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Arunai Engineering College: Application For Admission To PG Course M.E., / M.C.A.

This document contains an application form for admission to postgraduate courses (M.E., M.C.A.) at Arunai Engineering College. The form requests information such as personal details of the applicant and parent/guardian, academic qualifications, work experience, extracurricular activities, and declarations signed by both the applicant and parent/guardian stating that the information provided is true.

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Kamalakkannan Radhakrishnan
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© © All Rights Reserved
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68 views2 pages

Arunai Engineering College: Application For Admission To PG Course M.E., / M.C.A.

This document contains an application form for admission to postgraduate courses (M.E., M.C.A.) at Arunai Engineering College. The form requests information such as personal details of the applicant and parent/guardian, academic qualifications, work experience, extracurricular activities, and declarations signed by both the applicant and parent/guardian stating that the information provided is true.

Uploaded by

Kamalakkannan Radhakrishnan
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
Download as pdf or txt
Download as pdf or txt
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ARUNAI ENGINEERING COLLEGE

TIRUVANNAMALAI - 606 603. TAMIL NADU, SOUTH INDIA.


E-Mail : [email protected], Web site : www.arunai.org.
Ph : 04175-237419, 236799 237739 Fax : 04175- 237789.

APPLICATION FOR ADMISSION TO PG COURSE M.E., / M.C.A.,


Academic Year :

1. COURSE APPLIED FOR :


Please fill up separate application form if you are applying for more than one course. Affix Latest
Passport size
The completed application form with supporting documents to be submitted in person Photo
or by post to the Institute for Registration immediately / on or bebore .........................

2. Name
(in BLOCK lettters with initials at the end)

3. Name of the
Parent / Guardian :

4. Occupation of
Parent / Guardian : 5. Annual Income

6. Address for
Communication : ..............................................................................................................
...............................................................................................................
............................................................... Pin .........................................
7. Tele Phone Number with STD code : ..................................................................................................
8. Mobile No :............................ 9. E-Mail : ..........................................................................................

10.Sex: 11. Date of Birth 12. Age 13. Community


as on 1-7-2009

Male Female D D M M Y Y ST SC MBC/ DNC BC Others

14. Place of Birth : , ,


(Place) (District) (State)
15. Nationality : Religion :

16. Name of the Caste / Code : .............................................................................................

Serial No of the Certificate : .............................................................................................

Date of the Certificate : .............................................................................................

Office of issue of the Certificate : .............................................................................................

17. Mother Tongue : .............................................................................................


18. Details of qualifying Degree/ s : ..........................................................................................
i) Degree & Branch : ..........................................................................................
ii) Period of study of Degree Course : ..........................................................................................
iii) Year of Passing : ..........................................................................................
iv) Class obtained : ..........................................................................................
19. Record of Academic Performance in the qualyifing Degree examination:

Semester % Semester % Name of the college/


University Studied
First Fifth
Second Sixth
Third Seventh
Fourth Eigth
Overall %
20. GATE Score (if any)

21. Details of Professional Experience(if any)


Firm / Institution Nature of work Period Designation

(Note : Employed candidates will have to produce a N.O.C in the prescribed format from
their employer )
D.D Details (if applicable)
22. Extra Curricular Activities
Name of the Bank:
Sports Games NCC NSS Others
Branch :
No: & Date: Rs.

DECLARATION BY THE APPLICANT DECLARATION BY THE PARENT/GUARDIAN

I.......................................................Son / Daughter I..........................................Parendt/guardian


of.......................hereby solemnly declare that I am
of..........hereby solemnly declare that the informa- fully aware of the declaration made by my son/
tion furnished and the statements given in the daughter/ward declare and bind myself on the same
application, and the enclosures are true, correct and terms contained in the above declaration .If it is found
complete. I further declare that if found otherwise, that my son/ daughter / ward violates the above said
I will be liable to forefeit my seat and/or removal declaration he /she will be liable to forefeit the seat
and i promise that i will not claim any compensation
from the rolls of the institution at whatever stage of or refund of fees paid by us. Also I accept that any
study i may be, besides making me liable for amount paid by us is non refundable after the
criminal prosecution. If I am admitted I agree to be admission. I am ready to pay the full fee of the course
bound by the rules and regulations now in force and of my son/daugter/ward wishes to leave the
made from time to time institution in the middle of the course.
Place: Place:
Date: Date:
Signature of the Applicant Signature of the Parent/Guardian

FOR OFFICE USE ONLY

The Candidate is Eligible Not Eligible Verified by :

Signature

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