VIGNAN INSTITUTE OF TECHNOLOGY & SCIENCE

1. VIGNAN INSTITUTE OF TECHNOLOGY & SCIENCE (Approved by AICTE & Affiliated to JNTU, Hyderabad) Vignan Hills, Near Ramoji Film City, Deshmukhi, Hyderabad – 508 284 Email: principal.vits@gmail.com, Website: www.vignanits.ac.in  98663 99776/861/664, Fax : 08685-226625 Estd:1998 Application for admission to B.Tech Programme under Management Quota (Category –B) for the academic year 2013-14 Branch in which admission is sought for : Entrance examination details: Photograph Academic details of the student: Personal details of the student: 1. Name of the student : (as per SSC) 2. Sex (M / F) : 3. Date of Birth (as per SSC) : (DD/MM/YYYY) 4. Name of the Parent / Guardian : 5. Name of the Mother : 6. Address for Communication : S/o. D/o. C/o : H.No. / Street : Village / Town : Mandal / District : State : Contact No. : E-mail ID : 7. Any other relevant information : _____________________________________________

2. Student’s Undertaking : I undertake to state that all the information furnished by me is true to the best of my knowledge. I acknowledge that any misrepresentation of information might lead to the disqualification of my admission. I shall abide by the rules and regulations of the college and also undertake not to indulge in any activity, which is restricted by the college. Signature of the student Parent’s Undertaking : I shall undertake the responsibility of good conduct and behavior of my ward during his / her stay at the college and shall pay tuition and other fee as and when demanded by the college. I also understand that as per university guidelines, a minimum attendance of 75% is essential for my ward to be allowed to write the university examinations. Signature of the Parent Indicate category by selecting the appropriate box FOR OFFICE USE ONLY Date of application : Branch : Website: www.vignanits.ac.in Contact us :  98663 99776/861/664 - Fax : 08685-226625 Note: Application forms may be submitted at the college office (or) may be sent by post (or) a scanned copy may be mailed to principal.vits@gmail.com on or before 4.30 PM of 28th August 2013. A fee of Rs. 1500/- may be paid in cash or a DD should be drawn in favour of the “Vignan Institute of Technology & Science” payable at Hyderabad for the applications obtained from the Office of the Principal on payment of Rs.500/- towards application fee. (or) Alternately an amount of Rs. 2000/- may be paid in cash or a DD should be drawn in favour of the “Vignan Institute of Technology & Science”, payable at Hyderabad for applications obtained in other modes like online.