Page 1 of 16 Information for B.Tech. first semester student getting admission through Joint Seat Allocation Authority JOSAA 2015 through JEE Main/ DASA at IIIT Allahabad and RGIIT Amethi (A Campus of IIIT Allahabad) and IIIT, Lucknow Note: All candidates who have been allotted IIIT Allahabad, RGIIT Amethi campus or IIIT Lucknow are required to report at IIIT Allahabad Jhalwa Campus during the period as specified by JOSAA 2015/ DASA. How to reach: The IIIT Allahabad campus is located at Deoghat Jhalwa (Peepalgaon Road), which is on the outskirts of Allahabad. It is 10 km from the town center and 7 km from the main railway station. Allahabad is very well connected by Trains as well as Air route from both Delhi as well as Kolkata. Railway services to this city from all mega cities of the country are excellent and quite comfortable. Best is to alight on Platform No. 1 site of Allahabad Junction and hire an auto rickshaw for about Rs. 70 – 100, depending upon day-night timings of your arrival. Guide Map for Reaching IIIT Allahabad Indian Institute of Information Technology Allahabad Deoghat, Jhalwa, Allahabad -211 012 (U.P.), INDIA
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Page 1 of 16
Information for B.Tech. first semester student getting admission through Joint Seat Allocation
Authority JOSAA 2015 through JEE Main/ DASA at IIIT Allahabad and RGIIT
Amethi (A Campus of IIIT Allahabad) and IIIT, Lucknow
Note: All candidates who have been allotted IIIT Allahabad, RGIIT Amethi campus or IIIT Lucknow
are required to report at IIIT Allahabad Jhalwa Campus during the period as specified by JOSAA 2015/
DASA.
How to reach:
The IIIT Allahabad campus is located at Deoghat Jhalwa (Peepalgaon Road), which is on the outskirts of
Allahabad. It is 10 km from the town center and 7 km from the main railway station. Allahabad is very well
connected by Trains as well as Air route from both Delhi as well as Kolkata. Railway services to this city from
all mega cities of the country are excellent and quite comfortable. Best is to alight on Platform No. 1 site of
Allahabad Junction and hire an auto rickshaw for about Rs. 70 – 100, depending upon day-night timings of
your arrival.
Guide Map for Reaching IIIT Allahabad
Indian Institute of Information Technology Allahabad
Deoghat, Jhalwa, Allahabad -211 012 (U.P.), INDIA
Page 2 of 16
Documents to be brought by the selected candidates at the time of reporting to the Institute:
Provisional Seat Allocation Letter.
Original Class X & XII Pass Certificate & Marksheet.
Original Caste Certificate (if applicable, for SC/ST/OBC). OBC certificate must have been issued on
or after 01/04/2014 as attached.
Original Certificate of Persons with Disability ( for PWD Candidate)
Original Transfer Certificate from last school/ college attended.
Original Character Certificate from last school/ college attended or from any Gazetted Officer.
Original JEE Main All India Rank/Score Card & Admit Card.
Original JEE Main seat allotment letter as given by counseling centre & fee receipt.
5 Nos. coloured photo of good quality (passport size).
Medical Report on JOSAA website.
Character Certificate.
Mirgation Certificate.
Transfer Certificate.
Fee Receipt
NECESSARILY bring two sets of self attested photocopy of above mentioned documents.
Anti-Ragging Affidavit by the student (submitted on a Non-Judicial stamp paper of Rs. 10/- duly
authorized by the Oath Commissioner)
Anti-Ragging Affidavit by the Parent/ Guardian (submitted on a Non-Judicial stamp paper of Rs. 10/-
duly authorized by the Oath Commissioner)
MCAIP Form for “Medical-cum-Accidental Insurance Benefit Scheme” has to be submitted in
duplicate (will be provided at the time of admission).
Note:-
All students are required to bring fee for 1st Semester as per the above fee structure after deduction of
the amount deposited by them to JOSAA, as a part of Fee, which will be transferred to the Institute by
JOSAA.
Present Tution fee for DASA student is US$ 4000 per semester for NRI and US$ 2000 for SAARC, all
other fee dues are same as per the below fee structure.
1. This is to certify that Smt/Shri/Kum ________________________________--son/daughter of Shri _________________ _________________________ age ________________Male/Female having identification marks as below: __________________________________________is suffering from permanent disability of following category: A. Locomotor or cerebral palsy: (i) BL – Both legs affected but not arms. (ii) BA - Both arms affected: a) Impaired reach b) Weakness of grip (iii) OL - One leg affected (right or left): a) Impaired reach b) Weakness of grip c) Ataxic (iv) OA - One arm affected (right or left): a) Impaired reach b) Weakness of grip c) Ataxic (v) BH - Stiff Back and hips (cannot sit or stoop) (vi) MW - Muscular Weakness and limited physical endurance. B.Blindness or Low Vision: (i) B - Blind (ii) PB - Partially Blind C.Hearing Impairment: (i) D - Deaf (ii) PD - Partially Deaf.
(Delete the category whichever is not applicable)
2. This condition is progressive/non-progressive/likely to improve/ not likely to improve. Re-assessment of this case is not recommended/ recommended after a period ____________ years ____________months. 3. Percentage of disability in his/ her case is _______________________ Percent. 4. Smt./Shri/Kum __________________________ meets the following physical requirement for discharge of his/her duties. (i) F-can perform work by manipulating with fingers Yes No
(ii) PP-can perform work by pulling and pushing Yes No
(iii) L--can perform work by lifting Yes No
(iv) KC-can perform work by kneeling and crouching Yes No
(v) B-can perform work by bending Yes No
(vi) S-can perform work by sitting Yes No
(vii) ST-can perform work by standing Yes No
(viii) W-can perform work by walking Yes No
(ix) SE-can perform work by seeing Yes No
(x) H-can perform work by hearing/speaking Yes No
(xi) RW-can perform work by reading and writing Yes No
(Signature of Doctor) (Signature of Doctor) (Signature of Doctor) Name: Name: Name: Registration No.: Registration No.: Registration No.: Member Medical Board Member Medical Board Member Chairperson,
Medical Board *Please delete the words which are not applicable Place: Date: Counter Signature of the Medical Superintendent/CMO/Head of Hospital (with seal)
Note : (i)According to the Persons with Disabilities (Equal Opportunities, Protection of Rights and Full participation) Rules, 1996 notified on 31.12.1996 by the Central Government in exercise of the powers conferred by sub-section(1) and (2) of Section 73 of the Persons with Disabilities (Equal Opportunities, Protection of Rights and Full Participation) Act, 1995 (1 of 1996), authorities to give disability Certificate will be a Medical Board duly constituted by the Central or the State Government. The State Government may constitute a Medical Board consisting of at least three members out of whom at least one shall be a specialist in the particular field for assessing locomotor/ hearing & speech disability, mental retardation and leprosy cured, as the case may be. (ii) The certificate would be valid for a period of 5 years for those whose disability is temporary. For those who acquired permanent disability, the validity can be shown as permanent.
Paste here your recent colour photograph showing the disability (The Photograph should be attested by the Chairperson of the Medical Board) Signature of the candidate
Page 11 of 16
FORM EC1
SC/ST Certificate Format
FORM OF CERTIFICATE TO BE PRODUCED BY SCHEDULED CASTES AND SCHEDULED TRIBES CANDIDATES
1. This is to certify that Shri/ Shrimati/ Kumari* _____________________________________________ son/daughter* of ___________________________________ of Village/Town* ________________________ District/Division* _____________________________ of State/Union Territory* ________________________ belongs to the _________________________ Scheduled Caste / Scheduled Tribe* under :- * The Constitution (Scheduled Castes) Order, 1950 * The Constitution (Scheduled Tribes) Order, 1950 * The Constitution (Scheduled Castes) (Union Territories) Order, 1951 * The Constitution (Scheduled Tribes) (Union Territories) Order, 1951 [As amended by the Scheduled Castes and Scheduled Tribes Lists (Modification Order) 1956, the Bombay Reorganisation Act, 1960, the Punjab Reorganisation Act, 1966, the State of Himachal Pradesh Act, 1970, the North Eastern Areas (Reorganisation) Act, 1971, the Scheduled Castes and Scheduled Tribes Orders (Amendment) Act, 1976 and the Scheduled Castes and Scheduled Tribes Orders (Amendment) Act, 2002] * The Constitution (Jammu and Kashmir) Scheduled Castes Order, 1956; * The Constitution (Andaman and Nicobar Islands) Scheduled Tribes Order, 1959, as amended by the Scheduled Castes and Scheduled Tribes Order (Amendment) Act, 1976; * The Constitution (Dadara and Nagar Haveli) Scheduled Castes Order, 1962; * The Constitution (Dadara and Nagar Haveli) Scheduled Tribes Order, 1962; * The Constitution (Pondicherry) Scheduled Castes Order, 1964; * The Constitution (Uttar Pradesh) Scheduled Tribes Order, 1967; * The Constitution (Goa, Daman and Diu) Scheduled Castes Order, 1968; * The Constitution (Goa, Daman and Diu) Scheduled Tribes Order, 1968; * The Constitution (Nagaland) Scheduled Tribes Order, 1970; * The Constitution (Sikkim) Scheduled Castes Order, 1978; * The Constitution (Sikkim) Scheduled Tribes Order, 1978; * The Constitution (Jammu and Kashmir) Scheduled Tribes Order, 1989; * The Constitution (Scheduled Castes) Order (Amendment) Act, 1990; * The Constitution (Scheduled Tribes) Order (Amendment) Act, 1991; * The Constitution (Scheduled Tribes) Order (Second Amendment) Act, 1991;
2.
# This certificate is issued on the basis of the Scheduled Castes / Scheduled Tribes* Certificate issued to
Shri /Shrimati* ___________________________ father/mother* of Shri /Shrimati /Kumari* ____________ ________________________________________of Village/Town* __________________________ in District/Division* _____________________________ of the State State/Union Territory* _____________ ___________________________ who belong to the Caste / Tribe* which is recognised as a Scheduled Caste / Scheduled Tribe* in the State / Union Territory* ______________________________ issued by the ________________________ dated____________.
3. Shri/ Shrimati/ Kumari * ___________________________ and / or* his / her* family ordinarily reside(s)**
in Village/Town* _______________________ of _________________________ District/Division* of the State Union Territory* of _______________________.
(with seal of the Office) Place: ________________ State/Union Territory* _____________________ Date: ________________
* Please delete the word(s) which are not applicable. # Applicable in the case of SC/ST Persons who have migrated from another State/UT. IMPORTANT NOTES The term “ordinarily reside(s)**” used here will have the same meaning as in Section 20 of the Representation of the People Act, 1950. Officers competent to issue Caste/Tribe certificates: 1.District Magistrate / Additional District Magistrate / Collector / Deputy Commissioner / Additional Deputy Commissioner / Deputy Collector / Ist Class Stipendiary Magistrate / City Magistrate / Sub-Divisional Magistrate / Taluka Magistrate / Executive Magistrate / Extra Assistant Commissioner. 2.Chief Presidency Magistrate / Additional Chief Presidency Magistrate / Presidency Magistrate. 3.Revenue Officers not below therank of Tehsildar. 4.Sub-divisional Officer of the area where the candidate and/ or his family normally reside(s). 5.Administrator / Secretary to Administrator / Development Officer (Lakshdweep Island). 6.Certificate issued by any other authority will be rejected
Page 12 of 16
FORM EC2
OBC-NCL Certificate Format
FORM OF CERTIFICATE TO BE PRODUCED BY OTHER BACKWARD CLASSES (NCL) APPLYING FOR ADMISSION TO CENTRAL EDUCATIONAL INSTITUTIONS (CEIs),
UNDER THE GOVERNMENT OF INDIA
This is to certify that Shri/Smt./ Kum*______________________________________________ Son/Daughter* of Shri/Smt.* ____________________________________ of Village/Town* ________________________________District/Division* _______________________________ in the State/Union Territory __________________________________________belongs to the _________________________________________community which is recognized as a backward class under Government of India**, Ministry of Social Justice and Empowerment’s Resolution No.____________________________________________ dtd. ______________***. Shri/Smt./Kum. ________________________________________________________ and/or his/her family ordinarily reside(s) in the __________________________ District/Division of the ________________________________State/ Union Territory. This is also to certify that he/she does NOT belong to the persons/sections (Creamy Layer)[based on the parental income in the financial year 2013-14 viz. 1st April 2013 to 31st March 2014] mentioned in Column 3 of the Schedule to the Government of India, Department of Personnel & Training O.M. No. 36012/22/93-Estt.(SCT) dated 08/09/93 which is modified vide OM No. 36033/3/2004 Estt.(Res.) dated 09/03/2004, further modified vide OM No. 36033/3/2004-Estt. (Res.) dated 14/10/2008, again further modified vide OM No.36036/2/2013-Estt (Res) dtd. 30/05/2014.
District Magistrate / Deputy Commissioner / Competent Authority
Dated: Seal * Please delete the work(s) which are not applicable. **As listed in Annexure –A*** The authority issuing the certificate needs to mention the details of Resolution of Government of India, in which the caste of the candidate is mentioned as OBC. NOTE:
(a) The term ‘Ordinarily resides’ used here will have the same meaning as in Section 20 of the Representation of the
People Act, 1950. (b) The authorities competent to issue Caste Certificates are indicated below: (i) District Magistrate / Additional Magistrate / Collector / Deputy Commissioner / Additional Deputy Commissioner /
Deputy Collector /Ist Class Stipendiary Magistrate / Sub-Divisional magistrate / Taluka Magistrate / Executive Magistrate / Extra Assistant Commissioner (not below the rank of Ist Class Stipendiary Magistrate).
(ii) Chief Presidency Magistrate / Additional Chief Presidency Magistrate / Presidency Magistrate. (iii) Revenue Officer not below the rank of Tehsildar’ and (iv) Sub-Divisional Officer of the area where the candidate and/or his family resides.
Page 13 of 16
( To be submitted on a Non-Judicial Stamp Paper of Rs. 10/- duly notorised by the Oath Commissioner)
AFFIDAVIT BY THE STUDENT
1) I,………………………………………………………………………………………………….. (full name of
student with admission/registration/enrolment number) s/o d/o Mr./Mrs./Ms.
…………………………………………, having been admitted to (name of the institution) , have received a
copy of the UGC Regulations on Curbing the Menace of Ragging in Higher Educational Institutions, 2009,
(hereinafter called the “Regulations”) carefully read and fully understood the provisions contained in the said
Regulations.
2) I have, in particular, perused clause 3 of the Regulations and am aware as to what constitutes ragging.
3) I have also, in particular, perused clause 7 and clause 9.1 of the Regulations and am fully aware of the penal
and administrative action that is liable to be taken against me in case I am found guilty of or abetting ragging,
actively or passively, or being part of a conspiracy to promote ragging.
4) I hereby solemnly aver and undertake that
a) I will not indulge in any behaviour or act that may be constituted as ragging under clause 3 of the
Regulations.
b) I will not participate in or abet or propagate through any act of commission or omission that may be
constituted as ragging under clause 3 of the Regulations.
5) I hereby affirm that, if found guilty of ragging, I am liable for punishment according to clause 9.1 of the
Regulations, without prejudice to any other criminal action that may be taken against me under any penal law
or any law for the time being in force.
6) I hereby declare that I have not been expelled or debarred from admission in any institution in the country
on account of being found guilty of, abetting or being part of a conspiracy to promote, ragging; and further
affirm that, in case the declaration is found to be untrue, I am aware that my admission is liable to be cancelled.
Declared this ___day of __________ month of ______year.
________________
Signature of deponent
Name:
VERIFICATION
Verified that the contents of this affidavit are true to the best of my knowledge and no part of the affidavit is
false and nothing has been concealed or misstated therein.
Verified at (place) on this day of Month of the Year.
Signature of deponent
Solemnly affirmed and signed in my presence on this the ____(day) of _______ (month) , _____(year )
after reading the contents of this affidavit.
OATH COMMISSIONER
Page 14 of 16
( To be submitted on a Non-Judicial Stamp Paper of Rs. 10/- duly notorised by the Oath Commissioner)
AFFIDAVIT BY PARENT/GUARDIAN
1) I, Mr./Mrs./Ms. _____________________________________________________ (full name of
parent/guardian) father/mother/guardian of , (full name of student with
admission/registration/enrolment number) , having been admitted to ____(name of the institution) , have
received a copy of the UGC Regulations on Curbing the Menace of Ragging in Higher Educational Institutions,
2009, (hereinafter called the “Regulations”), carefully read and fully understood the provisions contained in the
said Regulations.
2) I have, in particular, perused clause 3 of the Regulations and am aware as to what constitutes ragging.
3) I have also, in particular, perused clause 7 and clause 9.1 of the Regulations and am fully aware of the penal
and administrative action that is liable to be taken against my ward in case he/she is found guilty of or abetting
ragging, actively or passively, or being part of a conspiracy to promote ragging.
4) I hereby solemnly aver and undertake that
a) My ward will not indulge in any behaviour or act that may be constituted as ragging under
clause 3 of the Regulations.
b) My ward will not participate in or abet or propagate through any act of commission or omission
that may be constituted as ragging under clause 3 of the Regulations.
5) I hereby affirm that, if found guilty of ragging, my ward is liable for punishment according to clause 9.1 of
the Regulations, without prejudice to any other criminal action that may be taken against my ward under any
penal law or any law for the time being in force.
6) I hereby declare that my ward has not been expelled or debarred from admission in any institution in the
country on account of being found guilty of, abetting or being part of a conspiracy to promote, ragging; and
further affirm that, in case the declaration is found to be untrue, the admission of my ward is liable to be
cancelled.
Declared this ___day of __________ month of ______year.
________________
Signature of deponent
Name:
Address:
Telephone/Mobile No.:
VERIFICATION
Verified that the contents of this affidavit are true to the best of my knowledge and no part of the affidavit is
false and nothing has been concealed or misstated therein.
Verified at _________(place) on this day of ____ Month of the Year.
Signature of deponent
Solemnly affirmed and signed in my presence on this the ____(day) of ____ (month) , _____(year )