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: _____________(office use only)

(AICTE Recognized, NAAC Accredited, ISO 9001: 2000 Certified, Anna University Affiliated))

Campus: SSN College of Engineering, Old Mahabalipuram Road, Kalavakkam, T.N. - 603 110. Ph: 044 27469700 / 27469774; e-mail: URL:


(Management Quota - Application Form)

Admission Procedure on Page 3

Submit completed application form by 30th April 2013

(Please fill in the application form carefully and tick mark the appropriate information wherever necessary)


NAME IN BLOCK LETTERS (INITIALS AFTER THE NAME) _____________________________________________________

Affix a recently taken passport size photograph here


MAILING ADDRESS _____________________________________________________ _____________________________________________________ ______________________________PIN CODE: _____________



E- Mail Address (mandatory):________________________________________________________ (Note: Invitation for Interview for eligible candidates will be communicated by phone or e-mail) 3. 4. 5. 7. 8. 9. Date of Birth (as entered in SSLC/ HSC or equivalent certificate) SEX : Date Month Year

NATIONALITY_______________________ 6. MOTHER TONGUE ___________________________ (a) Fathers Name:___________________________ (b) Occupation_____________________________ ANNUAL INCOME OF THE FAMILY Rs: ________________ TANCET* REGISTRATION DETAILS:

TANCET 2013 It is desirable that students have a TANCET score. 10. ACADEMIC INFORMATION Qualifying examination: (Tick the option applicable) BE BCA Passed Part time
MCA Admissions 2013-16


BSc Others



, Please Specify _________________________

Appearing in Apr / May 2013 Full time 1


Those graduating in current academic year should give their percentages till the latest Year/semester as available.

(Strike off the options not applicable in the table below)

Qualifying Exam Year of Completion Discipline/ Branch Name of the Institution & location Name of the Board/ University Aggregate (%) marks
(All subjects included)

SSC/X 10+2/XII Graduation

BSc/BCom/BA/ BCA/BBA/Others_______

Post Graduation_____
(No original to be sent. Photocopy of academic certificates are required to be sent along with this application)

12. Work experience: ___________ years (as per details below:) (Start from latest and proceed backwards)
Name of organization Address Nature of Business Period of employment From To Designation

13. List scholarships/ prizes/ honors won; sports/cultural achievements _________________________________________________________________________________ _________________________________________________________________________________ 14. Project Work: Title of the project _______________________________________________________ Project Description __________________________________________________________________ __________________________________________________________________________________ 15. Processing Fee Details: (All payments to be made in the form of Demand Draft drawn in favor of SSN College of Engineering,
payable at Chennai). Attach DD to the filled-in application form. Amount Rs. 750 Name of the Bank Branch Demand Draft No. Dated

16. Declaration by the prospective student

I, __________________________, do hereby confirm that the information provided above is true and correct. Further, in the event of my taking up admission at SSN CE, I agree to abide by all the rules and regulations that may be in force at the institution.

MCA Admissions 2013-16


Signature of Applicant 2

Parents Signature


MCA ADMISSIONS 2013 - 2016

(Management Quota - Application Form) ADMISSION PROCEDURE

The fee structure is the same for students admitted under Management Quota as well as singlewindow counseling (Government Quota). The program is compulsorily residential. Admissions for management quota seats are made purely on MERIT on ALL INDIA BASIS. Applicants seeking admission to MCA program of SSN should preferably write the TAMILNADU COMMON ENTRANCE TEST (TANCET) 2013. In addition the applicant must have studied Core Mathematics at the 10th and 12th Standards. Short listed candidates will be called for a counseling and interview with prior notice. The final rank list would take into account past academic record, TANCET score (if available), work experience and performance in the Interview to be held by us. (The institution conducting the TANCET test has no role in the admissions of SSN.) Students in the final rank list will have to write the Entrance Test conducted by the Consortium of Self-financing Colleges. Send filled-in form, with DD for Rs. 750/- in favor of SSN College of Engineering, payable at Chennai, to: The Administrative Officer, SSN Trust, 211/95, V M Street, Mylapore, Chennai 600 004. Tamil Nadu. The envelope should be super scribed APPLICATION FOR MCA 2013-16 Candidates writing the TANCE test should attach a copy of their TANCET hall ticket along with this application form. If the candidate has received the score sheet of the results of TANCET at the time of applying, a copy of the same may also be enclosed. Candidates sending applications with only the TANCET hall ticket must compulsorily send a copy of the Score Card once it is received. This can be done by a scanned copy to

MCA Admissions 2013-16

Attachments with application form:

1. 2. 3.

DD for Rs. 750/Copy of TANCET test hall ticket and mark sheet, if applicable. Copies of educational certificates and mark sheets for each semester. In case of candidates who have completed their graduation in 2012 or earlier, mark sheets for all individual semesters as well as the consolidated mark sheet must be enclosed. Candidates who are completing their UG in 2013 can send the semester wise mark sheets till pre-final semester.

MCA Admissions 2013-16