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For Office Use Only

Application No.

SRI SIVASUBRAMANIYA NADAR COLLEGE OF ENGINEERING (SSNCE)
RAJIV GANDHI SALAI (OMR), KALAVAKKAM - 603 110, TAMIL NADU. INDIA. CITY OFFICE : New No. 211, V.M. STREET, MYLAPORE, CHENNAI - 600 004. Phone : (044) 2498 2656 / 2498 6474 Fax : 044-2498 2656

APPLICATION FOR ADMISSION TO M.E. COURSE, 2012 – 2013
(Please fill in the application form carefully and tick mark the appropriate information wherever necessary) 1. a) NAME (IN BLOCK LETTERS) ………………………………………… b) NAME OF PARENT / GUARDIAN ………………………………………… c) ADDRESS FOR COMMUNICATION : : Affix a recent passport size photograph here :

……………………………………………………………………………………………………………………… ……………………………………………………………………………………………………………………… ……………………………………………………………………………………………………………………… PIN: E-Mail ID Mobile : 2. AGE & DATE OF BIRTH (as on 1-7-2012): : …………………….………………………………………… Phone with STD Code: Years Months Day Month Year

3. 4. 5.

NATIONALITY RELIGION COMMUNITY*

: : :

……………………………………………………………… ……………………………………………………………… SC/ST MBC BC Others

6. 7.

MOTHER TONGUE SEX

: :

……………………………………………………………… MALE FEMALE

* SC/ST, MBC/DNC and BC candidates must attach a Xerox copy of community certificate.

. PHONE:…………………………. WORK EXPERIENCE. ……………………………………………… ……………………………………………… ……………………………………………… 11. ADDRESS OF LOCAL GUARDIAN (For Outstation Students) : ……………………………………………………………… ……………………………………………………………… ……………………………………………………………… PIN: ………………….. / B. TECH.E. PARTICULARS OF PARENT / GUARDIAN Occupation i) Father ………………………… : Office Address ……………………………………………… ……………………………………………… ……………………………………………… Annual Income Rs……………… ii) Mother ……………………… Rs………………. IF ANY : : : 10. Full Time / Part Time Name of the Institute Affiliated University Month and year of passing Class Obtained Semester % of Marks upto two decimals III IV : : : : : : : V VI VII VIII Overall % e) TANCET Score f) GATE Score 9. . MARKS IN THE QUALIFYING EXAMINATIONS: a) Percentage of Marks in X Std / SSLC : b) Percentage of Marks in Plus 2 or equivalent : c) Percentage of Marks in Diploma d) Branch of study in B.8.

.. VERIFICATION: Qualification Date of Birth Community Eligibility Admitted / Not Admitted : : : : : PRINCIPAL Verified by Verified by Verified by Verified by : : : : ..... I agree to abide by all the rules and regulations in force at the Institution.... I am aware that ragging has been banned in this Institution.... APPLICATION FEE DETAILS: Payments (in case of downloaded application) must be made in the form of Demand Draft drawn in favour of SSN College of Engineering payable at Chennai Amount Rs....... hereby declare that the information furnished in this application is true and correct..... CHOICE OF BRANCH IN THE ORDER OF PREFERENCE: I) II) III) 13.) ……………………………………………………………………………………………………………………… ……………………………………………………………………………………………………………………… 14.... ………………………………………………………………….......... I undertake to abide by the order imposing on me any punishment including expulsion from the college... Drawn Date Station: Date: Signature of the Applicant Attestation by Parent / Guardian FOR OFFICE USE ONLY REMARKS: …………………………………………………………………................. scholarships received... prizes / honours won etc.750/DECLARATION / UNDERTAKING I. If I am found guilty of ragging anytime during my entire study period.... ... …………………………………………………………………....... Name of Bank / Branch Demand Draft No. Further in the event of my taking admission in SSNCE...... ADDITIONAL PARTICULARS : (List the outstanding sports / cultural achievements..12..............

Candidates from other States will be classified under "OTHERS “category as applicable.G. in VLSI Design viii) M.E. The applications received after the stipulated date will not be considered. in Computer Science and Engineering ii) M. in Software Engineering vii) M. • • • Candidates with good score in B.E. Seats of P. ELIGIBILITY CRITERIA As per Anna University norms given in website http://www. in Applied Electronics v) M. Tech. in Information Technology viii) B. / B. in Biomedical Engineering v) B.E.annauniv.E. Candidates with AMIE or equivalent can also apply. BC categories are applicable to Tamil Nadu candidates only. in Manufacturing Engineering ix) MCA x) MBA (All PG programmes are fully residential) UG PROGRAMMES i) B.E.E. SC.E.E. and in GATE / TANCET will be given preference. Tech. ST. COURSES OFFERED IN SSNCE PG PROGRAMMES i)M. The completed application must be sent to: THE ADMINISTRATIVE OFFICER SSN Trust . • Scholarships are awarded to meritorious candidates with preference to: o Rank holders of any University in B.INFORMATION TO CANDIDATES ELIGIBILITY RULES FOR ADMISSION TO THE M.tndte. Programmes are filled as per the reservation norms prescribed by the Government of Tamil Nadu. DEGREE COURSE 1. or Equivalent examination TANCET / GATE Score Mark Sheet Transfer Certificate Proof for date of birth Community Certificate (Applicable to SC/ST. in Computer Science & Engineering iv) B.edu/ and http://www.E. Tech.E. in Electrical & Electronics Engineering ii) B. in Chemical Engineering 3. in Computer and Communication vi) M.E. MBC / DNC.750/.E. / B.E.in 2. • • • • Applications without DD for Rs. / SSLC and Plus 2 or equivalent examinations Mark Sheets (All appearances) of B.E. o Those with GATE score of above 90 percentile (Scholarships will be awarded apart from AICTE stipend). MBC/DNC and BC candidates only) vi) * They should produce the original certificates at the time of interview and admission ADMISSION INFORMATION • Candidates must fill the application form carefully. Tech.E. in Mechanical Engineering vi) B. in Power Electronics and Drives iv) M.gov.Tech. in Electronics & Communication Engineering iii) B.shall not be considered. in Civil Engineering vii) B. SUBMISSION OF COMPLETED APPLICATION The candidates are required to enclose only xerox copies* of the following certificates along with the completed application: i) ii) iii) iv) v) Mark Sheets of X Std. • Admissions are made purely on MERIT.E.E. in Communication Systems iii) M. of the qualifying degree from a University / Professional Body approved / recognized by UGC / AICTE. Candidates must have obtained their Bachelor's Degree / appeared / appearing for the final semester / year Exam.E. / B.

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