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MINORITY STATUS

FOR
SELF-FINANCING ENGINEERING COLLEGES

APPLICATION FORM

FOR CLAIMING MINORITY STATUS - FORM : I

Directorate of Technical Education,
53, Sardar Patel Road,
Guindy,
Chennai 600 025.
Telephone Nos. 22351018 / 22350525

2. 7. 1000 /= Demand Draft in favour of "Commissioner of Technical Education. : . : STD : STD : Date : Phone No. Office of the Registration : 6.APPLICATION FORM FOR CLAIMING MINORITY STATUS [ FOR SELF-FINANCING ENGINEERING COLLEGES] FORM : I APPLICATION FEE : S. 1. with Date : 5. Demand Draft Date Bank Amount (Rs. : Fax No. 3 Name of the Trust / Society Address of the Trust / Society : : PINCODE Mobile Phone Fax E-mail Whether the Educational Institution is run by Registered : : : : : : STD : STD : Registered Society / Trust : Nature of the Trust Society or Trust (Nature of the Phone No. Deed Registration No.No Demand Draft No. : Fax No. & Date : : : : : : : : Registration No. Year of Establishment AICTE’s approval No. Name of the Institution Address of the Institution : : DISTRICT PINCODE Mobile Phone Fax E-mail 8. : YES / NO : : Trust to be specified) 4.) Rs. 9. Chennai" payable at Chennai should be enclosed.

) 11. 19.. No. State the reason and provide the details : : YES / NO : If NO. Post : Religion / Mother Tongue YES / NO : If NO. Name Whether the Institution was originally established and continuously being administered by the members of the minority. Whether the original Trust Deed / Memorandum of Association / Bye laws reflect the objective of the Trust to sub serve the interest of the minority community. Whether already minority status was conferred in the previous years. Whether applied for minority status earlier. State the purpose : (Enclose the Xerox copy). Act.. Any Supplementary Deed was executed. 17. Whether it is Registered YES / NO : Deed Registration No : Registration Date : Office of the Registration 16. : Originally Change in the Trust YES / NO : If YES. state the purpose for which the Supplementary Deed was executed. 18. Whether all certificates supporting the religious / linguistic nature of minority enclosed..C. 14. : YES / NO : : YES / NO : : YES / NO : : YES / NO : . Any change in the Trust Members (Change from the Established Trust). State the reason and provide the details : : YES / NO : If YES. 13. If YES.. Whether the Supplemental Deed has been approved by Court as per Section 92(3) of C.P.10. 15. 12. Minority Status claimed : (Specify the minority as Christian/ Muslim/Telugu/. Religion / Linguistic : Specify the minority : Composition of Educational Agency – Board of Management or Board of Trust – Names of the Trustees/ Educational Agency along with the particulars of the religion/mother – tongue (Please enclose the proof of religion / mother – tongue) : Sl.

furnish the details. Station : Date : Name and Signature of the Chairman / Secretary of the Trust / Society with Seal & Date COLLEGE SEAL Name and Signature of the Head of the Institution with Seal and Date . furnish the details for all previous years : Whether minority status was conferred once and later rejected.O. No. Year : YES / NO : : DECLARATION I / We solemnly declare that no information has been withheld and all the information provided in this application form is true. I / We understand that proposal shall be liable for rejection. If any information is found to be incorrect or false.If “Yes”. If “Yes”. : G. & Date: (Enclose the Xerox copies). 20.

admitted within Management Quota Percentage of religious / linguistic candidates admitted from the minority Institute’s own community out of the total candidates admitted under Govt. Whether the Institution has admitted not less than 50% of YES/NO ECE CS IT Total . of candidates admitted under category such as NRI etc.1 2 3 4 5 6 7 8 9 10 11 12 13 14 Section A (Admission Details for the Year 2014-2015) Civil Mech EEE Name of the Branch (*) Sanctioned intake Total No. of religious / linguistic candidates admitted in Govt. of candidates admitted under Management Quota No. No. quota belonging to Institutes own minority community No. of religious / linguistic candidates admitted in Management quota belonging to Institutes own minority community Total No. quota and Management quota belonging to Institutes own minority community. Quota No. of candidates admitted under Govt. of religious / linguistic candidates admitted in both Govt. of candidates admitted against the sanctioned intake No. Quota Percentage of religious / linguistic candidates admitted from the minority Institute’s own community out of the total candidates admitted under Management Quota Percentage of religious / linguistic candidates admitted from the minority Institute’s own community out of the total candidates admitted Whether the list of candidates admitted during 2012-13 against minority quota is enclosed (Refer Section B).

state the reasons.their own community from out of the seats earmarked for admission by the management. If not.T. (*) any other Courses in the College should be added.E. (Copy of the admission approval must be enclosed).Details furnished in the columns 2 to 8 of Section A must be in conformity with the admission approval obtained from the D. Name and Signature of the Chairman / Secretary of the Trust / Society with Seal & Date Name and Signature of the Head of the Institution with Seal and Date . Note:.

Marks Max.No. of students admitted in Govt.Demand Draft in favour of "Commissioner of Technical Education.SECTION B (Students admitted during 2014-2015) Institute : Branch : Sanctioned Strength : No. quota: S. of students admitted in Magmt. Chennai" payable at Chennai] Copy of AICTE Approval Order and subsequent Approval Orders till date. Quota : No.200 MotherTongue/ Religion Name and Signature of the Chairman / Secretary of the Trust / Society with Seal & Date Category GQ / MQ Name and Signature of the Head of the Institution with Seal and Date LIST OF ENCLOSURES S.No Description 1. 1000 /. if any YES / NO . Application Fee [Rs. 2. Name Quali.

Proof of religion / mother – tongue for Trust Members 9. Supplementary Deed 6. 11. Wakf Board Certificates in case of Religious Minority 8. Copy of the minority status already conferred in the previous years. Trust Deed 5. RDO Certificate in case of Linguistic Minority 7. if any 14. if any - Students admitted Details . Form A & Form B given by Admission Section of Directorate of Technical Education and Admission Approval Order issued by Directorate of Technical Education.3. Baptism Certificate. Section : A Admission Details 12. Section : B 13. Copy of all the certificates supporting the religious / linguistic nature of minority 10. Copy of Anna University Affiliation Order 4. Copy of the minority status conferred once and later rejected.