POLYTECHNIC ADMISSION TEST-2020 - INFORMATION BROCHURE FOR ONLINE COUNSELLING FOR ADMISSION INTO THE STATE POLYTECHNICS OF
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INFORMATION BROCHURE
FOR
ONLINE COUNSELLING
FOR ADMISSION INTO THE STATE POLYTECHNICS OF
ASSAM FOR THE SESSION 2020-21
THROUGH
POLYTECHNIC ADMISSION TEST-2020
DIRECTORATE OF TECHNICAL EDUCATION, ASSAM
KAHILIPARA, GUWAHATI-19CHAPTER-I
BASIC INFORMATION
1.1. INTRODUCTION:
The Polytechnics offer a three year Diploma Courses in Engineering & Technology [after H.S.L.C.
(10+)] and Modern Office Management (for girls only) after [HSSLC (12+)].
1.2. AFFILIATION:
The Diploma Courses offered by the Polytechnics are affiliated to the State Council for Technical
Education (SCTE), Assam and approved by All India Council for Technical Education (AICTE).
1.3. NBA ACCREDIATION:
NBA accredited programme in Civil Engg., Mechanical Engg., Electrical Engg., & Automobile Engg. of
HRH the Prince of Wales Institute of Engineering & Technology, Jorhat for the session 2020 to 2022
vide letter no.13-6-2017-NBA, dated 20-12-2019.
1.4. THE POLYTECHNICS AND THEIR LOCATIONS:
At present there are altogether 26 State Polytechnics plus 2 Govt. of India Institute situated in
different places of Assam.
These are:
Sl. No. Name of Polytechnic Location
1 Assam Engineering Institute Chandmari, Guwahati
Padmashree Chandraprava Saikiani Girls’ Bamunimaidam, Guwahati
2
Polytechnic
3 Assam Textile Institute Ambari,Guwahati
4 Nowgong Polytechnic Nagaon
His Royal Highness the Prince of Wales Institute of Jorhat
5
Engineering and Technology
6 Dibrugarh Polytechnic Lahowal, Dibrugarh
7 Silchar Polytechnic Meherpur, Silchar
8 Bongaigaon Polytechnic Bongaigaon
9 Residential Girls` Polytechnic Golaghat
10 Diphu Polytechnic Diphu
11 Baksa Polytechnic Belguri Pathar, Baksa
12 Barpeta Polytechnic Barpeta
13 Dhemaji Polytechnic Simen Chapori
14 Karimganj Polytechnic Maizgram
15 Lakhimpur Polytechnic Bihpuria
16 Golaghat Polytechnic Furkating, Golaghat
17 Goalpara Polytechnic Goalpara
18 Nalbari Polytechnic Chandkuchi, Nalbari
19 Kamrup Polytechnic Baihata Chariali, Kamrup
20 Sibsagar Polytechnic Demow
21 Sonitpur Polytechnic Dhekiajuli
22 Morigaon Polytechnic Morigaon
23 Udalguri Polytechnic Bhergaon
24 Tinsukia Polytechnic Makum
25. Chirang Polytechnic Bijini
26 Hailakandi Polytechnic Katilichera
Institution of Govt. of India & others
Rajiv Gandhi Institute of Petroleum Technology Sibsagar
1
(Govt. of India Institute)
11.5. COURSES OFFERED
Sl. No. Name of Course
1 Diploma in Civil Engineering
2 Diploma in Mechanical Engineering
3 Diploma in Electrical Engineering
4 Diploma in Electronics and Telecommunication Engineering
5 Diploma in Computer Engineering
6 Diploma in Instrumentation Technology
7 Diploma in Chemical Engineering
8 Diploma in Textile Technology
9 Diploma in Agricultural Engineering
10 Diploma in Architectural Assistantship
11 Diploma in Textile Design
12 Diploma in Mechanical (Auto) Engineering
13 Diploma in Bio Medical Engineering
14 Diploma in Printing Technology
15 Diploma in Industrial & Production Engineering
16 Diploma in Fashion Technology
17 Diploma in Garment Technology
18. Diploma in Medical Electronics
19 Diploma in Food Processing Technology
20 Diploma in Mining Engineering
21 Modern Office Management (For Girls Only)
* Some new courses may be introduced subject to necessary approval.
1.6. DISTRIBUTION OF SEATS:
The intake capacity in the respective branches in different polytechnics are shown below in Table I &
Table II. (Subject to changes based on AICTE approval).
TABLE-I
SL.NO. NAME OF INSTITUTE BRANCH INTAKE
CAPACITY
CIVIL ENGINEERING 90
ELECTRICAL ENGINEERING 40
MECHANICAL ENGINEERING 40
ASSAM ENGINEERING
1 ELECTRONICS & TELECOMMUNICATION 40
INSTITUTE, GUWAHATI
ENGINEERING
COMPUTER ENGINEERING 40
CHEMICAL ENGINEERING 35
TOTAL 285
CIVIL ENGINEERING 60
NOWGONG POLYTECHNIC, ELECTRICAL ENGINEERING 40
2
NAGAON MECHANICAL ENGINEERING 40
COMPUTER ENGINEERING 30
TOTAL 170
CIVIL ENGINEERING 60
ELECTRICAL ENGINEERING 40
MECHANICAL ENGINEERING 40
ELECTRONICS & TELECOMMUNICATION 40
3. HRH THE POWIET, JORHAT
ENGINEERING
MECHANICAL (AUTOMOBILE) ENGINEERING 30
INSTRUMENTATION TECHNOLOGY 30
AGRICULTURAL ENGINEERING 20
TOTAL 260
2CIVIL ENGINEERING 60
DIBRUGARH POLYTECHNIC,
4. ELECTRICAL ENGINEERING 40
DIBRUGARH
MECHANICAL ENGINEERING 40
TOTAL 140
CIVIL ENGINEERING 90
ELECTRICAL ENGINEERING 40
SILCHAR POLYTECHNIC,
5 MECHANICAL ENGINEERING 50
SILCHAR
ELECTRONICS & TELECOMMUNICATION 40
ENGINEERING
TOTAL 220
CIVIL ENGINEERING 60
BONGAIGAON POLYTECHNIC,
6 ELECTRICAL ENGINEERING 30
BONGAIGAON
MECHANICAL (AUTOMOBILE) ENGINEERING 30
TOTAL 120
TEXTILE TECHNOLOGY 30
ASSAM TEXTILE INSTITUTE,
7 FASHION TECHNOLOGY 20
GUWAHATI
GARMENT TECHNOLOGY 20
TOTAL 70
CIVIL ENGINEERING 40
PCPS GIRLS’ POLYTECHNIC, COMPUTER ENGINEERING 40
8
GUWAHATI ARCHITECTURAL ASSISTANTSHIP 40
MODERN OFFICE MANAGEMENT 40
TOTAL 160
9 DIPHU POLYTECHNIC, DIPHU CIVIL ENGINEERING 60
TOTAL 60
TEXTILE DESIGN 30
RESIDENTIAL GIRLS’
10 ELECTRONICS & TELECOMMUNICATION 30
POLYTECHNIC, GOLAGHAT
ENGINEERING
TOTAL 60
CIVIL ENGINEERING 60
MECHANICAL ENGINEERING 60
11 BAKSA POLYTECHNIC, BAKSA
CHEMICAL ENGINEERING 60
TOTAL 180
CIVIL ENGINEERING 60
BARPETA POLYTECHNIC,
12 MECHANICAL ENGINEERING 60
BARPETA
BIO-MEDICAL ENGINEERING 60
TOTAL 180
CIVIL ENGINEERING 60
DHEMAJI POLYTECHNIC, MECHANICAL ENGINEERING 60
13
DHEMAJI ELECTRICAL ENGINEERING 60
TOTAL 180
CIVIL ENGINEERING 60
LAKHIMPUR POLYTECHNIC,
14 MECHANICAL ENGINEERING 60
BIHPURIA
CHEMICAL ENGINEERING 60
TOTAL 180
CIVIL ENGINEERING 60
KARIMGANJ POLYTECHNIC,
15 ELECTRICAL ENGINEERING 60
KARIMGANJ
INDUSTRIAL & PRODUCTION ENGINEERING 60
TOTAL 180
CIVIL ENGINEERING 60
GOLAGHAT POLYTECHNIC,
16 MECHANICAL ENGINEERING 60
FURKATING
BIO- MEDICAL ENGINEERING 60
TOTAL 180
CIVIL ENGINEERING 60
GOALPARA POLYTECHNIC,
17 MECHANICAL ENGINEERING 60
GOALPARA
ELECTRICAL ENGINEERING 60
TOTAL 180
ELECTRICAL ENGINEERING 60
NALBARI POLYTECHNIC,
18 COMPUTER ENGINEERING 60
CHANDKUCHI
PRINTING TECHNOLOGY 60
TOTAL 180
3ELECTRICAL ENGINEERING 60
KAMRUP POLYTECHNIC, ELECTRONICS & TELECOMMUNICATION 60
19
BAIHATA CHARIALI ENGINEERING
MECHANICAL (AUTOMOBILE) ENGINEERING 60
TOTAL 180
CIVIL ENGINEERING 60
SIVASAGAR POLYTECHNIC,
20 MECHANICAL ENGINEERING 60
SIVASAGAR
ELECTRICAL ENGINEERING 60
TOTAL 180
CIVIL ENGINEERING 60
SONITPUR POLYTECHNIC,
21 MECHANICAL ENGINEERING 60
DHEKIAJULI
ELECTRICAL ENGINEERING 60
TOTAL 180
22 MORIGAON POLYTECHNIC, CIVIL ENGINEERING 60
MORIGAON ELECTRICAL ENGINEERING 60
MEDICAL ELECTRONICS 60
TOTAL 180
23 TINSUKIA POLYTECHNIC, CIVIL ENGINEERING 60
MAKUM MECHANICAL ENGINEERING 60
MINING ENGINEERING 60
TOTAL 180
24 CHIRANG POLYTECH+NIC, CIVIL ENGINEERING 60
BIJINI AGRICULTURAL ENGINEERING 60
ELECTRICAL ENGINEERING 60
TOTAL 180
25 UDALGURI POLYTECHNIC, CIVIL ENGINEERING 60
BHERGAON MECHANICAL ENGINEERING 60
FOOD PROCESSING ENGINEERING 60
TOTAL 180
26 HAILAKANDI POLYTECHNIC, CIVIL ENGINEERING 60
KATILICHERA COMPUTER SCIENCE & ENGINEERING 60
ELECTRICAL ENGINEERING 60
TOTAL 180
GRAND TOTAL 4425
For details about:-
RGIPT, Sivasagar, Please go through the Annexure-VI
For admission in, Central Institute of Plastic Engineering and
Technology, Guwahati, Assam a link is given in the DTE website :
www.dte.assam.gov.in.4
CHAPTER-2
ELIGIBILITY
3.1 ELIGIBILITY FOR ADMISSION:
3.2 For Diploma courses in Engineering and Technology, a candidate must fulfill the following
Conditions:-
(a) Must qualify in the Polytechnic Admission Test (PAT-2020) for admission into Diploma
Courses' offered by SCTE, Assam as notified by the DTE, Assam.
(b) The candidate must pass the H.S.L.C. or its equivalent examination in a single sitting (without
grace marks in Science and Mathematics) with Mathematics and Science as compulsory
subject with -
* 40% marks (in Average) in Mathematics and Science for General candidates
* 35% marks (in Average) in Mathematics and Science for SC candidates.
* 33% marks (in Average) in Mathematics and Science for ST Candidates.
(c) If there is tie in PAT marks, then the ranking of the candidates will be based on the marks secured
qualifying examination i.e. H.S.L.C. / 10th standard in the following order :-
I] Science II] Mathematics III] English IV] ------------MIL
V] Any other subject. VI] Aggregate marks obtained by the candidates in the
qualifying examination
If again, there is a tie, then the decision of the Counselling Committees shall be final.
1.12 For Diploma course in Modern Office Management, a candidate must fulfill the following
conditions:-
(a) Must qualify in the Modern Office Management Admission Test (MOM-2020) for admission
into the
Diploma Courses offered by SCTE, Assam, as notified by the DTE, Assam.
(b) The candidate must pass the H.S.S.L.C.(12+) or its equivalent examination in Humanities/ Science or
Commerce.
(c) If there is tie in MOM marks, then marks of English of qualifying examination will be taken into
consideration to decide the merit of the candidates; if there is a tie again, then the aggregate marks
of the qualifying examination will be taken into consideration to decide the merit of the candidate.
If again, there is a tie, then the merit of the candidate will be decided by lottery by the Chairperson
of the Selection Committee. The decision of the Selection Committees will be final.
3.3. AGE:
Table-III
Maximum age
Courses UR/OBC/MOBC SC/ST(P/H)
1 For all Engineering & Technical courses / 20 years 6 months as 23 years 6 months as
on 31-12-2020 on 31-12-2020
3.4. PHYSICAL FITNESS:
A candidate must be physically and mentally fit. A candidate will have to produce a fitness
certificate at the time of admission from a registered medical practitioner.
3.5 RESIDENTIAL ELIGIBILITY:Candidates must be an Indian Citizen and a Permanent resident of Assam. Permanent
Resident Certificate (PRC) must be produced at the time of Counseling. Submit the form
(Annexure-V) if you cannot produce a PRC at the time of Counselling.
3.6. ELIGIBILITY FOR SPORTS QUOTA:
The candidate must be a medal winner of State Games/ State Championships/ Tournaments
organized by Assam Olympic Association/ State Sports Association/Directorate of Sports &
Youth Welfare, Assam and will be decided in order of Medals of Gold/Silver/Bronze
received.
The medals received by the candidates must be within the period of last 3 years.
If there is a tie, prizes are equal [Gold/Silver/Bronze] obtained by any candidate then merit
will be decided by considering the marks obtained at the PAT-2020. Even if there is a tie then
Science & Mathematics Marks obtained at the qualifying examination will be considered to
decide the merit of a candidate. Again if there is a tie, then through lottery conducted by the
Chairperson of the Selection and Counselling Committee.
3.7 ELIGIBILITY FOR NCC QUOTA:
Selection of candidates for NCC category would be considered in order of merit as per NCC
Examination Certificate received from the Commanding Officer, National Cadets Corps
or higher level to be treated as given below-
(a) “C” certificate with Grading "A"
"C" certificate with Grading “B”
(b) “B" certificate with Grading "A"
"B" certificate with Grading “B"
(c) "A" certificate with Grading “A"
"A" certificate with Grading "B"
(d) Candidates are asked to submit the documents of the attendance if any.
If the number of candidates applying against N.C.C. quota and their certificates are of equal
grade, then the merit will be decided by considering the marks obtained at the PAT-2020.
Even if there is a tie then Science & Mathematics Marks obtained at the qualifying
examination will be considered to decide the merit of a candidate. Again if there is a tie, then
through lottery conducted by the Chairperson of the Selection & Counselling Committee.
6CHAPTER-3
4.1. RESERVATION OF SEATS:
Reservation of seats in the Polytechnics of Assam is made for the following categories of candidates. (List of
competent authority to issue caste certificate is at Annexure - I). If any candidate fails to specify his/her
category at the time of online form fill up, he/she will be considered as unreserved category. The
reserved seat under reserved category remains vacant ( if any) for want of eligible candidates, then such seats
shall be filled up in order of merit from the candidates from unreserved category in the last round of
counselling.
Categories Remarks
Scheduled Caste (Assam) ANNEXURE-I
Scheduled Tribes (Plains) (Assam) ANNEXURE-I
Scheduled Tribes (Hills) (Assam) ANNEXURE-I
O.B.C. (including M.O.B.C.) (Assam) ANNEXURE-I
(Non-Creamy Layer)
Tea Garden & Ex Tea Garden Labour ANNEXURE-I If candidates of both Tea garden and Ex-tea garden
Community (Assam) (Non-Creamy Labour community are available then 1 (one) seat
Layer) shall be allotted for each of the two categories.
Tai-Ahom(Non-Creamy Layer) ANNEXURE-I
Koch-Rajbonshi(Non-Creamy Layer) ANNEXURE-I
Chutiya (Non-Creamy Layer) ANNEXURE-I
Sons/Daughters/Grandsons/ Reserved seats against Freedom Fighter category (both Paternal &
Grand daughters of Freedom Fighters Maternal).
(Assam) (a) Certificate from the Secretary, Home & Political Department to
the Govt. of Assam.
(b) A direct relationship certificate of the candidate with the freedom
fighter from the Deputy Commissioner or his authorized official of the
district where the freedom fighter belongs, if applied against the
category of Freedom Fighter.
Son/Daughters of Retired Defence Certificate from the Director, Rajyiik Sainik Board, Assam if
Persons (Assam) applied against category of Retired Defence Person.
Sports person (Assam) For admission against Sports/N.C.C. quota reserved at State
Polytechnics of Assam candidates are hereby asked to submit
application after appearing in the admission test along with copies of
mark sheet of qualifying Examination. Admission Test Admit Card
and detailed particulars regarding their level of participation as
NCC (Assam)
mentioned above and a copy of certificate from the Director of
Sports/N.C,C. Assam to reach the Directorate of Technical Education,
Assam, Kahilipara, Guwahati-781019 within ______________
Differently Abled Persons. (Assam) Identity Card as Differently-Abled issued by Social Welfare
Department must be produced. Minimum disability 40% and not
exceeding 80%.
Sons/Daughters of Central Govt. Employees who are posted in Assam for less than twenty years before
Employees and of Central Government the last date fixed for submitting application are eligible to apply.
Public Sector undertakings serving in Applicants are required to submit the form given in Annexure - III
the State who are not permanent resident
of Assam are eligible to apply.
Economically Weaker Sections As per Govt. of Assam Personnel Department’s Office Memorandum
No. ABP.07/2019/4, dated 10-4-2019
4.2. THE COMMITTEE FOR NCC & SPORTS QUOTA SELECTION:
The eligible candidates shall be selected by a Committee consisting of the following members:-
DTE, Assam Chairperson
Director of Sports Member
Director of NCC Member
One Principal of Polytechnics on rotation basis Member
Controller of Examinations Member SecretaryCHAPTER-4
DOCUMENTS UPLOAD PROCESS
How to upload documents at the time of counselling process for admission into Diploma Courses in
Engineering &Technology.
a. Applicants are required to apply only through online mode(https//dte.assam.gov.in)
b. This link will remain active from 9th October to 15th October, 2020( for PAT-2020)
Applicants are required to follow the following steps:-
LOG IN BY PUTTING
ROLL NO. OF PAT -2020 DATE OF BIRTH
SAVE & CONTINUE
DATA FILLING UP 1 . Date of Birth, 2. Subject wise marks of HSLC or
equivalent exam. 3. Mobile No.; Whatsapp No., E-mail
address etc.; 4. Caste/Category Certificate. 5. PRC (in
case of PRC refer information Brochure ; Chapter-3)
SAVE & CONTINUE
DOCUMENTS Copy of:-
UPLOAD 1. Admit Card of HSLC or equivalent exam.( for Date of
Birth). 2. Mark sheet of HSLC or equivalent, 3.
Caste/Category Certificate, 4. PRC [ Refer information
Brochure]
SAVE & CONTINUE
FILLING UP OF CHOICE Regarding choice of Institution &
INSTITUTE & BRANCH Branch [Refer information Brochure
: Chapter : point No.. 1.6]
SAVE & CONTINUE
PREVIEW Before Final submission, candidates
are advised to recheck.
SAVE & CONTINUE
FINAL SUBMISSION
The Aspiring candidates are advised to go through the instructions regarding uploading their
documents: [ available in the DTE’s website]
8CHAPTER-5
ONLINE COUNSELLING PROCESS
6.1 ONLINE COUNSELLING AND SELECTION:
a. Online Counselling Process and provisionally for admission into the Polytechnics of Assam. The date
will be published later on through local dailies.
b. Choice of Polytechnic and branch of Engineering of a candidate will be determined on the basis of merit
of the admission test at the time of the interview.
c. Candidate once admitted, cannot be considered again to other category.
d. Candidates can not undertake any other course of study once admitted in a Polytechnic.
6.2 DOCUMENTS TO BE SUBMITTED DURING THE UPLOADING FOR COUNSELING:
Two recent passport size photographs pasted on the application duly filled to be submitted along with the
following certificates at the time of counseling*.
Sl. No. DOCUMENTS
1 Self-attested photo copies of mark sheets of qualifying examinations passed.
2 Age proof (self-attested photo copy of Admit Card or Certificate of the Board/University)
3 Character certificate from the Head of the Institutions last attended.
4 GAP certificate as per Annexure –III.
Caste certificate, if claimed, belonging to SC/ST from the competent authority countersigned by
5
DC/ADC/SDO (Civil) .
OBC/ MOBC/Tea-Garden/Ex-Tea Garden Labour Community Certificate can be obtained from the
6 competent authority countersigned by DC/ADC/SDO (Civil) along with the Non Creamy Layer Certificate
from the Deputy Commissioner of the respective District.
The candidates applying for seats under Moran community quota must produce certificate from Assam
7 Moran Sabha with the counter signature of DC/ADC/SDO (Civil) of the concerned District along with the
Non Creamy Layer Certificate from the Deputy Commissioner of the respective District.
Certificate from Director of Sports, Assam and proof of representing State if applied against Sport and
8
NCC quota.
Reserved seats against Freedom Fighter category (both Paternal & Maternal).
(a) Certificate from the Secretary, Home & Political Department to the Govt. of Assam.
9 (b) A direct relationship certificate of the candidate with the freedom fighter from the Deputy Commissioner
or his authorized official of the district where the freedom fighter belongs, if applied against the category of
Freedom Fighter.
Certificate from the Director, Rajyiik Sainik Board, Assam if applied against category of retired
10
defense personnel.
Certificate from the employer as per Annexure-II, if applied against quota of Central Government
11
Employees etc.
For Differently Abled Candidates: Identity Card as Differently-Abled issued by Social Welfare
12
Department must be produced. Minimum disability 40% and not exceeding 80%.
In case of Permanent Resident Certificate (PRC):
All categories except Central Government Employee (CGE) category; PRC of Assam of
the candidate/ Parent; BPL card of the parents or other relevant documents indicating
13
Permanent Resident of Assam.
** For Central Government Employee’s Son/daughter : PRC of the candidate/Parent’ BPL card
of the parent or other relevant document indicating Permanent resident of outside Assam.
Candidates claiming for Economically Weaker Sections (EWSs ) purely meant for General Category
[ who are not covered under the scheme of reservation of SCs, STs and
14
OBCs]:-. All concerned are requested to go through the Govt. Of Assam, Personnel
Department’s Office Memorandum No. ABP.07/2019/4, dated 10-04-2019.
Candidates are required to the above said certificates at the time of Counselling Process.
It is mandatory for the candidates to fill up the annexures and declaration form.
9PART-A Paste a recent
Passport Sized Colour
1. Name :………………………………………………………………………………………………… Photograph and sign
2. Sex (M/F) (tick √) : Male / Female across after pasting it
3. Address for Communication: Town/Village :.................................................... firmly
Post Office : ..................................................... Pin Code : …........................... . (do not staple
District : .................................. State : .......................................
Email Id :…………………………………………………………….. Mobile No :. ………………………………………………….
4. Parent’s Name Father’s Name : .......................................................................................
Mother’s Name : .......................................................................................
5. Occupation of Father/Guardian : Father : ..................................................... Mother : .....................................
6. Annual Income of Parents : Father :.....................................................Mother : .....................................
7. Permanent Home Address [Leave blank if same as (3)]
:Town/Village :.......................................................................................Post Office : ..................................................................
Pin Code : ………............................ District : .......................................... State : ........................................
8. Guardian’s Name Sri / Smti :................................................................................
9. Age on 1st August, 2020 : Year ..................Months ...................Days ............................
10. Nationality : .................................. 11. Religion : ..................................
12..Caste: ...................................................... Mother tongue : ..................................
13. State in which applicant is a Permanent Resident: ...........................................................
14 .DETAILS OF EXAMINATIONS PASSED (Attach Photocopies of the Certificates)
Examination Name of Board Institute from Year Division secured
where passed
HSLC/ 10th
15. PERCENTAGE OF MARKS OBTAINED IN QUALIFYING EXAM i e. H.S.L.C. /10TH STANDARD (Attach
true copies of the Certificate)
Examination Percentage of Marks obtained % age of Marks Aggregate of all subjects
Science Maths English MIL Other in aggregate of Marks Out of
subject all subjects secured
Total
16. Whether discontinued studies in between passing the last Examination of Board .(tick√): Yes / No
If Yes, a) Reason: .........................................................................................
b) Period : .........................................................................................................
17. If you are not a permanent resident of Assam but your parent is in service under Central
Govt./Statutory Organisation / Department Bodies, give :
a) Name of the Parent : .........................................................................................................
b) Name of the Office with Address: ………………………………………………………………
18. a ) Name of Govt./Statutory Body: ............................................................................................
b) Post held: ......................................................................................................................................
c) Period of Service: .......................................................................................................................DECLARATION BY THE APPLICANT
I hereby declare that the above entries in the form have been filled up in my own handwriting
and the entries made are correct to the best of my knowledge and belief.
In case of
1. false/inaccurate statements given by me or in the mark-sheets and certificate attached
and
2. detection of non-fulfilment of any Eligibility Criteria for admission
Director of Technical Education shall have the right to cancel my Admission to any Course
and College at any stage my Academic Career and to take appropriate legal action against me
for submission of false information and documents.
Date : ........................................
................................................................
Place : ........................................ Signature in full of the Applicant
DECLARATION BY THE PARENT/GUARDIAN
In the event of my Son/Daughter/Ward Shri/Smti. ........................................................... being admitted in any
Institute I shall be responsible for his/her conduct and I undertake to pay his/her college dues, hostel
dues and any other expenses during his/her studentship in the college. I also undertake to withdraw
him/her from the college, should the authorities concerned decide that such withdrawal is necessary in
the interest of the college or in the event of inability to pay his/her college dues in time and without
claiming any compensation from the Government or the college authorities.
I certify that the particulars stated in the application by my son/daughter/ward are true to the
best of my knowledge and if it is proved that the information is fraudulent, I shall be liable for
persecution as per law.
....................................................................... ...........................................................
Name &Full Signature of the Gazetted Officer/ Notary Full Signature of Parent / Guardian
in presence of whom the parent/guardian signed. Name in Full:…………………………………..
Mobile No.:…………………………………….
Designation of the Officer.....................................................................
seal
11
ANNEXURE –ICOMPETENT AUTHORITY TO ISSUE CASTE CERTIFICATE
Only the Caste Certificates issued by the following Authorities (Countersigned by Authorities if
required as shown below) will only be considered,
A.1.1 (a) Deputy Commissioner
(b) S.T.(P) M.P. No counter signature is
(c) S.T.(P) M.L.A.s required
(d) Members Advisory Council for Welfare of S.T. Countersigned by
(e) President/Vice President All Assam Tribal Sangha. Deputy Commissioner/
(f) President/Vice President of District Units of Assam Additional Deputy
Scheduled Caste Tribal Sangha Commissioner
Or
Scheduled Tribe
(g) Chairman, PIC of Integrated Tribe Development
Sub-Divisional Officer
(P) Projects,
(h) Chairman, Sub-Divisional Welfare Board for ST(P)
Scheduled Tribe (i) D.C.
(Hills) (j) S.T.(H) M.L.A. No counter signature is
(k) S.T. (H) M.P. required
N.B.: (a) to (k) are authorized to issue caste certificates within their respective jurisdiction only.
A.1.2 Persons authorized for identification of S.C. candidate:
1. Member of Advisory Council for Welfare of S.C.
2. Chairman of Sub-Divisional Scheduled caste Development Board.
3. President/Vice President, Assam Anusuchit Yuba Jati Parishad.
4. President of different Dist. & Sub-Divisional Units of Assam, Anusuchit Yuba Jati Parishad.
5. Assam Mali Samaj, Mirza, Kamrup and their local Units. (President/ Secretary may countersign as a
mark of their identification of the candidates only).
6. The President & Vice President of All Assam Scheduled Caste Dhobi People’s Welfare Council and
President of different Districts & Sub Divisional Committees of All Assam Scheduled Caste Dhobi
People‘s Welfare Council.
A.1.3 OTHER BACKWARD CLASS/MORE OTHER BACKWARD CLASS [OBC/MOBC]: NON-CREAMY
LAYER (NCL)
(A) OBC, MLAs & MPs within the jurisdiction of the respective district.
(B) Member of Advisory Council for Welfare of OBCs within the jurisdiction of the respective
district.
(C ) President and General Secretary of All Assam OBC’s Association in respect of the entire State.
(D )President and Secretary of District Units of All Assam OBC’s Association within the jurisdiction
of the Sub-Division.
(E ) Chairman of Sub-Divisional Development Board for OBC’s within the jurisdiction of respective
Sub-Division.
(F) Sub-Divisional Welfare Officer within the jurisdiction of respective Sub-Division.
All such certificates are required to be countersigned by the respective D.C.’s or SDO’s (Civil).
I) SON /DAUGHTER OF TEA GARDEN & EX-TEA GARDEN LABOUR COMMUNITY (TGLC/Ex-
TGLC)
II) TAI-AHOM COMMUNITY (TAI-AHOM)
III) KOCH-RAJBONSHI COMMUNITY (KOCH- RAJBONSHI)
IV ) CHUTIYA COMMUNITY ( CHUTIYA)
Please Note : Certificate required for TGLC/Ex-TGLC, TAI-AHOM, KOCH-RAJBONSHI,
CHUTIYA COMMUNITY AS OBC/MOBC.
Candidates from Creamy Layer of OBC/MOBC ubcluding, TGLC/Ex-TGLC, Motak,
Moran, Tai-Ahom, Koch-Rajbonshi, Chutia are advised to mention their Category as General
12ANNEXURE -II
CERTIFICATE OF EMPLOYMENT OF PARENT OF THE APPLICANT
(For son/daughter of Central Govt. Employee)
(To be given by the Head of the Government or Public Office/Organization in Assam, if the applicant is not a
Permanent Resident of Assam but his/her parent is working in such offices etc. in Assam, at the time of
submission of Application).
Certified that Shri/Smti ...............................................................................................................
Son/daughter of Shri/Late............................................................................................................has been serving in
……………………………………………………… (name of office) and residing at
………..………………………………( place) , Assam from …………………(date) to ………………..for
................ years and he/she is a permanent resident in the district of ................................................................of
the State ................................., India.
Address ............................................ Signature :
........................................... Designation :
........................................... Date :
Seal of the Office
.13ANNEXURE -III
GAP CERTIFICATE
This is to certify that Shri/Smti ____________________________________ son/daughter of
Shri/Smti/Late ________________________________________ an inhabitant of village/town
______________________________________ Mouza_________________________P.O.
________________________________ P.S._________________________________District
________________________ State __________________________ is not involved in any unlawful
activities since completion of his HSLC (10+) / HSSLC (12+) till date. This certificate shall be
applicable for educational purpose only.
Date: ……………………
Signature:______________________
(Office Seal) Name :
……………………………………………….
Notary / Ward Member of Municipality
or GP /Officer In-Charge of PS
(Officer’s Seal)
14ANNEXURE –IV
A. Declaration
(For the candidate unable to submit the PRC at the time of Counseling)
I, Shri/Smti._______________________________________________ son/daughter
of___________________________an inhabitant of village/town___________________________
Mouza__________________ P.O.________________________ P.S.___________________________
District________________________, hereby certify that I am a permanent resident of Assam and I
have applied for PRC, the application receipt of which is enclosed herewith. I shall submit PRC at the
time of admission.
Date:______________ Signature______________________________
Name of the candidate____________________________
15ANNEXURE –V
B. To Whom It May Concern
I, Shri/Smti._______________________________________________ son/daughter
of____________________________________an inhabitant of village /town _________________
___________________ Mouza__________________ P.O._________________________
P.S._____________________________District________________________, hereby known to me
for last ______________ years.
His/Her moral character is good.
I wish his her success in life.
Date:______________ Signature with seal of the Head of the Institute Last
attended/ Govt. Gazetted Officer
Name of the Gazetted
Officer____________________________
N.B.:- Certificate to be obtained from ( the head of Institution last attended/ Govt. Gazetted Officer).
16ANNEXURE-VI
RAJIV GANDHI INSTITUTE
OF
PETROLEUM TECHNOLOGY, ASSAM CENTRE, SIVASAGAR
DIPLOMA ADMISSION - 2020
Rajiv Gandhi Institute of Petroleum Technology (RGIPT) has been established as an
Institute of National Importance through an Act of Parliament under the aegis of Ministry of
Petroleum & Natural Gas (MoPNG), Government of India. It is co-promoted as an energy
domain specific institute by leading Oil Public Sector Units (ONGC, IOCL, OIL, GAIL, NRL,
EIL, BPCL and HPCL) in association with Oil Industry Development Board (OIDB). RGIPT
operating its academic activities from its main campus at Jais, Amethi, Uttar Pradesh and
centres at Sivasagar, Assam and Bangalore, Karnataka.
RGIPT, Assam Centre invites application for the following 3 years Diploma Courses:
1) Diploma in Chemical Engineering : 30 Seats
2) Diploma in Petroleum Engineering : 30 Seats
3) Diploma in Mechanical Engineering with
specialization in Pipeline Engineering : 30 Seats
4) Diploma in Fire & Safety Engineering : 30 Seats
5) Diploma in Electronics & Instrumentation
Engineering : 30 seats
RGIPT Assam Centre will use the Polytechnic Admission Test (PAT)-2020 ranks &
participate in PAT-2020 counselling for admitting candidates for the above Diploma Courses.
Courses will be fully residential at Sivasagar. Reservation will be as per Govt. of India Rules.
17ANNEXURE-IX
DECLARATION FORM
(TO BE SUBMITTED AT THE TIME OF COUNSELING)
DECLARATION BY THE APPLICANT
I hereby declare that the entries in the On line Application Form have been filled up by me and the
entries made are correct to best of my knowledge and belief. I agree that if there is any wrong information in the
statement given, in the mark sheets and certificates attached, l may not be allowed admission and in the event of
my being admitted, my admission may be cancelled by authority concerned at any time.
I do hereby promise that in the event of my being admitted to the Polytechnic, l shall abide by all rules
and discipline of the institution.
Date ............................................. ...................................................
Place .............................................. Signature of the Applicant
DECLARATION BY THE PARENT/GUARDIAN
l hereby declare that I shall be fully responsible for conduct and all financial liabilities that the ward
incurs during his/her studentship in the Polytechnic.
............................................................................. .......................................................
The Signature of the Gazetted Officer in presence Signature of the Parent/Guardian
of whom the parent/guardian put his/her signature.
Designation of the Officer ........................................
Seal of Office
18CASTE/CATEGORY Sl. No. SUPPORTING DOCUMENTS
Caste certificate from the competent authority countersigned by
1 SC/ST
DC/ADC/SDO (Civil) .
OBC/MOBC INCLUDING Cast certificate can be obtained from the competent authority
KOCH-RAJBONSHI, TAI- countersigned by DC/ADC/SDO (Civil) along with the Non
2
AHOM, TGLC, EX-TGLC, Creamy Layer Certificate from the Deputy Commissioner of the
CHUTIA respective District.
Caste certificate from Assam Moran Sabha with the counter
signature of DC/ADC/SDO (Civil) of the concerned District along
3 MORAN
with the Non Creamy Layer Certificate from the Deputy
Commissioner of the respective District.
Certificate from Director of Sports, Assam and proof of
4 NCC & SPORTS
representing State if applied against Sport and NCC quota.
(a) Certificate from the Secretary, Home & Political Department
to the Govt. of Assam.
FREEDOM FIGHTER
(b) A direct relationship certificate of the candidate with the
5 [BOTH PATERNAL &
freedom fighter from the Deputy Commissioner or his authorized
MATERNAL]
official of the district where the freedom fighter belongs, if applied
against the category of Freedom Fighter.
RETIRED DEFENSE Certificate from the Director, Rajyiik Sainik Board, Assam.
6
PERSONNEL
Certificate from the employer and Permanent Resident Certificate
7 CENTRAL GOVT. ENGLPYEES
from outside the State of Assam.
Fo: Identity Card as Differently-Abled issued by Social Welfare
DIRERENTLY ABLED
8 Department must be produced. Minimum disability 40% and not
CANDIDATE [PWD/PH]
exceeding 80%.
ECONOMICALLY WEAKER Certificate as per the Govt. of Assam, Personnel
SECTIONS [EWS] PURELY Department’s Office Memorandum No. ABP.07/2019/4,
9
MEANT FOR GENERAL
CATEGORY
dated 10-04-2019.
PERMANENT RESIDENTIAL Certificate from the concerned DC/ ADC / SDO of the concerned
CERTIFICATE [PRC] OF district. [If a cannot produce a PRC at the time of Counselling.
ASSAM. However PRC shall have to be furnished at the time of final
10
[FOR ALL CASTE /CATEGORY admission].
ACCEPT CENTRAL GOVT.
EMPLOYEES]
Issued By
DIRECTORATE OF TECHNICAL EDUCATION, ASSAM,
KAHILIPARA, GUWAHATI-781019
Email: dte.assam@gov.in / scteassam.nonconfidential@gmail.com
Website: https://dte.assam.gov.in
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