KHADER MEMORIAL COLLEGE OF ENGINEERING & TECHNOLOGY

KHADER MEMORIAL

COLLEGE OF ENGINEERING & TECHNOLOGY

Approved by the AICTE, New Delhi & Permitted by the Government of A.P. and Affiliated to
J
awaharlal Nehru Technological University
, Hyderabad.

A Muslim Minority Institution

Konda Bheemanapally (V),
Devarkonda (M), Dist. Nalgonda
-

508 248 (A.P)

Tel. 08691
-
200399, 200400 Fax : 08691
-
241481

E
-
mail:
-

khader.memorial@gmail.com
, Website:
-

www.khadercollege.ac.in


APPLICATION FOR ADMISSION INTO THE B.Tech/M.Tech/MBA COURSE
UNDER CATEGORY ‘B’ SEATS FOR THE

ACADEMIC YEAR 2013
-
2014


Cost of Application & Registration Fee

: Rs.1000/
-


Mode of payment
: DD favouring the Principal , Khader Memorial College of
Engineering & technology, payable at Devarakonda


Last date for submission
: Either by post or person or

to mail address: 26.09.2013


Courses offered are:
-

Course Name

Intake

Category ‘B’

1.

B.Tech
–

Electrical & Electronics Engineering

120

36

2.

B.Tech
–

Electronics & Communication Engineering

180

54

3.

B.Tech
–

Computer Science & Engineering

120

36

4.

B.Tech

–

Civil Engineering

60

18

5.

B.Tech
–

Mechanical Engineering

60

18

6.

B.Tech
–

Information Technology

120

36

7.

M.Tech
–

VLSI & Embedded System

18

6

8.

M.Tech
–

Electrical Power System

18

6

9.

M.Tech
–

Computer Science Engineering

18

6

10.

MBA

60

18


Name of the
branch in which admission is sought:________________________________


Tuition Fee
: Rs.30000/
-

per year + 5500/
-

Special Fee Rs.35500/
-

year for B.Tech



Rs.48500/
-

per year + 5500/
-

Special Fee Rs.54000/
-

year for M.Tech



Rs.23000/
-

per year + 5500/
-

Special Fee Rs.28500/
-

year for MBA




Name of the candidate


:

……………………………………………
………………
…

(Block letters as in SSC/ Equivalent)



Father Name



:

………………………………………………………
……..
.



Date of Birth
(DD/
MM
/
YYYY)

:

………………………… Gender: ……………
……….
…



Community & Caste


:

OC / SC

/ ST / BC (A/B/C/D/E)……………
……
.



Nationality



:…………………………. Religion…………………
…….
.



Mother tongue



: ……………………………………………………………...



Identification Marks


: ……………………………………………………………...

: ……………………………………………………………...



Do you belong to which area

: OU/AU/SVU
…………………………………
……….
…



Are you seeking admission

under Local/Non Local: …………………………………...



Address for Correspondence

: ………………………………………………………
……..
.



House No. & Street


:

……………………………………………………………...



Village




:
……………………………………………………………...



Mandal/Town



:
……………………………………………………………...



District




:
……………………………………………………………...



State




: ……………………………Pin Code ……………
……..
..



Mobile No / Telephone No

:
……………………………………………………………...



E
-
Mail Address



:
……………………………………………………………...



AIEEE/EAMCET
-
2013 Rank

:…………………… Hall Ticke
t No………………
……..
.



ICET/PGECET
-
2013 Rank

:…………………… Hall Ticket No………………...
......



Academic Details:

Examination

Year of
Passing

Institution
Attended

Board /
Univ.

Marks
obtained

% of
Marks

Class /
Grade

SSC







Intermediate







Degree








Payment
of cost of application: DD. No: _____________ Date:___________ Rs.______


DECLARATION BY THE CANDIDATE

I do here by solemnly and sincerely affirm and state that:
-

1)

The particulars furnished in this application are true to the best of my
knowledge and
belief.

2)

No information has been suppressed either willingly or unwillingly.

3)

Rules and regulations of the institution will be followed scrupulously without
any reservation.

4)

Under no circumstances I will act against the interest of the institution and her
ob
jectives.

5)

I will keep away myself from any political activities what so ever may be.



Date :







Signature of the Candidate

Enclosures:
-

1)

DD for Rs.1000/
-

2)

AIEEE

/ EAMCET
/ICET/PGECET
-
2013 Hall Ticket & Rank Card

3)

SSC Pass Certificate

4)

Marks Memo of
Qualifying examination (Intermediate /CBSE
/Degree
)

5)

Transfer Certificate

6)

Migration Certificate and equivalency certificate in case of other state
candidates.

7)

Caste Certificate

8)

Five passport size photographs

Scanned copies of above testimonials shall be se
nt if preferred to sent to mail
address