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APPLICATION FOR ADMISSIONS 2013 - 14

POST GRADUATE COURSES / GME / ETO


Application No. Roll No.
(To be allotted by the University)
(Under Sec. 3 of UGC Act 1956)

Fill the details in English in block letters Read carefully the Instructions given in the Appendix Use black ball point pen for filling the details For Eligibility Criteria, please visit our website www.ametuniv.ac.in
1.Name of the Applicant

Cost of Application Form: Rs.1000/Photo with Sky Blue Background


DD DD No & Date:

CASH Bank Name:

2.Course Applied for: 1st Option 2ndOption 3rd Option 3.Date of Birth 5.Blood Group 7.Nationality

Refer the Appendix for course details

Name of the Course

Code

4.Gender

(Put a mark)

Male

Female

6.(a) Religion: 6.(b) Social Status OBC/SC/ST/Others

8.Name of the Father / Guardian

9.Occupation of Father / Guardian

10.Fathers / Guardians Annual Income

11.Mothers Name 12.Permanent Address (Do not repeat the Name)

13.Address for Correspondence (Do not repeat the Name)

14.STD Code

15.Telephone

16.Mobile Number

17.Local Guardian (Name/Address/Local Phone Number)

18.Email ID ................................................................................................................................ 19.For MBA Course only


Name of the Test CAT / MAT / ATMA / XAT / JMET / TANCET Month & Year Test Score

20.For GME/MBA/M.Sc/M.Tech., Course only (Tick the course you appeared for)
College University Year of passing Percentage / CGPA*

*CGPA: Cumulative Grade Point Average

Specialisation in UG Course (In Block Letters)

% Marks Scored in English (Higher Secondary/12th Std) .....................


21. P.G. COURSES FOR MARINERS (CODE NUMBERS: 402 and 403 ONLY)
Academic Qualification
P.U.C. / + 2 Bachelors Degree (Attested Xerox copy of Provisional Certificate or Degree/Diploma to be enclosed) For MARINERS Category of Eligibility Certificate of Competency MATE (FG) MASTER (FG) EXTRA MASTER SECOND CLASS (MOTOR) FIRST CLASS (MOTOR) EXTRA CHIEF MICS CDC Issuing Authority Date of Issue Place of Issue Certificate Number

Name of the Institution

University

Year of Passing

Major

% of Marks in Major Subject

Class

P.G. COURSES FOR MARINERS / OTHERS (MBA., M.Sc., M.Tech.,) (Tick the course you appeared for)

22. Professional Experience


S.No Name of the Organisation Position Period of service From To

23.Whether Hostel required


YES NO State

24.Sports Achievement
National International None

25.Specify Entrance Examination Centre (Refer Appendix) 26.Please answer the following questions. a) How did you come to know about AMET University? News Paper If others specify: b) Are you aware of the fee structure? Yes No TV Website Edu. Fair Alumni Others

Declaration
I confirm to the best of my knowledge that the information given in this form is correct. If admitted to this course, I, also agree to abide by the rules and regulations of AMET University. I do agree to abide by the University Anti Ragging Regulations, as directed by the Hon'ble Supreme Court of India. Please see number 5 of instructions below.

..............

..........................................................

Applicant's Signature Date ...........

Fathers / Mothers/ Guardian's Signature

(Dispute , if any, will be subject to Chennai jurisdiction only)


INSTRUCTIONS: 1. Enclose the attested copies of the following along with the application form (i) 10th & 12th std mark sheet (ii). Provisional / Degree Certificate (Iii) Consolidated Mark Sheet Statement (iv) Sports Merit Certificates, if any (v) Transfer Certificate (vi) Conduct Certificate from last School/college attended (vii)Community Certificate 2. Paste Passport size colour photograph on page 1 (applications without photograph will be rejected) 3. All the original certificates to be submitted at the time of admission for verification 4. Maintain a photocopy of this application and bring copy at the time of admission. 5. Affidavit by the parent/student in Non-Judicial stamp paper as per your state rules as given in the specimen copy will have to be submitted at the time of admission. (Specimen available in Information Booklet) 6. Affidavit for Indemnity Bond by the student in Non-Judicial stamp as per your state rules as given in the specimen copy will have to be submitted at the time of admission. (Specimen available in Information Booklet) 7. Upper portion of the Hall Ticket should be attached with the Application.

Send filled in Application to City Office (Anna Nagar) Address

For Office Use only Application Received on Verified by

Interviewed on

Results of Entrance Examination Results of Interview Medical Examination Selected for admission
NOTE:

Score Well Suitable Fit Yes

Pass Suitable Unfit

Fail To meet counselor

No

1. Use Separate form for Under Graduate/HND Courses 2. For Post Diploma and Research Programmes (M.Phil.,/Ph.D) Separate Application Forms can be downloaded from www.ametuniv.ac.in

CAMPUS
No.135, East Coast Road, Kanathur 603 112, Chennai, India Tel. 044 - 32577002/32577030/27472155/57 Fax: 044 - 2747 2804 Mob: 9381505747 / 9345656224

CITY OFFICE
No.5107, H2, 2nd Avenue, Anna Nagar, Chennai 600 040 Tel. 044 -26161026/1180/2031 Fax: 044 - 26162827 Mob: 9382350607

Web: www.ametuniv.ac.in/ Email:office@ametuniv.ac.in

Appendix
COURSE DETAILS WITH CODE NUMBER:
Code No. 103 108 302 303 304 305 401 402 403 Name of the course GME Pre Sea Training for Graduate Mechanical Engineers ETO (Electro Technical Officer) MBA Shipping & Logistics Management MBA Shipping Finance MBA Marine Human Resource Management MBA Cruise Ship Hospitality Management M.Sc. Marine Biotechnology M.Sc. Fleet Operations Management M.Tech Marine Engineering Management 1 year 17 Weeks 2 years - 4 semesters 2 years - 4 semesters 2 years - 4 semesters 2 years - 4 semesters 2 years - 4 semesters 2 years - 4 semesters 2 years - 4 semesters Duration

EXAMINATION CENTRE DETAILS


1. DELHI 2.MUMBAI 3. LUCKNOW 4. PATNA 5. COCHIN 6. KOZHICODE 7. CHENNAI

HALL TICKET
FULL NAME AND COMPLETE POSTAL ADDRESS OF THE CANDIDATE (IN CAPITAL LETTERS)

APPLICATION NUMBER

Name Address

............................................................................................

............................................................................................ ............................................................................................ Pin Code ............................................................................................ Course Name ............................................................................................ Course Code ............................................................................................ Examination Centre .................................................................................. Mobile Number ..................................................................................

Photo with Sky Blue Background

SIGNATURE OF THE CANDIDATE

[ATTACH THIS PORTION TO APPLICATION]

[REFER APPENDIX FOR COURSE AND EXAMINATION CENTRE DETAILS]

DETACH THIS PORTION OF THE HALL TICKET AND PRODUCE DURING ENTRANCE EXAMINATION FULL NAME AND COMPLETE POSTAL ADDRESS OF THE CANDIDATE (IN CAPITAL LETTERS)

APPLICATION NUMBER

Name Address

............................................................................................

............................................................................................ ............................................................................................ Pin Code ............................................................................................ Course Name ............................................................................................ Course Code ............................................................................................ Examination Centre .................................................................................. Mobile Number ..................................................................................

Photo with Sky Blue Background

SIGNATURE OF THE CANDIDATE