Instructions to Document Verification Centers

U.P. State Entrance Examination (UPSEE- 2016) Dr A. P. J. Abdul Kalam Technical University IET Campus, Sitapur Road, Lucknow Instructions to Document Verification Centers 1. Total Eighty (80) Document Verification Centers have been designated in the state of Uttar Pradesh. A list of these centers sorted on the district of location of centre is available on the website www.upsee.nic.in. Login Credentials: 2. Each document verification centre must identify 10-12 verifying officers who will be deputed exclusively for the work of document verification. and these officers must be well acquainted with the Information Brochure of UPSEE-2016, especially eligibility criteria for various programs, Category / Subcategory / Weightage / Domicile definitions and required certificates etc. (Given for reference at the end of this document) 3. IT IS COMPULSORY FOR THE VERIFYING OFFICERS TO GET LOGIN/PASSWORD WELL BEFORE THE START OF DOCUMENT VERIFICATION PPROCESS OF COUNSELLING. 4. The Login-ID / Password of the Director / In charge (also called RC ADMIN ADMISSION CENTER) of Verification Centre shall be provided by the University. Thereafter, In charge of Verification Centers, using his own Login credentials, shall create Login-IDs/ Passwords of the identified verifying officers (also called RC USER) of their verification centers and define the privileges available to them. 5. The usage mechanism of Login-ID/Password must be exercised well before the start of the process. 1

6. The exchange of Login-ID / Password is strictly prohibited. Each counselor must his own token for processing of the job of certificate verification. The verifying officers must not take any leave or remain absent during the verification period. 7. Director/ In charge of Verification Centre should hold a meeting / training session of all verifying officers and discuss about the eligibility, category/ subcategory/weight age definitions and required certificates for better understanding and must ask the officers to carefully perform their job of document verification. 8. During the training, the observers/ verifying officers must be exposed to the usage of software for document verification, steps to be taken in change of category due to non availability of required category certificate, withdrawal of weightage, counseling process, formats and other requirement of documents etc. 9. It should be noted that a candidate may be eligible for admission to more than one programs. Minimum Eligibility (subject combinations and minimum percentage) related to qualifying examination related to different programs may vary program wise. The software is designed in such a manner that the document verification for a candidate is done only once and all programs for which he is eligible is verified in single go. The verifying officer has to check the eligibility / candidature of the candidate in all the programs and accordingly tick / untick the options available for each and every program on the bottom part of the screen. 10. The verification of the candidate is one time process and is closely linked with the seat allotment to the candidate. The utmost care has to be taken in performing the activity of document verification. Once a candidate is verified, verifying officer would not be able to change the status of verification. 11. The required certificate related to the category / subcategory etc appears on the screen during verification process. The officer must ask 2

the candidate to produce those certificates. In case a candidate do not produce the related certificate, his/ her profile related to the category / subcategory/ weight age / domicile, as the case may be, has to be changed accordingly. Help Desk: 12. Each document verification centre shall have a designated desk called Help Desk equipped with a computer with internet connectivity and telephone. The contact detail of help desk shall be sent to the University control room before the start of the verification process. 13. The Help Desk will help the students in clarifying doubts of the candidates on verification/counseling procedure. Canvassing in any form regarding the candidate s choice for a particular course or for an institute is strictly prohibited. Candidate must make his/her choices without any influence. 14. EACH DOCUMENT VERIFICATION CENTRE IS EXPECTED TO PROVIDE GENERAL FACILITIES TO CANDIDATES/PARENTS SUCH AS WAITING HALL, DRINKING WATER, AND WASH ROOMS ETC MAINATAING MINIMUM LEVEL OF HYGIENE STANDARDS. Document Verification: 15. At least eight (8) counters equipped with computer, printer and internet connectivity will be set up at a place that is convenient for forming a queue of around 8-10 candidates. 16. EACH VERIFYING OFFICER MUST STUDY AND UNDERSTAND THE VARIOUS CERTIFICATES REQUIRED FOR DIFFERENT ELIGIBILITY REQUIREMENTS OF VARIOUS PROGRAMS, CATEGORY/SUBCATEGORIES OF STUDENTS. A LIST OF VARIOUS REQUIRED DOCUMENTS/FORMATS REQUIRED IS GIVEN IN THE INFORMATION BROCHURE AND IS ALSO GIVEN AT THE END OF THIS DOCUMENTS. 3

17. All centers are expected to use a mechanism of issuing a token for crowd management/for sequencing of candidates to ensure candidates are entertained on first come first served basis. In case if the number of candidates is large, beyond the capacity on a given day or time the centre candidates may be advised to go to other centers. 18. EACH VERIFYING OFFICER SHALL PREPARE A SEPARATE FILE FOR EACH CANDIDATE. ALL DOCUMENTS PERTAINING TO THE CANDIDATE MUST BE KEPT IN HIS FILE. THESE FILES WILL BE RETURNED TO THE UNIVERSITY AT THE END OF COUNSELING. ALL SUCH FILES MUST BE KEPT IN A SAFE CUSTODY. 19. Each such file shall have a name of the candidate, category, combined general rank, category rank on the front page. The sample of first page may be obtained from the University. Canvassing: 20. The Director/Principal of the college or In-charge at document verification centre will ensure that no candidate is given any type of unsolicited advice on candidate preference for a branch or institution or ranking of the institution. 21. Display of any slogan/poster/banner bearing that may influence candidate s opinion about a particular institution is strictly prohibited. 4

Relevant Part of Information Brochure for Reference 3. ELIGIBILITY CRITERIA The candidates must fulfill the eligibility criteria as given in clause 3.1/3.2/3.3 to appear in UPSEE-2016. However, the candidates appearing in the qualifying examinations are also eligible to appear, subject to the condition that they must fulfill the eligibility criteria as given in clause 3.1/3.2/3.3 at the time of counselling. 3.1 ELIGIBILITY TO APPEAR IN UPSEE-2016 FOR ADMISSION TO FIRST YEAR OF B.TECH. / B.PHARM. / B.ARCH. / BHMCT / BFAD / BFA (i) The subject combination required in the qualifying examination (intermediate examination of U.P. Board or 10+2 level examination or its equivalent) for admission to first year of different courses shall be as follows: Course Compulsory Subjects Anyone of the following Subjects B. Tech. Physics & Mathematics Chemistry/ Bio-Technology / Biology / Technical Vocational subject B. Tech.(Bio-Technology) (i) Physics & (ii) Mathematics OR Biology Chemistry/ Bio-Technology / Technical Vocational subject B. Pharm. Physics & Chemistry Mathematics/ Bio-Technology/ Biology / Technical Vocational Subject B. Arch. Mathematics & Physics Chemistry/ Computer Science/ Biology/ Engineering Drawing / Technical Vocational subject B.Tech. (Agriculture Engg.) Agriculture discipline. * BHMCT / BFAD/BFA Any discipline. (ii) (iii) For admission to first year of B.Tech./ B.Pharm., candidate must have clearly passed intermediate examination of U.P. Board or 10+2 level examination or its equivalent from any recognized Board / University without grace in required each compulsory subjects and one optional subject as given in clause 3.1 (i) and securing minimum 45% marks (40% marks for SC/ST Category candidates) in aggregate in required three subjects. For admission to first year of BHMCT/BFAD/BFA, candidate must have clearly passed intermediate examination of U. P. Board or 10+2 level examination or its equivalent from any recognized Board / University and securing minimum 45% marks without grace (40% marks for SC/ST category candidates) in aggregate. (iv) For admission to first year of B. Arch., a candidate must have clearly passed intermediate examination of U. P. Board or 10 + 2 level examination or its equivalent from any recognized Board / University and securing (i) minimum 50% marks in aggregate and (ii) clearly passed without grace, each compulsory and optional subjects as given in clause 3.1(i). 5

(v) A candidate possessing three years Diploma in Architecture (10+3) recognized by Central / State Govt., is also eligible for admission to first year of B. Arch. only, provided the candidate has passed the Diploma examination securing minimum 50% marks in aggregate without grace. Such candidates will have to appear in the entrance examination for first year of B. Arch. Paper 4 (clause 4.3). All candidates who are eligible for admission in B.Tech. Courses are also eligible for B.Tech. (Agriculture Engineering) and B.Tech. (Biotechnology). 3.2 ELIGIBILITY TO APPEAR IN UPSEE-2016 FOR ADMISSION TO FIRST YEAR OF MBA/ MCA/MAM (i) For admission to first year of MBA in any institution affiliated to AKTU, Lucknow, a candidate must have passed Bachelors degree course of three years minimum duration from any recognized Indian University; or its equivalent, recognized by A.I.U securing minimum 50% (45% for SC/ST) marks in aggregate. (ii) For admission to first year of MCA in any institution affiliated to AKTU, Lucknow, a candidate must have passed Bachelors degree course of three years minimum duration from any recognized Indian University; or its equivalent, recognized by A.I.U. securing minimum 50% (45% for SC/ST) marks in aggregate. Candidate must have passed Mathematics at 10+2 level or Graduation level. (iii) For admission to first year of MBA/MCA in other Universities of U.P., a candidate must have passed Bachelor degree course with the eligibility conditions given in following table subject to the confirmation received from the concerned University: Sl. No. Name of University/ Institutions 1 C.S.J.M. Kanpur University, Kanpur 2 Dr. R. M. L. Avadh University, Faizabad 3 M.G. Kashi Vidyapith University, Varanasi 4 V.B.S. Purvanchal University, Jaunpur Course(s) MBA MBA-Finance & Control (M3) MBA-Business Economic(M2) MBA- Tourism Management(M4) MCA Minimum pass marks at three years Graduation level As per AICTE norms. As per AICTE norms. Remarks/ Compulso ry condition s Maths at 10+2 level. MBA Graduate with 50% marks MCA Graduate Maths at 10+2 or Graduation level. MBA Graduate MCA MBA (M1) MBA Agri. Business (M17) MBA E-Commerce (M21) MBA Business Economics (M2) MBA Finance & Control (M3) MBA Human Research & Devlopment (M22) MCA Graduate with 45% marks As per UPSEE norms. As per UPSEE norms. Maths at 10+2 level. Maths at 10+2 or 6

5 M.J.P. Rohilkhand University, Bareilly 6 D.D.U. Gorakhpur University, Gorakhpur 7 Institute of Business Studies, Ch. Charan Singh University, Meerut Sir Chhotu Ram Institute of Engineering & Technology, Ch. Charan Singh Campus, Meerut 8 Dr. B.R. Ambedkar University, Agra 9 Bundelkhand University, Jhansi 10 Uttar Pradesh Vikalang Uddhar Dr. Shakuntala Misra Vishwavidyalaya, Lucknow 11 Khwaja Moinuddin Chishti Urdu, Arabi-Farsi University, Lucknow. MBA (General) (M1) MBA (Marketing) (M20) MCA Graduation 50% As per UPSEE norms MBA Minimum 40% marks at Graduation level MBA Graduate MBA (M1) MBA-IB (M5) Graduate Graduation level Maths at 10+2 or Graduation level. MCA Graduate Maths at 10+2 or Graduation level. MBA As per UPSEE MCA As per UPSEE MBA 50% MBA (Internation Business)(M5) MBA (Finance Management)(M6) MBA (Tourism Management)(M4) MCA 50% in B.Sc.(Maths/Stats)/BCA/ B.Sc.IT /B.Sc.(CS)/B.Sc.(IT).Maths at 10+2 level is compulsory MBA Graduate MBA Minimum 50% marks (45% for SC/ST) at Graduation Level (iv) For Admission to first year of MAM Course (Dual degree), a candidate must have passed Intermediate examination of U.P. Board or 10+2 level examination or its equivalent from any recognized Board/ University and securing minimum 45% marks without grace (40% marks for SC/ST category candidates) in aggregate. 3.3 ELIGIBILITY TO APPEAR IN UPSEE-2016 FOR ADMISSION TO SECOND YEAR (LATERAL ENTRY) OF B. TECH. / B. PHARM./MCA (i) (ii) Direct Admission (Lateral Entry) in second year of B.Arch./BHMCT/BFAD/BFA/MBA courses is not permissible. Lateral entry in B.Tech. for Engg. Diploma holders or B.Sc. Graduates with Mathematics as one of the subject at XII standard / B.Pharm. for Diploma holders in third semester 7

(iii) (iv) (v) (vi) (second year)/ MCA for Graduates of BCA or B.Sc.-Information Technology/Computer Science in third semester (second year), is open only in the institutions affiliated to AKTU, Lucknow. Candidates who have passed three years Engg. Diploma from an Institution located in U.P. with minimum 45% marks (40% for SC/ST) OR whose parents (Father or mother) are domicile of Uttar Pradesh and he/she has passed three years Engg. Diploma with minimum 45% marks (40% for SC/ST) recognized by the Board of Technical Education, U.P., in any branch of Engineering (except Agriculture Engg., Pharmacy and Architecture), are eligible for admission to Second year in any branch of Engineering / Technology. Candidates who have passed three years Diploma in Agriculture Engg. from an Institution located in U.P. with minimum 45% marks(40% for SC/ST) OR whose parents (Father or mother) are domicile of U.P. and he/she has passed three years Diploma in Agriculture Engg. with minimum 45% marks(40% for SC/ST) recognized by the Board of Technical Education, U.P., are eligible for admission to Second year of Agriculture Engg. Branch only. Candidates who have passed three years B.Sc. degree and passed XII standard with mathematics as one of the subject' from any recognized University; securing minimum 45% marks (40% for SC/ST) in aggregate, are also eligible for admission to second year in any branch of Engineering/ Technology. Candidates who have passed 2/3 years Diploma in Pharmacy from an Institution located in U.P. with minimum 45% marks (40% for SC/ST) OR whose parents are domicile of U.P. and he/she has passed 2/3 years Diploma in Pharmacy with minimum 45% marks (40% for SC/ST) recognized by the Board of Technical Education, U.P., are eligible for admission to second year of B.Pharm. only. (vii) For Admission to 2 nd year of MCA course (Lateral Entry), in any institution affiliated to AKTU, Lucknow, a candidate must have passed Bachelors degree course of minimum three years duration in BCA, B.Sc (IT/ Computer Science) from any recognized Indian University; or its equivalent, recognized by A.I.U. securing minimum 50% (45% for SC/ST) marks in aggregate. The candidate must have passed Mathematics at 10+2 level or Graduation level. 8

8. CATEGORY DEFINITIONS 8.1 Candidates, who have passed the qualifying examination from an institution located in the State of Uttar Pradesh and who do not claim for any reserved category are eligible for admission to all the courses at all the institutions against available General (OPEN) seats. [Code: UPGE] No category certificate required from such candidates. 8.2 Candidates, who have passed the qualifying examination from an institution located in State of U.P.; and are domicile of U.P.; and belong to Schedule Caste (SC) of U.P. / Schedule Tribe (ST) of U.P. / Other Backward Classes of U.P. are eligible for admission against available reserved seats of their category. [Respective Codes: UPSC / UPST / UPBC] Certificate No. 1 or 2, as applicable, is required. 8.3 Candidates, who have passed the qualifying examination from an institution located outside U.P.; and whose parents are domicile of U.P.; and who have not claimed for any reserved category, are also eligible for admission to courses offered at all institutions under General (OPEN) category. Such candidate has to produce the domicile certificate of his/her parents (Father OR Mother only) at the time of counselling. [Code: UPGD] Certificate Mo. 3 required from such candidates 8.4 Candidates, who have passed the qualifying examination from an institution located outside U.P.; and whose parents are domicile of U.P.; and who belong to Schedule Caste of U.P. / Schedule Tribe of U.P. / Other Backward classes of U.P. are also eligible for admission against reserved seats of their category. [Respective Codes: GDSC/GDST/GDBC] Such candidate has to produce the domicile certificate of his/her parents (Father OR Mother only) (Certificate No. 3) and Category Certificate (Certificate No. 1 or 2 as applicable) at the time of counselling. 8.5 The domicile requirement to son/daughter of following is relaxed and admission is permitted to such: (i) (ii) (iii) defence personnel settled in U.P. on the date of Entrance Examination after retirement / being disabled in action or Defence personnel killed in action and the dependents settled in U.P. on the date of Entrance Examination. (Certificate no. 5 is required.) defence personnel who are not domicile of U.P., but are posted in U.P. on the date of Entrance Examination. employee of All India Services belonging to U. P. cadre. (Certificate no. 5 is required.) (Certificate no. 11 is required) [Code: GDDA] GDDA candidates will be considered as UPGD category for all other benefits. 9

8.6 Candidates, who have passed the qualifying examination from an institution located outside U.P. and whose parents are NOT domicile of U.P. No category certificate required from such candidates. [Code: OSGE] Such candidates, alongwith candidates of other categories, shall be considered only against 10 percent of the sanctioned intake of first year in Technology/ Architecture courses in Private Institutions affiliated to AKTU. 8.7 Proformas of various certificates are available in Appendix D. 9. RESERVATION OF SEATS 9.1 Vertical Reservation (Category): Category Percentage of Reservation (a) Scheduled Caste of U.P. 21% (b) Scheduled Tribe of U.P. 02% (c) Other Backward Classes of U.P. 27% 9.2 Horizontal Reservation (Sub-category available in each category): Sub-Category Code Maximum Percentage of Total Seats (a) Dependents of Freedom Fighters from U.P. UPFF 02% (b) Sons / Daughters of defence personnel of U.P. either retired (superannuated) or killed / disabled in action or defence personnel posted in U.P./defence personnel domicile of U.P. & posted outside U.P. UPAF 05% (c) Handicapped / Disabled of U.P. UPHC 03% (d) Girls of U.P. UPGL 20% 9.3 The candidates can be given only one type of horizontal reservation out of UPFF/UPAF/UPHC. However, the girl candidates can also claim for any one of UPFF/UPAF/UPHC alongwith UPGL. 10

9.4 Subsequent request for the change of category / sub-category filled in Application Form shall not be entertained under any circumstances. 9.5 Category / sub-category must be supported by the relevant certificates as per proforma given in the Appendix-D to be produced at the time of counselling, failing which the candidates shall be treated in General Category. 9.6 The advantage of horizontal reservation in Armed force sub-category is available to sons/daughters of defence personnel of U.P. either retired (Superannuated) or killed / disabled in action and the dependents settled in U.P. or the defence personnel posted in U.P. on the date of Entrance Examination. 9.7 Certificate no. 4, 5 and 6 are required at the time of counseling, for claiming reservations in subcategories mentioned at clause 9.2 (a), (b) and (c) respectively. 9.8 The seats available under Fee Waiver scheme will be notified in respective category at the time of counselling. 9.9 Please note that benefits of UPGL subcategory will automatically be given to all the Female candidates. 10. WEIGHTAGE TO CANDIDATES FROM RURAL AREAS OF UTTAR PRADESH 10.1 A weightage of 3% of the total marks obtained at UPSEE-2016 will be given to such UPGE candidates for B.Tech./B.Pharm/B.Arch./BHMCT/BFAD/BFA courses, who have passed the qualifying examination from an institution situated in rural area of Uttar Pradesh. 10.2 For this purpose, the institutions should be situated in the jurisdiction of Gram Panchayat but the area should not be industrially developed. Such candidates must produce Certificate Number 7 at the time of counselling. 10.3 Rural weightage is not applicable for a candidate opting any other reservation and for a candidate opting direct admission to second year. 10.4 Rural weightage is not applicable for candidates under UPGD category defined in clause 8.3. 11

Various Certificate Formats for Reference Appendix D CERTIFICATE 1 ¼izek.k i=&1½ vuqlwfpr tkfr@tutkfr (UPSC/UPST/GDSC/GDST) ¼vH;FkhZ ds tue ftys ds ftyk eftlvªsv@izfke Js.kh eftlvªsv }kjk izekf.kr½ ;g izekf.kr fd;k tkrk gs fd Jh@dq0 --------------------------------------------------------- iq=@iq=h Jh ------------------- ---------------- fuoklh xkwao@'kgj ------------------------------------- rglhy ------------------------------------------------- ftyk -------- ----------------------------------izns'k --------------------- dk tue -------------------------------- tkfr esa gqvk Fkk vksj ;g tkfr vuqlwfpr tkfr@tutkfr vkns'k ¼la'kks/ku½,DV 1956 ds vurxzr Hkkjr ljdkj@mrrj izns'k 'kklu ----------------------------------------------------- ljdkj }kjk eku; vuqlwfpr tkfr@tutkfr gsa vh;fkhz ds glrk{kj fnukad LFkku glrk{kj uke eksgj ftyk vf/kdkjh @ vfrfjdr ftyk vf/kdkjh@ flvh eftlv~zsv @ ijxuk eftlv~zsv @ rglhynkj Note: Proforma of certificate shall be changed according to latest Govt. order. ---------------------------------------------------------------------------------------------------------------- 12

CERTIFICATE 2 ¼izek.k i=&2½ mrrj izns'k ds vu; finms+ oxz ds fy, tkfr izek.k i= dk izi= (UPBC/GDBC) ;g izekf.kr fd;k tkrk gs fd Jh@Jherh @dqekjh ----------------------------------------------------------------- lqiq=@lqiq=h Jh -------------------------------------------------------------------------------------fuoklh xzke ------------------------------------- ---------------------------- rglhy ---------------------------------------- uxj ---------------------------- ftyk ----------------------------------------- ---- mrrj izns'k jkt; dh -------------------------------------- finmh tkfr ds O;fDr gsaa ;g tkfr mrrj izns'k yksd lsok vuqlwfpr tkfr;ksa A vuqlwfpr tutkfr;ksa rfkk finms oxksza ds fy, vkj{k.k vf/kfu;e] 1994 dh vuqlwph & 1 ds vurxzr eku;rk izkir gsa ;g Hkh izekf.kr fd;k tkrk gs fd Jh@Jherh@dqekjh ----------------------------------------------------------------------------- - mdr vf/kfu;e 1994 dh vuqlwph &2 ¼vf/klwpuk la[;k &22@16@92&dk 02@1995 Vh0 lh0 fnukad 8 fnlecj] 1995 }kjk ;Fkk la'kksf/kr½ ls vkpnkfnr ugha gsa Jh@Jherh@dqekjh ----------------------------------------------------------------------- rfkk vfkok mudk ifjokj mrrj izns'k ds xzke ---------------------------------------------------------------------------- uxj --------------------------------------------------- ftyk -- --------------------------------- esa lkeku;r;k jgrk gsa vh;fkhz ds glrk{kj fnukad LFkku eksgj glrk{kj uke ftyk vf/kdkjh @ vfrfjdr ftyk vf/kdkjh@ flvh eftlvsªv @ ijxuk eftlvªsv @ rglhynkj uksv& vh;fkhz /;ku nsa fd m0iz0 ds vu; finm+s oxz ds fy, tkfr izek.k viszy 01] 2016 ds i'pkr dk cuk gqvk gksuk vko';d gs D;ksafd dzhehys;j ds vurxzr vkus okys vh;ffkz;ksa dks vkj{k.k dk ykhk vuqeu; ugha gsa 13

CERTIFICATE 3 ¼izek.k i=&3½ mrrj izns'k ds ewy@lkeku; fuoklh ds iq=@iq=h (UPGD/GDSC/GDST/GDBC) (ml ftys ds vf/kdkjh }kjk izekf.kr ftl ftys ds ekrk@firk fuoklh gs½ ;g izekf.kr fd;k tkrk gs fd Jh@Jherh ¼vH;FkhZ ds firk@ekrk dk uke½ ----------------------------------- ----------------firk@ekrk Jh@dq0¼vH;FkhZ dk uke½--------------------------------------------------------------------------------- mrrj izns'k ds xk o@'kgj ---------------------------------------- rglhy ---------------------------------------------ftyk ----------------------- -------------- ds ewy fuoklh gsa rfkk Jh@dq0 ¼vH;FkhZ dk uke½ ---------------------------------------------------------------------- ----vius firk@ekrk ij iw.kzr;k vkfjr gsaa mdr irs ij Jh@dq0 ¼vH;FkhZ dk uke½ --------------------- ----------------------------------------------------ds ekrk@firk lkeku;r% fuokl djrs gsaa fnukad glrk{kj ftyk eftlv~zsv LFkku iwjk uke inuke eqgj ¼ftyk eftlv~zsv dh lhy½ ftyk eftlv~zsv vfkok ftyk eftlv~zsv }kjk vf/kñr vij ftyk eftlv~zsv@lc fmohtu eftlv~zsv }kjk izek.k i= gh eku; gksaxs tks 'kk0vk0 la0&157@rhu &2003&77¼II½@83 fnukad 18 Qjojh] 2003 ds v/khu tkjh fd;k tk;sxka uksv& izek.k i=&3 vh;fkhz ds ekrk@firk dk cuk gksuk pkfg, D;ksafd vh;fkhz ftugksaus vgzdkjh ijh{kk mrrj izns'k ds ckgj flfkr fdlh fo ky; ls mrrh.kz dh gs ijurq muds s ekrk@firk mrrj izns'k ds ewy@lfkkbz fuokl gsa ijh{kk esa csbus ds ik= gsaa CERTIFICATE 4 ¼izek.k i=&4½ (Sub-Category UPFF) mrrj izns'k yksd lsok ¼'kkjhfjd :i ls fodykax] Lora=rk laxzke lsukuh ds vkfjrksa vksj HkwriwoZ lsfudksa ds fy, vkj{k.k½ vf/kfu;e] 1993 ds vuqlkj LorU=rk laxzke lsukuh ds vkfjr ds izek.k i= dk izi= izekf.kr fd;k tkrk gs fd Jh@Jherh ¼Lora=rk laxzke lsukuh dk uke½ -------------------------------------------- --- fuoklh xzke ----------------------------------------rglhy ------------------------------------------ uxj ---------------------------------------- ---------- ftyk ---------------------------------------- mrrj izns'k yksd lsok ¼'kkjhfjd :i ls fodykax] Lora=rk laxzke lsukuh ds vkfjrksa vksj HkwriwoZ lsfudksa ds fy, vkj{k.k½ vf/kfu;e 1993 ds vuqlkj LorU=rk laxzke lsukuh gsa vksj Jh@Jherh@dq0¼vkfJr vh;fkhz dk uke½ ------------------------------------------ --------------------------------- iq=@iq=h@iks=@vfookfgr iks=h mijkafdr vf/kfu;e] 1993 ds gh izko/kkuksa ds vuqlkj mdr Jh@Jherh ¼LorU=rk laxzke lsukuh½ -------------------------------------------------------------- ds vkfjr gsaa fnukad LFkku glrk{kj iwjk uke,oa Iknuke eqgj ¼ftyk eftlv~zsv dh lhy½ Note: Proforma of certificate may be changed according to latest Govt. order. 14

CERTIFICATE 5 ¼izek.k i=&5½ mrrj izns'k@lsuk ny (Sub-Category UPAF) ¼vafre ;wfuv ds vkfqlj dekfumax@ftyk lsfud dy;k.k cksmz }kjk izekf.kr½ ;g izekf.kr fd;k tkrk gs fd Jh@Jherh ¼vH;FkhZ ds firk vfkok ekrk dk uke½ ------------------------- --------------fuoklh xkwao@'kgj -------------------------------------------------- rglhy --------------------------------------------- ftyk ---- ------------------------------mrrj izns'k] ds fnukad ------------------------------dks lsok fuo`rr (Superannuated) ;q) esa ekjs x;s@viax gks x;s@mrrj izns'k esa orzeku esa rsukr gsa os Hkkjrh; Fkylsuk@tylsuk@ok;qlsuk ds LFkku ------------------------------------------------------ fnukad-------------------------- ls fnukad -------------------------- rd dk;zjr Fks@gSaA fnukad ;wfuv dekfumax vkfqlj ds glrk{kj LFkku uke Ekksgj ¼ftyk eftlv~zsv }kjk izekf.kr½ ;g izekf.kr fd;k tkrk gs fd Jh@dq0¼vH;FkhZ½ -------------------------------------------------------- fuoklh ---------------- -----------------mrrj izns'k xkwao@'kgj ------------------------------ rglhy --------------------------- ftyk ------------------------------ ----- mijksdr lsuk ny ds lsok fuo`rr (Superannuated) ;q) esa ekjs x;s ;k viax gks x;s dezpkjh tks mrrj izns'k ds LFkk;h fuoklh gsa@fks] ds iq=@iq=h gsa vfkok izos'k ijh{kk dh frffk ¼ vizsy 17@23 @24 vizsy] 2016½ dks mrrj izns'k Hkkjrh; Fkylsuk@ty lsuk@ok;qlsuk esa dk;zjr Fks@gSaA fnukad glrk{kj LFkku uke eksgj 15

CERTIFICATE 6 ¼izek.k i=&6) (Sub-Category UPHC) 'kkjhfjd fodykax ds vf/keku ds fy, izek.k i= ¼eq[; fpfdrlk vf/kdkjh }kjk izekf.kr½ 1- ;g izekf.kr fd;k tkrk gs fd Jh@dq0¼vH;FkhZ½ ---------------------------------------------------------------------- iq=@iq=h Jh ¼firk dk uke½ -------------------------------------------------------------uhps fy[ks dkj.kksa ls 'kkjhfjd :i ls fodykax gsaa ¼dsoy eq[; fpfdrlk vf/kdkjh gh dkj.k fy[ksa½------------------------------------------------------------------------ 2- vh;fkhz dh mijksdr fodykaxrk dks fueu izdkj dh fodykaxrk dh Js.kh esa j[kk tk ldrk gsa ¼d`i;k dk fu'kku yxk;sa½ Type - I: Minimum 40% permanent Visual impairment Type-II: Minimum 40% permanent Locomoter disability Type-III: Minimum 40% permanent Speech Hearing impairment 3- ;g Hkh izekf.kr fd;k tkrk gs fd mijksdr fodykax flfkfr vh;fkhz ds buthfu;fjax f'k{kk izkir djus esa ck/kd ugha gksxha vh;fkhz ds glrk{kj uke fnukad fpfdrlkf/kdkjh ds glrk{kj uke eqgj 16

CERTIFICATE 7 ¼izek.k i=&7½ mrrj izns'k xzkeh.k {ks= ds fy;s vf/keku (UPGE) ¼dkyst ds iz/kkukpk;z }kjk izekf.kr½ ;g izekf.kr fd;k tkrk gs fd Jh@dq0¼vH;FkhZ½ ------------------------------------------------------ us ---------------------------- ------------------------------------------------- dkyst xkwao ----------------------------------------------------------- ls b.vjehfm,v dh f'k{kk izkir dha ;g dkyst rglhy ---------------------------------------- ftyk ----------------------------------------------- mrrj izns'k ds xzzkeh.k {ks= esa flfkr gsa rfkk xzke iapk;r ds dk;z {ks= ds lhek ds vunj gs vksj ;g {ks= vks ksfxd fodflr {ks= ugha gsa fnukad glrk{kj gsa LFkku uke eqgj ¼ftyk fo ky; fujh{kd,oa ftyk eftlv~zsv }kjk izekf.kr½ iz/kkukpk;z }kjk fn;k x;k dkyst dh flfkfr ls laca/k mijksdr odro; izekf.kr fd;k tkrk fnukad LFkku fnukad LFkku glrk{kj ftyk fo ky; fujh{kd uke eqgj izfr glrk{kfjr ftyk eftv~zsv uke eqgj --------------------------------------------------------------------------------------------------------------------- 17

CERTIFICATE 8 ¼izek.k i=&8½ CHARACTER CERTIFICATE FROM THE HEAD OF THE INSTITUTION LAST ATTESTED This is to certify that Sri / Km. has been a bonafide student of from to and has passes / appeared at the examination in the year Proctorial reports: 1. Has he / she involved himself / herself if any act of indiscipiline? Yes / No 2. Has he / she been warned, Fined or punished for any act of indiscipline? Yes / No 3. Has he / she been restricted or expelled from Hostel of College for any reason? Yes/ No 4. Has he / she been involved in any act of indisiple outside the College campus like group clashes or fraction fights etc. Yes/ No 5. Has he / she been addicted to drugs or intoxicants? Yes/ No General remarks (Please state your assessment of the student) Date : Signature Name Designation 18

CERTIFICATE 9 ¼izek.k i= 9½ * FORMAT FOR MEDICAL CERTIFICATE (To be obtained from a Chief Medical Officer or Medical Officer of a participating U.P. State Funded Engg. Institute) This certificate has to be submited at the time of admission in the college allotted. Name of Candidate: Age: Sex: UPSEE-2016 Roll No.: Category: Subcategory & Weighatge: State Rank Position: L.T. M.I. Father's Name: ( To be filled in by the Candidate ) Height Weight Chest Abdomen VISION Colour Vision: Without glass: With glass: History Operation Kockh's Colics B.P. Seizures Asthma Piles Diabetes E X Pulse Tonsil DNS Hernia A M Pallor L.Nodes CSOM Hydrocele I N Cardiovascular CNS A T Respiratory GIT I O N Genitourinary Others Is the candidate physically handicapped/disabled: (Please tick) Yes / No If yes, type of handicap/disability: (Please trick the type of handicap/disabilty) Any other finding: Type -I: Minimum 40% permanent Visual impairment Type-II: Minimum 40% permanent Locomoter disability Type-III: Minimum 40% permanent speech and Hearing impairment Certified that the candidate is physically fit/unfit/temporally disqualified to pursue engineering studies Signature of Candidate Signature of the issuing Medical Officer ( with Offical stamp) CERTIFICATE 10 (izek.k i= 10 10) UNDERTAKING BY CANDIDATE FOR MEDICAL FITNESS I certify that I have no such physical handicap/disability which would hinder the pursuit of studies in the courses in which I am seeking admission. If at stage it is found that I have a physical handicap/ disability which would hinder the pursuit of studies in the courses in which I am seeking admission then my admission will be liable to be cancelled. I will produce medical fitness certificate from a C.M.O./C.M.S. at the time of my joining the institution allotted by UPSEE-2016 counselling. Dated: Counter Signed by Father / Guardian Signature of the Candidate 19

CERTIFICATE 11 (izek.k i= 11) vf[ky Hkkjrh; lsok ds m0iz0 dsmj ds vf/kdkfj;ksa@dezpkfj;ksa gsrq izekf.kr fd;k tkrk gs fd Jh@Jherh ¼vH;FkhZ ds ekrk@firk dk uke½ -------------------------------------------- ---------------inuke ---------------------------------fohkkx dk uke -------------------------------------------------------------- dsmj la[;k -- -------------------------------vf[ky Hkkjrh; lsok ds m0iz0 dsmj ds vf/kdkjh@dezpkjh gs rfkk orzeku esa bl dk;kzy; esa dk;zjr gsaa ;g izek.k i= buds iq=@iq=h ¼vH;FkhZ dk uke½ -------------------------------- -----------------------------------dks Mk0,0ih0ts0 vcnqy dyke izkfof/kd fo'ofo ky; mrrj izns k] y[kuå ds vurxzr izos'k gsrq iznku fd;k tkrk gsa fnukad% -------------------------------- fohkkxk/;{k@dk;kzy;k/;{k dk glrk{kj uke,oa inuke eqgj --------------------------------------------------------------------------------------- CERTIFICATE-12 ¼izek.k i=&12½ (Income Certificate) {ks=h; Hkwys[k fujh{kd rfkk ys[kiky dh tkap fjiksvz ds vk/kkj ij izekf.kr fd;k tkrk gs fd &&&&&&&&&&&&&&&&&&&&&&&&&& ¼vkosnd ds vfhkhkkod@ekrk@firk dk uke½ lqiq= &&&&&&&&&&&&&&&&&&&&&&&&&&&&& fuoklh@xzke &&&&&&&&&&&&&& ijxuk &&&&&&&&&&& rglhy &&&&&&&&&&&&&&&&& uxj &&&&&&&&&&&&&& ftyk &&&&&&&&&&&& jkt; &&&&&&&&&&&&&&&& ds Lo;a dh ekfld vk; :i;k &&&&&&&&&&&&&& rfkk okf"kzd vk; :i;k &&&&&&&&&&&&&&&&&&&&& gsa LFkku% fnukad% ys[kiky dh fjiksvz ds vuqlkj vk; dk lzksr &&&&&&&&&&&&&& gsa rglhynkj eqgj uksv& vh;fkhz /;ku nsa fd m0iz0 ds vkffkzd :i ls detksj vh;ffkz;ksa ds fy, izek.k i= viszy 01] 2016 ds i'pkr dk cuk gqvk gksuk vko';d gsa 20