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
Post Box No. 1, Ernakulam Dist., Kerala.
E-mail : adishankara.net@gmail.com
Website : www.adishankara.ac.in

No.

APPLICATION FOR ADMISSION TO THE M.TECH DEGREE COURSES 2014 - 2016

(Under Merit/Management Quota)
Courses Offered :
Indicate the
course
applied for
a.
b.
c.
d.

M.Tech
M.Tech
M.Tech
M.Tech

Computer Science & Engineering

in Electronics & Communication VLSI & Embedded System
in Electrical & Electronics Power Electronics & Power system
in Electronics & Communication - Communication Engineering

Name of the Applicant (in Block

Letters)

a) Sex
b) Religion & Caste
c)

Age & Date of Birth

Permanent Address
(in Block letter with Pin Code)

Present Address/Contact Address

Rank
as per DTE
Merit List

Phone No.

Mobile No.

Details of Exam Passed :

Name of
Exam

Branch of Study

University

B.Tech
Plus Two
S.S.L.C.
Gate Score

Percentile

Marks out of
100/Rank

Year of
Passing

% of Marks

6
7

8
9

To which Branch/Specification
Applied for
Are you Employed?
If Yes
Give details and Experience

Are you sponsored Candidate?

If yes
Give details
Do 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 :
Applicant

Signature of guardian

Signature of the

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 details
8. 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
2461933

Ph : 0484 2463825,

Vidya Bharathi Nagar, Kalady P.O.,

Post Box No.1, Ernakulam Dist.,Kerala, Pin 683574.

Fax: 0484 2463828