Office : 0484 2463825

Fax : 0484 2463828

ADI SHANKARA INSTITUTE OF ENGINEERING & TECHNOLOGY

(AN ISO 9001:2008 CERTIFIED INSTITUTION)

(Affiliated to Mahatma Gandhi University, Kottayam)

Vidya Bharathi Nagar, Kalady 683574

No. Post Box No. 1, Ernakulam Dist., Kerala.

E-mail : adishankara.net@gmail.comWebsite : www.adishankara.ac.inAPPLICATION FOR ADMISSION TO THE M.TECH DEGREE COURSES 2014 - 2016(Under Merit/Management Quota)

Courses Offered :

Indicate the course

applied fora. M.Tech Computer Science & Engineering

b. M.Tech in Electronics & Communication VLSI & Embedded System

c. M.Tech in Electrical & Electronics Power Electronics & Power system

d. M.Tech in Electronics & Communication - Communication Engineering

1Name of the Applicant (in Block Letters)

a)Sex

b)Religion & Caste

c)Age & Date of Birth

2Permanent Address

(in Block letter with Pin Code)

3Present Address/Contact Address

4Phone No.

Mobile No.Rank

as per DTE

Merit List

5Details of Exam Passed :

Name of ExamBranch of StudyUniversityYear of Passing% of Marks

B.Tech

Plus Two

S.S.L.C.

Gate ScorePercentileMarks out of 100/Rank

6To which Branch/Specification Applied for

7Are you Employed?

If Yes

Give details and Experience

8Are you sponsored Candidate?

If yes

Give details

9Do you require Hostel facility

Declaration

I hereby declare that the particulars given in this form are true, complete and correct to the best of my knowledge and belief.

Place :

Date :

Signature of guardian

Signature of the Applicant

Document to be submitted along with the Application form

The duly filled in application form should reach the principal before the stipulated date.

The following documents are essential

Attested copies of:

1. 10th Mark List

2. +2 or equivalent mark list

3. B.Tech Degree Certificate

4. B.Tech Marklist

5. Proof of Caste SC/ST/OBC/SEBC, etc

6. Conduct certificate

7. GATE Score Card and Admit Card and Govt Rank details8. Experience Certificate in case of Sponsored Candidates

9. Sponsor Ship Certificate in case of Sponsored Candidates

For Further details Contact:

Managing Trustee

Kochi

Ph : 0484 2351768

ADI SANKARA TRUST

Ph : 0484 2463825, 2461933Vidya Bharathi Nagar, Kalady P.O.,

Fax: 0484 2463828Post Box No.1, Ernakulam Dist.,Kerala, Pin 683574.