B.TECH - LE
Application
2017-2018

APPLICATION FORM FOR B.TECH - LE ADMISSION 2018-19

20/05/2018

(Fill in the blanks or put tick () wherever applicable)

1. Name of Candidate

2. Address for Communication

Pin:

Mobile:

E-mail:

3. Aadhar Number of Candidate

4. Branch opted for admission

  • SB

  • CE

  • CS

  • EC

  • ME

Equivalencies Studied in Diploma for B.tech study are given below.

FEES STRUCTURE FOR 2018-19 B.TECH LATERAL ENTRY ADMISSIONS
Sl Tuition Fee per year Branch of Study
1 Rs. 35,000/- CE / CS / EC / ME
2 Rs. 85,000/- SB

ADMISSION / ELIGIBILITY

  • Admission will be done to the Second of the four years Engineering Course in Management Quota.
  • A pass in three year Diploma course is enough and no restrictions in minimum marks.
  • No need to attend any Entrance exam to take admission.

5. Polytechnic which studied

6. Branch Specialised in Diploma

7. Duration of the Diploma study

03 year duration

Diploma thr’ Lateral Entry not eligible

8. LET Exam by DTE (if written)

Roll No.

Rank

9. Marks obtained in LET (if written)

Out of 480 Marks

10. Date of Birth

11. Family Income

12. Whether belongs to SC/ST/OEC/OBC

13. (a) Name of Father

(b) Occupation

14. (c) Name of Mother

(d) Occupation

15. Mobile No Parent

+91

16. E-mail

Parent

Sl Type of Scholarship Sl Type of Scholarship
1 * CKC 2018 Merit type - 1 14 GATE Score Holders
2 # CKC 2018 Merit type - 2 15 KKRA – Kuzhoor Kara Residents Association
3 ~ CKC 2018 Merit type - 3 16 MCM - Merit Cum Means
4 AICTE TFW 17 MITEPPL - Muvattupuzha IT and Electronics Park Pvt. Ltd.
5 E - Grantz (SC/ST/OEC) 18 Parivarthana Christian
6 Award under Beedi workers welfare fund 19 Post Matric for OBC
7 Award under Cine workers welfare fund 20 Samunnathi for Forward Community
8 Award under IOMC workers welfare fund 21 Single Girl child under Indira Gandhi Scheme
9 Award under LSDM workers welfare fund 22 Single Girl child under Pragati/Saksham Scheme
10 Central Sector Scheme for College/University Students 23 Sitaram Jindal
11 Central Sector Scheme for Top Class Education for SC Students 24 Snehapoorvam
12 CH Muhammed Koya 25 Technolodge Muvattupuzha
13 Fisheries Department 26 TEDS - Technolodge Entrepreneurship Development Society

Rs. 5,500 per month for Food and Accommodation.
(Fully furnished, Daily clean/wet maintained, hygienic, centralised hot water, Medical assistance, Church/Temple travel by college bus, 24 hour generator backup, Wi-Fi, Round the clock digital library, Sharing accommodation, homely atmosphere, fresh and tasty homely food to requirement etc. ensures the hostel for most safe and better stay)

Rooms with attached bath, Air conditioning etc are available on request on special rate.

DECLARATION

I, hereby declare that all the facts furnished above
by me is factual to the best of my knowledge.