Application No. : THE INDIAN ENGINEERING COLLEGE (The Rajaas Engineering College) RAJA NAGAR, VADAKKANGULAM-627116 TIRUNELVELI DISTRICT, TAMILNADU APPLICATION FORM FOR ADMISSION TO THE DEGREE COURSES 201 - 201 FOR OFFICE USE ONLY The candidate is provisionally admitted under Government Seat Management Seat Lapsed Seat Affix your passport size photo here NRI Seat Others Adm. Reg. No …………………. Branch allotted…………………… Manager Chairman Office Principal Fax Reception E mail Chairman The Chairman The Indian Engineering College Vadakangulam-627116 Tirunelveli District,Tamilnadu :04637-231812 :04637-231810 :04637-231811 :04637-232023 :04637-230256, 232021 :info@rajas.edu www.rajas.edu 1 COURSES OFFERED S. No. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Course B.E B.E B.E B.E B.E B.E B.E B. Tech M.E M.E M.E M.E M.E M.E M.E M.E M.E M.E M.B.A M.C.A Branch Mechanical Engineering Electronics and Communication Engineering Computer Science and Engineering Electrical and Electronics Engineering Civil Engineering Electronics and Instrumentation Engineering Aeronautical Engineering Information Technology Power Electronic and Drives Aeronautical Engineering Structural Engineering Applied Electronics Computer Science and Engineering Computer and Communication Engineering Construction Engineering& Management Mechatronics Power Systems Engineering VLSI Design Master of Business Administration Master of Computer Application Duration 4 years 4 years 4 years 4 years 4 years 4 years 4 years 4 years 2 years 2 years 2 years 2 years 2 years 2 years 2 years 2 years 2 years 2 years 2 years 3 years INSTRUCTIONS 1. Read all the instructions carefully before filling up the application form. 2. No original certificate of any kind should be attached with the application. 3. Only Xerox copy of the mark list of the qualifying exam must be enclosed. 4. The candidates should ensure that the correct marks are furnished by him/her in the application form. The candidate is informed after proper scrutiny of his/her marks, it is found that the marks furnished by him/her in the application form are not correct, then, i) His/Her admission will be forfeited irrespective of the stage of the course he/she is at that time. ii) Legal action will be initiated against him/her for furnishing wrong documents. 5. Fee paid will not be refunded. 6. For any legal matters jurisdiction will be Tirunelveli. I have studied the instruction and abide by them. Signature of the student 2 1. Name (in Capital letters) : ………………………………………………………………. 2. i) Sex : Male ii) Blood Group 3. i)Date of Birth ii)Age as on 1st July 4. A. Religion Female : :Date Month Year : :Christian Hindu BC Muslim MBC/DNC Others B. Community :OC SC/ST C. Caste :………………………………………………………………… …… 5. Mother tongue :…………………………………………………………………. …… 6. i) Father’s name :…………………………………………………………………. …… ii) Mother’s name :…………………………………………………………………. …… iii) Occupation :…………………………………………………………………. …… iv) Annual Income :…………………………………………………………………. …… 7. Place of Birth 8. Do you want Hostel accommodation? :…………………………………………………………………. …… Village/Town/City District State :Yes No 9. Are you a citizen of India: Yes No 10. Choice of Branch/Course :…………………………………………………………………. ……... 11. Address for Communication:………………………………………………………………. …… :…………………………………………………………………. ……... :…………………………………………………………………. ……... Pin Code :…………………………………………………………. Phone : STD Code Mobile No :…………………………………………………………. 3 12. Extracurricular activities (Originals must be produced at the time of Admission, Give the details against each item). a) Sports b) Games c) N.C.C d) N.S.S e) Other Extra-Curricular Activities ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………............................ 13. B.E/B. Tech.(4 Years) ADMISSION INTO FIRST YEAR: a) Qualifying Examination: Regn. No. Year of Passing Name of Course b) Medium of Instruction in +2 Level Name of School/Institution & Place : c) Higher Secondary (Academic Stream/Equivalent). Enclose Copies of mark Sheet. Subject Marks Obtained Maximum Marks Maths (M) Physics (P) Chemistry (C) Total (M+P+C) 4 % Total = (d) Higher Secondary (Vocational Course). Enclose Copies of Mark Sheets. Subject Marks Obtained Maximum Marks % 1)*Maths (M) Physics (P) Chemistry (C ) II) Vocational Subject & Practical put together Total (I) + (II) *Strike out which are not applicable Marks: /200 (% of marks in M or P or C +% of marks in vocational subjects put together. 14. B.E / B. Tech. (Lateral Entry) Admission into Second Year: (a) Diploma Examination (Fifth Semester Marks). Enclose Copies of Mark Sheets: Subject Marks Maximum Marks Obtained % I) II) III) IV) V) VI) Total (b) Diploma Examination (Sixth Semester Marks). Enclose Copies of Mark Sheets: Subject Marks Obtained Maximum Marks I) II) III) IV) V) VI) Total 5 % Marks: /200 (% of Fifth semester +% of Sixth Semester) N.B. Name of the subjects and relevant portion may be filled up. 15. Admission for Master of Computer Application M.C.A (3 Years Course) i) Name of the basic Degree : ii) Register Number in Degree Examination : iii) Month and Year of Passing : iv) Percentage of Marks (or) Class : obtained in main &Ancillary (Attach the proof) v)Have you studied Mathematics/ : Statistics as one of the subject at the Degree level (or) Have you studied core Mathematics : at +2 level vi)Medium of instruction in degree level : vii)Name of the college studied in degree : level and its address viii) Name of the University in which : studied the Degree level 16. Admission for Master of Business Administration M.B.A(2 Years Course) i) Name of the Basic Degree : ii) Register Number in Degree Examination : iii) Month and Year of Passing : iv) Percentage of Marks (or) Class : obtained in main &Ancillary v) Medium of instruction in degree level : vii)Name of the college studied in degree : level and its address viii) Name of the University in which : studied the Degree level 17. Admission for Master of Engineering M.E.(2 Years Course) Spcialisation……………… i) Name of the Basic Degree : in Engineering/Technology ii) Register Number in Degree Examination : iii) Month and Year of Passing : iv) Percentage of Marks (or) Class : obtained in main &Ancillary v) Medium of instruction in degree level : vii) Name of the college studied in degree : level and its address viii) Name of the University in which : studied the Degree level 6 DECLARATION 1. The information furnished is true and correct to the best of our knowledge. The original certificates will be produced at the time of admission or on demand. In case of any information furnished is found incorrect /or found to be false at a later date on verification we agree to forego any claim for admission. I/My son/daughter will forfeit the admission/seat, no matter at what stage of the course/class will be at that time. 2. If admitted we agree to be bound by the rules and regulations now in force and those be made from time to time. We will make good the loss of damage to properties of the institution caused by us. 3. We promise that we will not claim any compensation or refund of fees paid by us. 4. We also promise that we will do not do any activities either inside or outside the institution that will interfere with its discipline. 5. We accept all decision of the authorities in all matters of training, conduct examination and discipline with no right of questioning in any court of law. 6. We promise to abide by all the rules and regulations of your trust. 7. We accept that any amount paid to the institution is non-refundable after admission. 8. We further accept that if I/My son/daughter wish to leave the institution in the middle we will pay a special fee for the full course before the issue of the transfer certificate and other certificates. Place: ........................ Date: ......................... ............................................................ Signature of the Applicant .............................................................. Signature of the Parent Name of the Applicant............................................ Name of the Parent................................................. .......................................................... Signature of the Guardian Name of the Guardian...................................................... 7 8