KL MARINE ENTRANCE EXAMINATION KLMEE-2015 (Northern india premier marine counseling center) 176-A, (behind of sudha hospital) Talwandi, kota (Raj.) Pin no. 324005 Contact no. 0744-2421461, 9602589994, 9460448814 Email: klmarineacademy@gmail.com Webside: klmarineacademy.com FORM-A Application Form No: _______________________ APPLICATION FORM FOR COUNSELING 2015-2016 FOR B.Tech. MARINE ENGINEERING (4 YEARS) / B.Sc. NAUTICAL SCIENCE (3 YEARS) COURSE ----------------------------------------------------------------------------------------------------------------Note: Submit completed application form along with Demand Draft (Rs.15000/- in favor of “KL MARINE ACADEMY”, payable at KOTA.) Counseling will be held on dated 1st jun 2015 to 11th jun 2105. Students will have to reach on counseling date/ time which giving mention in call letter. *Choice of Course in the order of priority from the following courses offered by us. ME : MARINE ENGINEERING Order of priority write code only as ME, NS NS: NAUTICAL SCIENCE 1. [ ] 2. [ ] ------------------------------------------------------------------------------------Applicant’s Personal Information Photograph dressed in formal white shirt along with tie, Sign 1. Name of the candidate in BLOCK LETTERS. __________________________________________________________ (As per Higher Secondary School or Equivalent Certificate) partly on the Photograph & partly on the form. 2. Nationality : ______________________ 3. Religion : _____________________ 4. Sex 5. Marital Status: : Male Female 6. (a) Date of Birth (in figures) : Date Month Single Married Year (b)Age: ____Yrs____Months (The applicant should calculate & mention the age as on 1st of August 2015) (c) Place of Birth: ______________Village/Town/City. Dist. ___________State:____________ 7. Contact for communication Mobile No. (self) : _________________________________ Other Mob. : _________________________________________ Mobile No. (guardian): _________________________________ E-mail : __________________________________________________ 8. (a) Name of Father / Guardian: (b) Occupation: (d) Present Address: (c) Permanent Address: Pin Code:_________ P o e : Pin Code : State:___________ 9. Details of Demand Draft:- D.D. Cash State: (√) (a) Amount: Rs.15000/- D.D.No. __________________ Date:- _________________ Issuing bank & branch _________________________________________________ (b) Amount : Rs.15000/- Cash 1000× _________ / 500×________/ 100×_________ 50×________ / 20× _______ / 10× _______ RS. Applicant’s Academic Record 10. 10th (X) /SSC/Equivalent Exam. Marks Obtained in English Subject Year of passing Name of the Board State Medium Maximum marks Marks obtained (%) 11. 12th (XII) /Higher Secondary or Equivalent Exam.(Science stream) (a) Name of School / College with complete postal address, from where the applicant has passed / appeared in the 12th /Higher Secondary / Equivalent Examination _______________________________________________________________________________________________ ______________________________PinCode____________State:_________________ (b) State whether the applicant has passed the qualifying examination (12th) or appearing this year and the result is awaited? (Tick whichever is applicable) Passed Appeared but awaited (c) Details of Qualifying Examinations: Name of Examination Name of the Board / University 12th (XII) /Higher Secondary or Equivalent (Science stream) State Appearing for improvement Exam. Seat No./ Roll No Year of passing FORM-B (d) Marks of 12th. / Qualifying Examination, if passed. (If you do not know your Class 12th marks at the time, please leave the following section blank. You will be able to fill this information during the Admission Round after results has been declared.) Subjects Physics Medium of Subjects …………… Maximum Marks Marks Secured Percentage % Chemistry …………… % Mathematics …………… % % Cumulative Physics, Chemistry & Mathematics Percentage: English % Total Marks in 12th Std. % 12. How you came to know about KLMEE ? ? (Tick) News Paper Magazine Website Relative friends Others *Specify News Paper name, If any ………………………... 13.Extra-Curricular Activities (Tick in appropriate choice) Sports Games N.C.C Social service Anyother 14. How do you intend to meet the expenses of this course? (Tick) Relative Resources Own Resources Bank Loan Others 15.Declaration by the applicant: I solemnly declare that all the particulars stated in this application are true to the best of my knowledge and belief. I have read the Terms & condition on page no.9 and satisfied myself that I fulfill all the eligibility requirements. In the event of myself being found ineligible even at a later date, I understand that I will be denied the opportunity to join the college and if admitted, my admission will be cancelled. ----------------------------Signature of Applicant Place: ____________ Date: / /2015 (Mr. /Mrs. ………………………………………..) Name & Signature of Father / Guardian FORM-C OFFICE COPY Verification of Original Documents S.No. Documents Status At the time of Admission Round 1 2 3 4 5 6 7 At the time of Joining the Institute 12th MarkSheet 10th Mark Sheet 10th Passing out/Board Certificate Transfer Certificate Age Certificate (12th /10th Mark Sheet Migration Certificate Score card/Mark Statement for any of the specified entrance exam like CET, AIEEE, JEE of NATA (a) PCM: Maximum Marks___________Marks Obtained:____________Percentage_______% Age as on 1st August 2015: ________Years_____ Months (b) Date of Birth (in figures) : Date Month Year Remark : _______________ ________________________ _________________ _________________ ________________________ Student Sign KLMEE CHECK-LIST Before submitting your Application Form please ensures that : 1 The photograph on page no. 1 has been signed by you . 2 3 4 Please Tick Your name is written identically at all places and that you have signed at all appropriate places. You have got the form signed by your father/guardian. You have filled in your name and complete postal address on the page no. 2 5 Demand Draft / Cash of Rs. 15,000 /- in favor of “KL Marine Academy” payable at Kota (Please write your name and contact number on reverse side of D.D. and also mention the details of D.D. on page 1) 6 Your age as on 1st Aug. 2015 is below 25 years and age relaxed by 5 years for SC/ST candidates. FORM-D COURSES : 1. B.tech marine engineering 2. B.Sc. Nautical Science 3. Other Courses B.TECH MARINE ENGINEERING / SEATS 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. Amet university, Chennai / 200 Vel’s university, Chennai / 80 Narool Islam University, Kanyakumari / 40 International Maritime Academy, Chennai / 80 U.V. Patel college of Engineering, Mahsana, Gujarat. / 40 GKM College of Engineering & Technology, Chennai / 40 Mangalore Marine College, Mangalore /40 SAMS College of Engineering and Technology, Thiruvallur / 40 Secom Engineering College, Kolkatta / 40 Institute of Technology & Marine Engineering, Kolkatta / 80 Sri Nandanam College of Engineering, Chennai / 40 Mohamed Sathak Engineering College, Kilakarai / 30 PSN College of Engineering & Technology, Tirunelveli / 60 Sri Venkateshwara College of Engineering, Sriperumbadur / 30 The Praveenya Institute of Marine Engineering & Maritime Studies, Visakhapatnam / 40 B.SC. NAUTICAL SCIENCE / SEATS 1. 2. 3. 4. 5. 6. 7. 8. 9. Amet university, Chennai / 200 Vel’s university, Chennai / 90 Coimbatore Marine College, Coimbatore / 80 GKM Institute of Maritime Science and Technolgoy, Chennai / 40 International Maritime Academy, Chennai / 80 Southern Academy of Maritme Studies, Chennai /40 Seacom Maritime College, Kolkata 40 Institute of Technology & Marine Engineering, Kolkata / 40 B.P. Marine Academy, Mumbai / 80 KLMEE -2015 Student Name : ______________________________________________ Father ‘s Name : ______________________________________________ Roll No. : _________________________ Grade : ________________________ 12th PCM ________% English _______% Exam Center : _________________________ Which kind of location , you want to choose ? East [ ] West [ ] North [ ] South [ ] Mode of Exam : Offline [ ] Online [ ] Please choose courses according to your priority ? (Please see the previous page, where courses are mentioned ) 1. __________________________________ 2. __________________________________ 3. __________________________________ Please choose colleges according to your priority ? (Please see the previous page, where colleges are mentioned ) 1. 2. 3. 4. 5. 6. ________________________________________________________ ________________________________________________________ ________________________________________________________ ________________________________________________________ ________________________________________________________ ________________________________________________________ Note : Students will get colleges & courses according to their priority and the grade secured in KLMEE-2015 Exam and 12th PCM marks. _____________________ Student Signature ___________________ KLMEE For office use only College allotted ______________________________________________________________________ College reporting date _______________ conformed [ ] rejected [ ] waitlisted [ ] Counseling date ___________________ time _____:_____ Colleges : In list [ ] others [ ] KLMEE [ ] IMU-CET [ ] Others [ ] Medical : fit [ ] unfit [ ] waitlisted [ ] FORM-E KLMEE-2015 KLMEE is a most popular northern India premier Marine Counseling Center. KLMEE is authorized by India’s many Marine Colleges and these Marine Colleges take admission on basis of KLMEE (KL Marine Entrance Examination). KLMEE is conducting this exam from last 7 years. KLMEE is an authorized Marine Counseling Center. It is registered by ISO 9001:2008 certified Counseling Center and Registration No.- CCPL/QMS/G2108. KLMEE is conducted on offset of April every year. Those students who are selected in KLMEE (KL Marine Entrance Examination) are called for counseling. During the counseling period, KLMEE secure their admission in authorized Marine Colleges (Govt. of DG Shipping Approved). Students choose colleges and courses during counseling time. KLMEE helps students to build bright career in marine line. The sky is the limit and ocean is the target, KLMEE was established as a visionary project to empower India as she expands her horizon in the maritime field. Maritime Career is the most exciting career for a youngster like you, especially if you are interested in meeting exotic people, exploring the world and have a firing ambition to be successful and financially independent at an early age. We welcome you to KLMEE & wish you the very best in your career. We hope you will enjoy your experience & take the opportunity we offer to achieve phenomenal success in maritime field. Merchant Navy is a gateway to a great career in life. It comprises career in Marine Engineering and Nautical Sciences. Man and the ocean are closely connected in bringing the world together. Trade, commerce, industry and business have flourished across continents due to Merchant Navy. We assure you that “KLMEE” will mould you for your bright career in Merchant Navy ADMISSION PROCEEDURES KLMEE is a Northern Indian Premier Marine Counseling Center in Kota (Rajasthan). KLMEE is conducting Entrance Exam from last 7 years at different centers like Kota, Patna, Kanpur, Delhi etc. Every year many students participate in this exam. Those students who clear this Entrance Examination, KLMEE allot them authorized colleges. STEP-1 KLMEE issues forms in the first week of November every year. These forms are available at every canopy and major bookshops. Forms can also be filled online on the following website- www. Klmee.co.in STEP-2 KLMEE examination is conducted twice a year. (1) In the Mid Week of February. (2) In the Last Week of April. STEP-3 Boys & Girls who are appearing in 12th or pass outs can apply for KLMEE. STEP-4 KLMEE declare all results on May-Mid and besides this KLMEE conduct Counseling on first week of June in every year. STEP-5 Eligibility : 10+2 with minimum 60% aggregate marks in PCM from recognized Board / Universities with minimum 50% marks in English at 10+2 Or 10th level is must. Fluency in written and spoken English. Age: Not exceeding 25 years as on the date of commencement of course. Medical Fitness: Medically fit with eye sight 6/6, with or without external aids. No colour blindness. Medical examination will be conducted by doctors approved by D.G. Shipping Govt. of India. FORM-F STEP-6 REQUIREMENT DOCUMENS 1. 12th Mark Sheet 2. 10th Mark Sheet 3. Migration Certificate 4. KLMEE Admit Card 5. KLMEE result 6. KLMEE call centers 7. ID Proof i.e.- Voter I.D. Card, Driving License, Unique I.D. Passport) 8. If you come in any category i.e.- GEN/S.T./S.C./O.B.C. 9. Five Passport Size Photographs STEP-7 KLMEE COUNSELLING FEES DETAILS Sr.No. 1 2 3 4 5 6 7 8 9 10 Nature of Fees Registration Fees Examination Fees Center Fees Counselor Fees Management Fees (a) Light Bill (b) Telephone Bill (c) Staff Fees Printing Cost Web Cost College Visiting Fees Service Tax Administration Fees Total Amount Rs. 1000 /1250 /900 /850/3700 /3400/600 /2500 /-800 /15000 /(Non Refundable) STEP-8 REFUND POLICY If and only if the students found unfit in Medical, then KLMEE will refund 60% of counseling fee. You will have to submit Medical Certificate ( DG Shipping Doctors) given to you by college and will have to submit also counseling documents also (receipt, college letter, result, call letter, admit card ) TERMS & CONDITIONS Students have to pay Rs. 15,000 /- with documentation to KLMEE during the time of Counseling Students can pay their fees by D.D./ Cheque / Cash etc. During the time of Counseling KLMEE will allotted them Marine Colleges according to the grades. It is compulsory to submit the documents in Marine College on the stated dated. If any student is found unfit in medical, then KLMEE can refund them 60% fees, On receiving the Medical Certificate ( DG Shipping Doctors) given to you by college. Those students who have taken admission in Marine Colleges. If they are found to be guilty in any cases like they do not attend classes or fail in any examinations or any case of mutual disputes during the time of courses, KLMEE will not be liable for that. KLMEE is a private organization, to which many Marine Colleges have given authorization. If any student’s marks are not appropriate in 12th (PCM) and if he/she does not submit any Forms/Documents on the date/time given by the counselor, their admission will be cancelled and on that situation their counseling fees will not be refundable. If any student’s guardian are not able to come on counseling time with their son then student will have to follow all terms & conditions. Those students who have been chosen by KLMEE counseling, if found fake in their forms or documentation, KLMEE will be not liable and KLMEE can also terminate their admission. After depositing fees to college, if any student does not attend their classes, they can go to college for refund but in this situation, KLMEE will not be responsible. The student who is selected in counseling and who acknowledges his selection, his seated will be reserved. Then KLMEE counseling fee “15000/-“ will NOT be Refunded. I have read and understood the conditions of eligibility for the course to which I seek admission. I fulfill the minimum eligibility criteria and I have provided necessary information in this regard. In the event of any information being found incorrect or misleading my candidature shall be liable to cancellation at any time and I shall not be entitled to refund of any fee paid by me to the academy. The original certificates will be produced at the time of admission. Place : ………………….. Date : ………………….. …………………….. Signature of Student DECLARATION BY STUDENT I ………………………………………………………………… confirm that the information contained in this counseling form is true to the best of my knowledge and belief. I have not withheld any material/information that could effect my application/selection. Should any information be found incorrect, I understand that Board of KLMEE reserves the right to terminate my admission without any refund of my fees and the Management of KLMEE will not be liable to compensate me in any way. I have read and understood contents of the form and agreed to all terms and conditions contained therein. I am aware and agree that after selection and joining the KLMEE should I withdraw for any reason, no money will be refunded. I also confirm that my mark sheet is genuine and it is from a recognized board. I agree that if my mark sheet is found fake, KLMEE has the right to take any kind of legal action against me. Also in case, if I discontinue from the course on my own decision after selection of dismissed from the KLMEE by the management, I am liable to pay the full course fee without any balance. I agree that when I reserve my seat for admission by paying Reservation Fee, and not joining the Course, the fee whatever paid will not be refunded. If I cancel my reserved seat even before the commencement of the course, whatever fee paid, will not be refunded. I agree, all disputes are subject to the jurisdiction Kota City only. ………………………… Signature of the Parent/Guardian ……..………………… Signature of the Applicant DECLARATION BY PARENT/GUARDIAN I……………………………………………………………………… Parent/Guardian, do hereby declare that all the information given herein are true and correct. I authorize the institution to initiate disciplinary action against my ward for violation of any of the rules and regulations. Place : Date : ………………………………….. Signature of Parent/Guardian