For Office Purpose:

BRANCH

BATCH

ROLL NO

ACE
Engineering Academy
Branch Office 140, Anupam Garden, IGNOU Road Saket, New Delhi 110068 011 29534268, 011 29534269, 09718922793 Head Office: Hyderabad, A.P., INDIA.

STUDENT REGISTRATION FORM FOR CLASS ROOM COACHING

1. Registration For GATE+PSUs GATE+IES+PSUs

Affix Your Latest Passport Size Photograph

2. Branch Name 3. Batch Name

(ECE/EEE/IN/CSIT / ME / CE/PI) Date of Commencement

(See our website for Fresh batches of GATE/IES-2013 and mention the appropriate Batch & Date) 4. Name of the Candidate: (As per the SSC Certificate) First Name: Middle Name: Last Name:

5. Fathers Name 6. GENDER: MALE FEMALE 7. DATE OF BIRTH:

DD MM YYYY

8. Are you an old student of ACE Academy If YES, Please furnish your details a) Course: GATE / IES / JTO / APPSC / APSEB (Please tick ( ) the appropriate one) b) Batch Number: c) Roll Number :

9. Educational Qualification
Course B.E/ B.Tech M.E/ M.Tech

College

University

Year of Pass

% of marks

MCA/ M.Sc

10. Have you attempted the exam (GATE/IES) in the previous years (if YES give details) A) Rank in GATE exam B) Rank in IES exam C) Attended IES interview YES / NO

YES

NO

11. E-Mail:

12. a) Mobile Number:

b) Land Line Number with STD code: 13. Address for Communication:

City:

State:

PIN:

14. Amount Paid:

Rs

15. DD Details: DD Number Bank BANK Branch

DD Date

DD MM YYYY

(DD In Favour of ACE Engineering Academy, Payable at New Delhi)

INSTRUCTIONS TO THE STUDENTS

1. The candidates have to compulsorily submit the filled in form and two latest pass port size photos for admission. 2. The students can reserve the seat in a particular batch by paying the full fee either in cash/DD along with the application form. The admission can be taken either in person or sending the DD along with application form. 3. The students who are coming in person to take admission are advised to come with DD and filled in application Form if possible, to avoid long queues and save time at the time of admission. 4. The student would be liable for necessary action as deemed fit by the ACE Engineering Academy for any wrong information filled in the application form. 5. Mere submission of the application would not ensure his / her admission. Candidate would be required to provide his / her educational certificates (Photostat copies) viz. SSC certificate for the proof of age, Proof of ID .
6.

Postal Address: Post/courier completed application form along with DD and other documents to the following address: ACE Engineering Academy 140, Anupam Garden, IGNOU Road, Saket, New Delhi - 110068 India. 011 29534268, 011 29534269, 09718922793

RULES AND REGULATIONS

1. Every student is expected to maintain discipline in and outside the classroom, In case of violation of any of the rules & regulations or discipline the institute reserves the right to cancel the admission without any refund of fee. 2. All students are required to bring identity card daily to the class & the card shall be presented for verification whenever it is demanded. 3. Study material will be given through ACE identity card only. 4. In all matters, the decision of the administrative authority shall be final.

I Certify that the particulars furnished above are true to the best of my knowledge and I abide by the rules & regulations stipulated above by the ACE Engineering Academy. I also further state that the Institute has all the right to claim my result in future.

Sign. of Authorized person of ACE

Sign. of Parent/Guardian

Signature of the Student