APPLICATION
(FOR PRIORITY REGISTRATION TO B.TECH COURSES UNDER MANAGEMENT QUOTA)

1.Name of the Student        : 
    (in block letters)		 Male/Female
2.Branch applied for         :
3. Address                   :
4.Name of the Parent         :
5.Phone No. with code (Office)  :
6.Name of the Qualifying Examination appeared, 
   Board/University conducting the examination.      :
   If passed, aggregate percentage marks and year
   of passing.
7.Actual Marks 
  for subjects (P-C-M)
   in Plus 2 or equivalent 
   Examinations    		      Physics       Chemistry      Maths     Aggregate
Actual     Max Actual     Max Actual  Max Actual   Max
8. % of Marks 
    obtained		        
9. % of marks expected if results are yet to be published:
10.Roll No. in Kerala Engineering 
    Entrance Examination 2003           :                                Rank:
 

Show preference for the Courses offered by marking 
1 for 1st preference, 2 or 2nd preference etc.
(If no preference mark it 'X'

Electronics & Communication Engineering (EC)       Computer Science & Engg. (CS)

 Information Technology (IT)                                       Automobile Engineering (A E)
                                                                      

Undertaking : - We understood that submission of this not a guarantee of securing admission and that the admission will be on the rank list as per the eligibility norms prescribed by Government and for the management of the College. We understood that the tuition fees to be remitted will be as per the Kerala Government orders in the matter. We will abide by the rules and regulations prescribed by the AICTE, University and Government regarding the admissions.


Place: 
Date:                                                             Signature of the Student                             Signature of the Parent

 

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