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Rani Jhansi Laxmi Bai Govt. Polytechnic, Loharu

(Affiliated to HSBTE Panchkula, Govt. of Haryana & AICTE Approved)

ADMISSIONS OPEN For Diploma Courses : For Diploma Courses : For Diploma Courses :

Civil Engg. 60 Seats Mechanical Engg. 60 SeatsElectronics & Communication Engg. 60 Seats

Computer Science & Engg. 60 SeatsElectrical Engg. 60 Seats

ForenquiriescontactatCollegeof�icebetween9:00amto5:00pm(AdmissionsopenonAllworkingdays)

Email- gploharu@hry.nic.inWebsite : www.gploharu.ac.in

9416891302 (ECE), 9050643525 (EE), 9050629339 (CSE), 8901306066 (Civil), 8571805701 (Mech)

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College Fee

Ist Semester 2nd Semester & onwards

Boys Girls Boys Girls

Tuition Fee

Development Fee

Students Fund

Building Fund(Paid once forthe Course)

Caution Money(Refundable)

Total

1500

750

1000

250

2000

5500

Nil

750

1000

250

2000

4000

1500

750

1000

Nil

Nil

3250

Nil

750

1000

Nil

Nil

1750

Reimbursement of Tuition Fee, Development Fee, Student Fund and Exam Fee for SC Category Students.Reimbursement of State Transport Facility/Train Pass for all SC Category Students.

: 500/- For All

: 500/- For General Category: 200/- For All Reserved Categories (SC/BC/PH/FF/ESM/KM/EWS/HGST/Girls)

Registration Fees(Non Refundable)

: 2000/- (Refundable): 2000/- (Refundable): 900/- (One Semester)

Hostel Fees

Caution MoneyMess AdvanceRoom Rent

Hostel Mess is Co-operative Mess (Non Profiting Mess) : Mess Diet + Servant Charges +Electricity Charges are charged on actual expenditure basis.

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Counselling Fees(Non Refundable)

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EligibilityDiploma Engg. (3 Years Course)

Diploma Engg.Lateral Entry (2 Years Course)

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l www.techeduhry.gov.in www.gploharu.ac.inl

th10 with 35% marks (33% in case of candidates belonging to Scheduled Castes and Scheduled Tribescategory or Kashmiri Migrants Category). Compulsory pass in Maths & Science subject.

10+2(with PCM) /ITI (02 years) Pass/NSQF Level-IV as per the compatibility of the courses

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More than 300 students fromBihar/UP/Rajasthan are studying/Enrolled in the Institute

Railway Route from DelhiRailway Route from DelhiRailway Route from DelhiSarai Rohilla Gurgaon Rewari Mahendergarh Loharu Jn.

Bus Route from Delhi Bus Route from Delhi Bus Route from DelhiISBT Rohtak Bhiwani Loharu

ISBT Jhajjar Charkhi Dadri Loharu

ISBT Gurgaon Rewari Mahendergarh Loharu

Distance of Institute from Delhi- 150 KMDistance of Institute from Railway Station Loharu- 1.5 KMDistance of Institute from Bus Stand Loharu- 1.0 KM

Address :

Rani Jhansi Laxmi Bai, Govt. Polytechnic, LoharuTehsil- Loharu, Distt. Bhiwani (Haryana) Pin – 127201

On National Highway (Ext. No. 709)

TO CHARKHI DADRI

R.J.L.B. Govt.Polytechnic College Gate

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Note : Map Not to Scale

(Tick the checkbox for the course applied)

DIPLOMA (ENGG.) DIPLOMA ENGG. (LATERAL ENTRY)

1. Candidate’s Name : ____________________________________

2. Father’s Name : ____________________________________

3.M other’s Name : ____________________________________

4.D ate of Birth (Attach 10th Certificate) : __________________________

5.A ddress : ____________________________________

____________________________________

6.G ender : Male / Female / Transgender .........................

7.A adhar No. : ____________________________________

8.M arks in Qualifying : Mark Obtained _______Out of _______Percentage ________

Exam with %(10th For Diploma (Engg.) and 12th(PCM)/ 2 yrs ITI for Diploma Engg. (Lateral Entry) (Attach Certificate)

9.C ategory (Gen./SC/SC-D/BC-A/BC-B/PH/ESM) : ____________________

(Attach Certificate)

1.M obile No. : (1) Self ______________________________

: (2) Alternate No. ______________________

(All Phones should be in working)

2.E mail-Id : _____________________________________

Branches Available in the Institute:

Mechanical Engg. Civil Engg. Electrical Engg. Electronics & Comm. Engg. Computer Engg.

Preferences of the branches ( To be filled by the candidate)

Choice No. 1. ___________________________ Choice No. 2. ___________________________

Choice No. 3. ___________________________ Choice No. 4. ___________________________

Choice No. 5. ___________________________

DECLARATION

I hereby declare that the information given in this application is true and correct to the best of my knowledge

and belief. In case any information given in this application proves to be false or incorrect, I shall be responsible for

the consequences.

Signature of the Candidate

RANI JHANSI LAXMI BAI GOVT. POLYTECHNIC LOHARU

APPLICATION FORM FOR ADMISSION-2021

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Photo

Seat Allotment team

Seat Allotted in ....................................

Under Category ...................................

Signature of committee

1______________ 2 ____________ 3 _____________

Documents verification team

Documents verified

Signature of committee

1______________ 2 ____________ 3 _____________

For office use only