UNIVERSITY OF JAMMU, JAMMU,
APPLICATION FORM FOR ADMISSION TO B.Tech. LATERAL ENTRY SCHEME
NOTE: All the fields marked as ( * ) are mandatory and need to be filled.
Personal Information
Name *
Father's Name *
Mother's Name *
Guardian's Name
(If any)
Date of Birth *
Gender Male Female
Marital Status
Religion *
Blood Group *
Whether Employed in Govt/Semi Govt Organisation
Upload your Signature
  1. Click on 'Browse' to select image.
  2. Upload images having .jpeg/.jpg format.
  3. Size of the photograph must be between 50KB to 200KB.
Upload your recent passport size photograph

  1. Click on 'Browse' to select image.
  2. Upload images having .jpeg/.jpg format.
  3. Size of the photograph must be between 50KB to 200KB
Domicile Certificate

  1. Click on 'Browse' to select image.
  2. Upload images having .jpeg/.jpg format.
  3. Size of the photograph must be between 50KB to 200KB
Degree / Diploma
  1. Click on 'Browse' to select image.
  2. Upload images having .jpeg/.jpg format.
  3. Size of the photograph must be between 50KB to 200KB
  4. The candidates appearing in Sixth Semester or Final should upload the Marks Certificate of fifth Semester or Pre Final
Contact Information
Parent / Guardian Contact No. *
Email *
Candidates Contact No. *
Are you a Domicile of J&K UT Yes No
Category *
Date of Issue of Category Certificate
Category Certificate
  1. Click on 'Browse' to select Certificate.
  2. Upload images having .jpeg/.jpg format.
  3. Size of the image must be between 50KB to 200KB.
  4. In case Category is other than OM the Category Certificate and Issue Date is to be Mandatorily submited.
Permanent Address
H.No Street/locality/Village*
Block* Tehsil *
District* State/UT
Pincode    
Address for Correspondence
Address for Correspondence if same as above
H.No Street/locality/Village*
Block* Tehsil*
District* State/UT*
Pincode    
Academic Information
Details of Qualifying Exam
Board / University *
College *
Year of Passing/Appearing *
Examination Session
Board / Univesity Roll no *
Marks Obtained/Max Marks/Percentage / / %
Date of Declaration of result
Branch Preference (1-4)
1. 2. 3.
4. 5. 6.
College Preference (1 -4) 1. 2. 3. 4.
Place *
Date
Draft Details
Fee For General category - Rs.800 and Fee for SC/ST/PwD/EWS category - Rs. 500.
Demand Draft No (DD No)*:    
Drawee Bank*:    
Demand Draft Date*:    
Demand Draft Amount*:    
Demand Draft
  1. Click on 'Browse' to select Demand Draft.
  2. Upload images having .jpeg/.jpg format.
  3. Size of the image must be between 50KB to 200KB.
I hereby declare that all statements made above are true, complete and correct to the best of my knowledge and belief. In the event of any information being found false or incorrect, before or after the examination, I authorize the University of Jammu, Jammu to cancel my candidature or selection/admission to the course, if selected. In such event I shall have no objection to criminal prosecution against me

I have read the instructions and information brochure regarding the lateral entry scheme and I hereby undertake to abide by them.