भारतीय सूच ना ौोिगकी सं थान इलाहाबाद

Indian Institute of Information Technology Allahabad

(An Institute of National Importance by Act of Parliament)

Devghat, Jhalwa, Prayagraj-211015 (UP) INDIA

Phone: 91-532-2922025, Email: contact@iiita.ac.in, Web: www.iiita.ac.in

STUDENT COPY Ref. No.: IIITA/AAA/Jul-2023/5255/1

Provisional Enrolment Receipt Date: 17-08-2023
(Under SC Category)

Official Detail
Enrolment No. : IIT2023233 (Batch Session - Jul-2023 To Jun-2027)
Program Name : BTech (IT) - Semester 1
Admission Channel : JEE Main/DASA
Application No. : 230310040049
Hostel Room : 5377 in BH5 (Third floor) Document Detail

TA
1. Aadhaar Card / Passport (for DASA & SII Candidate)
Personal Detail 2. Anti-Ragging Affidavit By Parent
3. Anti-Ragging Affidavit By Student
Name (in English) : BIKRAM BARMAN 4. Caste/Category Certificate
Name (in Hindi) : िबम बमन 5. Character/Conduct Certificate
6. JEE/DASA Rank Card
Birth Date : 15-11-2004 7. JEE/GATE/DASA Admit Card
Gender : Male (Blood Group : B+) 8. Marksheet of 10th Standard
9. Marksheet of 12th Standard
Social Category : SC (Marital Status : Unmarried) 10. MCAIP Form
Religion
Nationality
Aadhar No.
PAN No.
:
:
:
:
Hinduism
INDIA
805039403798
HKCPB4181C
III 11.
12.
13.
14.
15.
16.
Medical Examination Report
Migration/Transfer Certificate
Pass Certificate of 10th Standard
Pass Certificate of 12th Standard
Proof of Date of Birth
Provisional Admission Letter from JoSAA/DASA
17. Receipt of Advance Fee Payment at CCMT/JoSAA/DASA/SII
Academic Detail 18. Undertaking by Candidate for Documents Submission
P@
High School (10th) : 96.28 (2020 from WEST BENGAL BOARD OF)
Intermediate (10+2) : 88.00 (2022 from WEST BENGAL COUNCIL )
Rank/Score : 36296.00 (JEE) Category Rank: 1113
ABC ID : 945701723647

Contact Detail
Phone No. : 7501036833
Email : bikrambarman993298@gmail.com
Comm. Address : Vill paglimari,post Nagar Lalbazar,P.s Sitalkuchi,dist coochbehar -736158
ER

Vill paglimari,post Nagar Lalbazar,P.s Sitalkuchi,dist coochbehar

Home Address :
Koch Bihar-736158 (West Bengal) INDIA
Police Station : Sitalkuchi (Area: Rural)

Parent/Guardian Detail
Father Name : MR. BAREN CHANDRA BARMAN (Government Service) Fee Paying Guardian
Vill paglimari,post Nagar Lalbazar,p s Sitalkuchi,dist coochbehar , 9932989105(M),
Address :
paglimari6@gmail.com
Mother Name : MRS. MALLIKA SARKAR (Home Maker)
Address : , (M)

Account Detail
# AccountNo AcountType HolderName BankName IfscCode

1 50100647196501 Saving Account BIKRAM BARMAN HDFC HDFC0006421

(Student) (for AAA Section pro.gauravt)

This is a computer generated copy, signature is not required. © IIITA Copyright 17-08-2023 (7)
 भारतीय सूच ना ौोिगकी सं थान इलाहाबाद
Indian Institute of Information Technology Allahabad
(An Institute of National Importance by Act of Parliament)

Devghat, Jhalwa, Prayagraj-211015 (UP) INDIA

Phone: 91-532-2922025, Email: contact@iiita.ac.in, Web: www.iiita.ac.in

STUDENT COPY Ref. No.: IIITA/Jul-2023/5255/1

Fees Payment Receipt Date: 17-08-2023
(Under SC-ST-PWD Category)

Official Detail
Enrolment No. : IIT2023233 (Batch Session - Jul-2023 To Jun-2027)
Program Name : BTech (IT) - Semester 1

Personal Detail
Student Name : BIKRAM BARMAN (िबम बमन) S/o MR. BAREN CHANDRA BARMAN

TA
Vill paglimari,post Nagar Lalbazar,P.s Sitalkuchi,dist coochbehar , Koch Bihar-736158 (West
Home Address :
Bengal) INDIA

Fees Detail
# Head Name Pay Term Amount
1 Admission Fee One Time ₹ 3340.00
2 Alumni Fund One Time ₹ 10650.00
3
4
5
6
Enrollment Fee
Identity Card Fee
Training & Placement Fee
Annual Library Fee
III One Time
One Time
One Time
Annual
₹ 1340.00
₹ 1340.00
₹ 2200.00
₹ 1340.00
7 Benevolent Fund Annual ₹ 680.00
8 Group Insurance and SWF Annual ₹ 1340.00
P@
9 Cooler Usage Charges Semester ₹ 610.00
10 Examination Fee Semester ₹ 1340.00
11 Grade Card Fee Semester ₹ 680.00
12 Hostel Electricity Charges (Shared @ Rs 1100/ & Single @ Rs 2200/) Semester ₹ 1100.00
13 Hostel Fees (Room Charges, Shared @ Rs 7260/ & Single @ Rs 14520/) Semester ₹ 7260.00
14 ICT Fee Semester ₹ 1650.00
15 Maintenance Charges (10% of Room Charges) Semester ₹ 730.00
16 Medical Fee Semester ₹ 680.00
17 Mess Establishment Charges (5% of Room Charges) Semester ₹ 370.00
ER

18 Student Gymkhana Fee Semester ₹ 1340.00

19 Transport Charges Semester ₹ 370.00
20 Water Charges (10% of Room Charges) Semester ₹ 730.00
21 Caution Money (Refundable) Once ₹ 4400.00
Fees Amount ₹ 43490.00
Payable Amount ₹ 43490.00

Payment Detail
# Payment No. Payment Date Mode Amount
1 order_MQzF00YTdZ1AcQ 17-08-2023 PG-RP ₹ 11490.00
2 JoSSA round counselling fee ₹ 32000.00
(No dues) Paid Amount ₹ 43490.00

Student Account Detail

# AccountNo AcountType HolderName BankName IfscCode

1 50100647196501 Saving Account BIKRAM BARMAN HDFC HDFC0006421

(Student) (F&A Section)

This is a computer generated copy, signature is not required. © IIITA Copyright 17-08-2023 (8)