter College, Pratapgarh-230001

17 Sultanpur Haji Mohd Hanif Memorial Inter College, Lollepur, Sultanpur-228001

9415013339 9838360908/ 9415013342

Phone No.: 0522-2817608 Fax : 0522-2817609

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