SHREE INSTITUTE OF TECHNICAL EDUCATION

georgenameElectronics - Devices

Nov 27, 2013 (3 years and 8 months ago)

91 views

SHREE INSTITUTE OF TECHNICAL EDUCATION

(Approved by AICTE, New Delhi &
Affiliated to J
NTU, A
nantapur)

Krishnapuram (V), R
enigunta

(M), T
irupati R
ural
, Chittoor Dist., A.P.

PH: 0877
-
2101117,
9985093515
, 9885391227, 9849189198
.
www.site.edu.in

==============================
==========
=
=======
============

Application form for seeking Admis
sion into Category
-
B
seats of

First

year
B.Tech /
M
.Tech

/
M
BA

course
s

for the academic year 201
3
-
201
4












1. Name of the Applicant

(
In

Block letters as per SSC)


: ______________________
____
_______________________


2.

Date of Birth (DD
-
MM
-
YYYY
)

:

(As

per SSC
-

Enclose

Photocopy)





3. Father’s Name



: __________________________________________
____
____


4. Mother’s Name



: ___________
____
___________________________________


5. Address
for Communication

:
_______________
____
_______________________________










___________________
____
___________________________









______________________________PIN


6. Telephone
(With STD code)


:

_____________________
Mobile No.
_______________
___
__


7.

a) Name of the
Q
ualifying
E
xamination

/ Di
scipline

:


b)
University / Board





:



c
)

Month and Year of passing




:


d
) Total Marks






:




(Enclose P
hotocopies

of
Qualifying Examination
)


8. Rank in
PGECET/ GATE
/ ICET
/

E
A
MCET



:



(Enclose photocopy of Rank card

and Hall Ticket
)





9
.
Category to which the candidate belongs


:
OC

/

BC

/

SC

/

ST



(Enclose photocopy of Caste

Certificate if

not OC)


10.
Course wise Branches

Offered:


PG
-

M.Tech
(
CSE
)


M.Tech (PE)



M.Tech (VLSI)


M.Tech (DECS)



MBA



UG
-

B.Tech (C
SE
)

B.Tech (EEE)


B.Tech (
EC
E)


B.Tech (ME
CH
)



B.Tech (CIVIL
)



11. Courses Applied


(In the order of Preference)

1.


2.


3.


4.


5.

IMPORTANT NOTE
:

1.

Photostat
copies
of relevant documents
such as Rank Card, Hall Ticket,
SSC, Intermediate, B
-
T
ech or Degree PC, CMM,
TC
,

S
tudy
Certificate
s(last 7 Years), Conduct Certificates and
Caste
Certificate

should be enclosed.


DECL
A
RATION
:


We hereby declare that all the information furnished above is true to the best of our knowledge. We are aware and give
you undertaking that our application
form can summarily be rejected if
any information provided is mis
represented
.



Signature of the
Parent







Signature of the
Applicant


Date:










Date:











Affix latest
passport size
colour
photograph

Rece
ipt No.
____________


Date


._____
___
____


Authorized Signatory