Admission No:

Admission Date: 04/04/2024 Admission Form (Session: 2024-2025)

Application No: ABES/2024/00990

(1) Course/Branch Detail (Fill as per allotted seat through Counseling or Direct admission)

Branch Name B.TECH COMPUTER SCIENCE AND ENGINEERING

(2) Mode of Admission DIRECT

Admission Under MANAGEMENT

(3) PERSONAL DETAILS :

Full Name AKSH TYAGI

Nationality INDIAN Religion HINDUISM

Domicile Blood Group

Date of Birth 24/03/2006 Gender MALE

Category GENERAL Sub Category

Student E-Mail ID AKSHTYAGI962@GMAIL.COM Student Mobile No +91-7060876350

Student Aadhar No. 420416996384

(4) Father's Details :

Father's Name SACHIN TYAGI Father's Email ID MEENUTYAGI189@GMAIL.COM

Father's Mobile No. +91-8077004223 Father's Aadhar No.

Father's Annual Income Father's Occupation

(5) Mother's Details :

Mother's Name PRATIBHA TYAGI Mother's Email ID MEENUTYAGI462@GMAIL.COM

Mother's Mobile No. +91-6398267846 Mother's Aadhar No.

Mother's Annual Income Mother's Occupation

(6) Annual Family Income in Rs :

(7) Address :

(i) Permanent Address:

Address TANKI ROAD, NAGAR PALIKA MARG

City GHAZIABAD Pin Code 201206

District GHAZIABAD State UTTAR PRADESH

Country INDIA
(ii) Correspondence Address:

Address TANKI ROAD, NAGAR PALIKA MARG

City GHAZIABAD Pin Code 201206

District GHAZIABAD State UTTAR PRADESH

Country INDIA

(8) Local Guardian Details :

Name Relationship

Mobile Email ID

Address

(9) ACADEMIC QUALIFICATION

(i)ACADEMIC DETAILS

SCHOOL
EXAMINATION PASSING BOARD MARKS TOTAL
ROLL NO /COLLEGE MEDIUM AGG%/CGPA
PASSED YEAR /UNIVERSITY OBTAINED MARKS
NAME

COUNCIL OF INDIAN
MOUNT
SCHOOL CERTIFICATE
X 7551400 2022 CARMEL ENGLISH 401 500 80.20
EXAMINATION
SCHOOL
(CISCE/ICSE)

COUNCIL OF INDIAN
MOUNT
SCHOOL CERTIFICATE
XII 2024 CARMEL
EXAMINATION
SCHOOL
(CISCE/ISC)

Diploma

Graduation

OTHER (In
COMPUTER
STUDENT MARKS IN 12TH PHYSICS MATH CHEMISTRY place of ENGLISH OTHER PCM PMO
SCIENCE
chem)

MARKS OBTAINED

MAX MARKS

PERCENTAGE

ANY STUDY GAP 10TH ONWARDS: ANY STUDY GAP AFTER ELIGIBLE QUALIFYING EXAM:

(10) COMPETITIVE EXAMINATION DETAILS :

NAME EXAMINATION ROLL NO RANK PERCENTILE/SCORE

JEE Main

UPCET

GATE

OTHER EXAM

(11) In case of UPCET/ JEE Mains-Payment Details Amount in Rs :

(12) Hostel Details (Yes/No) (13) Transports Details (Yes/No)

DECLARATION

(i) That the entries / information made by me Online at the time of Admission are correct and true to the best of my knowledge and based on records.

(ii) I solemnly undertake to accept and abide by the rules of the ABES Engineering College , Ghaziabad taken by the College Authorities and Hostel Authorities (if
applicable) in regard to my admission.

Signature of Students Signature of the Parent / Guardian

Date : 04/04/2024 Name :

 Relation :

List of documents to be attached with Admission form (Session 2024- 25 )

Kindly attach following documents with the admission form in the same sequence (xerox copy to be self attested)

official use
Name of the Document
(Tick if attached )

01. Allotment Letter (For Counselling) # ☐

02. UPCET / JEE Mains -21 Result (For Direct if appeared) * ☐

03. 10th Mark Sheet * # ☐

04. 10th Passing Certificate * # ☐

05. 12th Mark sheet * # ☐

06. 12th Passing Certificate * # ☐

07. Graduation/Diploma Marksheets (Final year or the latest one available) * # ☐

08. Transfer Certificate (T.C) * # ☐

09. Migration Certificate * # ☐

10. Caste Certificate (For SC,ST & OBC) * # ☐

11. Income Certificate (If applicable) * # ☐

12. Domicile Certificate (If applicable) * # ☐

13. Gap Affidavit (If applicable) * # ☐

14. Student Aadhar Card * #/strong> ☐

15. Medical Fitness Certificate (Original)* ☐

16. Blood Group * ☐

17. Character Certificate (Original)* ☐

18. Aadhar Card (Parents) (1 Photocopy) ☐

19. PAN Card (Parents) (1 Photocopy) ☐

20. Declaration/ Undertaking (Original)* ☐

21.Declaration / Undertaking for Internet Use ☐

NOTE: * Non Returnable

I undertake to submit the above mentioned (unticked) documents latest by 31.08.2024. In case of non submission, I would be
personally responsible for any consequences arising out of the event that may even lead to cancellation of my admission, for
which the college authorities would not be responsible.

(Student Signature) (Parents Signature)

Name : AKSH TYAGI Name: SACHIN TYAGI

Admission No :
B.TECH COMPUTER SCIENCE AND
Course : B.TECH Branch
ENGINEERING
 Enrollment Form 2024- 25

Branch B.TECH COMPUTER

Mode of Admission DIRECT Qualifying (%) Admission No.:
SCIENCE AND ENGINEERING

Admission Under MANAGEMENT

Name of Student Mr./Ms. AKSH TYAGI

Date of Birth (DD/MM/YYYY) 24/03/2006 ​ Blood Group​​

Category GENERAL Gender MALE

Permanent Address:

Address TANKI ROAD, NAGAR PALIKA MARG

City GHAZIABAD Pin Code 201206

District GHAZIABAD State UTTAR PRADESH

Country INDIA

Present Address:

Address TANKI ROAD, NAGAR PALIKA MARG

City GHAZIABAD Pin Code 201206

District GHAZIABAD State UTTAR PRADESH

Country INDIA

Tel No 7060876350 Student Mobile No +91-7060876350

Father's Name SACHIN TYAGI Mobile No +91-8077004223

Mother's Name PRATIBHA TYAGI Mobile No +91-6398267846

Father's Annual Income (A) Mother's Annual Income (B)

Total Annual Income (A+B)

Following Documents of Self Attested copies are enclosed with Check List:

S.No Documents Check Box Remarks

1. Migration & TC (Original)

2 Allotment letter / UPCET / JEE Result

3. UG/Diploma Mark Sheet (ALL)

4. 12th Mark sheet & Passing Certificate

5. 10th Mark sheet & Passing Certificate

6. Caste Certificate (if applicable)

7. Domicile Certificate (if applicable)

8. Income Certificate(Only FW/EWS)

9. Aadhar Card

10. Gap Affidavit (Original) (if applicable)

I undertake to submit the above mentioned (unticked) documents latest by 31.08.2024. In case of non submission, I would be
personally responsible for any consequences arising out of the event that may even lead to cancellation of my admission, for
which the college authorities would not be responsible

(Student Signature) (Parent Signature) (Authorized Signature)