DECLARATION & UNDERTAKING

I, Mr./Mrs./Ms. rules of the college, if admitted. I have noted that Directors / Principals / Faculty decision in all respects will be final and binding on me. I know that the fees once paid to the college is not refundable or transferable under any circumstances and I shall not ask for its refund, even in event of cancellation of admission by me. I know very well that College of Modern Technology & Engineering undertakes to train students for government recognised Diploma & Degree Level courses. I know that I.E.T.E. / I.M.E. / I.C.E. are independent examination body and payment toward registration and examination will have to be done directly. I do understand that admission to faculties / Branch is preference - wise and decision of the college authorities in this regard will be final and binding. I know that A.E.F.T.s will provide placement assistance but does not guarantee any placement & i will not claim for the same. Placement will on my merit by availing the nos. of intervies options offered to me by A.E.F.T.s. I have carefully gone through the prospectus and particulars mentioned in it & have understood it & I will abide by it. I hereby submit to disciplinary jurisdiction of the authorities of the college and shall observe and abide by the rules made by the Head of the College from time to time. Kindly accept my admission Form and grant me admission. Myself / Parent / Guardian hereby declare

College Of Modern Technology & Engineering

Thane : Seth N.K.T. Thanawala College, Behind Collectors Office, Karkarali, Thane (W) Tel : 25342297 / 25397135. Andheri : Shri Rajasthani Seva Sangh, Opp. Kohinoor Continental, J. B. Nagar,Andheri (E), Mumbai,Tel. : 64505240 / 32905204 Goregoan : Ryan International School, Next to Rajrudhram Apt., 100ft.Rd.Gokul Dham, Goregaon (E). Tel:- 65959789 / 90 Kalamboli : St. Joseph High School, Sector - 5 , Kalamboli, New Mumbai. Ph: 65101372 / 27420162 Bhiwandi : N.K.T. International School ,Near Shankar Dying Mill, Opp. Anjur Pata Telephone Exchange , Narpoli, Bhiwandi., Tel.: 9525- 22262235 / 22295136

that the information given to me in this application is true to the best of my knowledge. I agree to comply with the

Email - info@aeftcolleges.com Webiste :www.aeftscolleges.com

APPLICATION FORM FOR ADMISSION Academic Year : 2009 - 2010

Course Preference Type: Full-Time
DIPLOMA ENIGINEERING Computer Science & Engineering Electronic & Telecommunication Engineering Mechanical Engineering Civil Engineering

Part-Time

Correspondence
DEGREE ENIGINEERING Computer Science & Engineering Electronic & Telecommunication Engineering Mechanical Engineering Civil Engineering Information Technology

3 Stamp Size Photo

Year: I

II

III

Year :

II

III

IV

Specimen Signature of the Student :

Place :
(Signature of Student ) (Signature of Parent )

Campus : ___________________

INFORMATION TO BE FURNISHED BY THE STUDENT

Date :

Name of the Parent / Guardian / Student Address of the Parent / Guardian / Student :

Full Name (Surname First) (Block Letters) Date of Birth Local Address Place of Domicile Permanent Address

Telephone No. Relation with the Applicant

Subject to Mumbai Jurisdiction

This is just an application form for the admission. Submission of this form does not imply acceptance of the form or the confirmation of the admission.

Tel. No. (If any)

Tel. No. (If any)

DECLARATION TO BE MADE BY THE PARENTS / GUARDIANS / STUDENT

I have carefully read the information given in the prospectus of the college. I declare that the information furnished by my ward is fully true and confirms to facts. It will be my endeavour to observe rules of the college. I will fully co-operate with the authorities. At the same time I will ensure that my ward Observes and follows the instructions given at the College or industry and elsewhere. Place : Date : Signature of Parent / Guardian / Student :

Personal Interview Personal Interview :(ADMITTED/ REJECTED) Total Fees : Last Date For Admission : Date of Interview : Conducted by : Signature :

Note : Students should take Admission On or Before the last date mentioned .

Qty 500

ADMISSION PROCEDURE
Purchase Prospectus from the Office for Rs.300 (Cash). Application Form is available in the PROSPECTUS. Read prospectus carefully. Fill the Application Forms with all respects attach attested xerox copy of the following documents as applicable a) S.S.C / H.S.C. Mark Sheet Copy. b) School Leaving Certificate Copy c) Diploma / I.T.I. / B.Sc. / B.C.S. Certificate Copy and marksheet All students after completing the above procedure will have to go through P.I (Personal Interview). P.I. will be conducted by Principal / Director or in their absence Chief Administrator of the college. P.I. will be an interaction with student, so that his / her aptitude can be judged & on this basis management will decide whether to accept/ reject his/her application forms. If a student is rejected in (P.I.) he / she will not be admitted in the college. If the student is selected in (P.I.) then he / she should pay the fees immediately at the College Office. Fees should be paid in form of D.D. / P.O.only. D.D. should be in the name of Thane Campus / Andheri Campus / Bhiwandi Campus : College of Modern Technology & Engineering payable at Thane /Mumbai . Goregoan / Kalamboli Campus : Ryan College of Engineering & Management payable at mumbai / Navi Mumbai. Service tax will be applicable on the fees as per Govt. Rule. Your admission is confirmed only when college fees is paid completely. Fees once paid (Full / Part) is neither refundable nor transferable under any circumstances. The courses will commerce from 16th August.

INFORMATION TO BE FURNISHED BY THE GUARDIAN

Full Name of the Guardian (Surname First)

Relation with the Student

Age of the Guardian

Yearly Income Rs.

Guardian Occupation's

Status / Present Position

Address of Guardian for Correspondence

Permanent Address

ANNUAL COURSE FEES

DIPLOMA ENGINEERING Class 1st Year 2nd Year 3rd Year
Tuition Fees (Rs.)

Tel. No. (If any) DEGREE ENGINEERING Class 1st Year 2nd Year 3rd Year 4th Year
Tuition Fees (Rs.)

Tel. No. (If any)

* Declaration to be made by the Parents / Guardian

I have carefully read the information furnished by my ward is fully true & confirm to facts. It will be my endeavour to observe & follow the instructions given at the institute & elsewhere. I will fully co-operate with the authorities. I know that director decision will be final and acceptable to me. I very well know that fees once paid (Part / Full ) will not be refunded. I shall not claim for the same. Place Date Signature of Guardian

14,000/16,000/18,000/-

20,000/22,000/24,000/26,000/-

NOTE :
Regular Examination Fees is to be paid separately every year at the time of taking the admission.
Student has to pay seprate laborartory fees , Worshop fees every year. Students have to pay seprate library fees , Library Deposit , Misecllneous Charges , Exam Form Fees . Students have to pay seprate fees to the College as University/ Body Registration & Exam Fees Diploma / Degree Mechanical Engineering Electronics & Telecommunication Computer Science & Engineering Information Technology Civil Engineering Examination Body I.M.E. I.E.T.E. I.E.T.E. I.E.T.E. I.C.E.

Please see that the following documents are attached with the form, before submitting it to our office. 1. Marklist of S.S.C./H.S.C./Degree or Diploma Examination ...................................................................... 2. Industrial Experience Certificate if any .................................................................................................... 3. Medical Fitness Certificate by registered medical practioner ................................................................ 4. School leaving and attempt certificate.....................................................................................................

Students Please Confirm the total fees from the college office personally Total Fees: ____________________. I have read the above given course and fees information. I agree to pay the fees as mentioned by the College Authority.

UNDERTAKING
Place : Date :
(Signature of Parent / Guardian / Student)

Qty 500