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Sinhgad Technical Education Societys

19/15, Erandwane, Smt. Khilare Marg, Off Karve Road, Pune - 411004 www.sinhgad.edu Sinhgad College of Engineering, Vadgaon (Bk), Pune (SCOE) Smt. Kashibai Navale College of Engineering, Vadgaon (Bk), Pune (SKNCOE) Sinhgad Institute of Technology, Kusgaon (Bk), Lonavala (SIT) Sinhgad Academy of Engineering, Kondhwa (Bk), Pune (SAE) Sinhgad Institute of Technology and Science, Narhe, Pune (SITS) RMD Sinhgad Technical Institutes Campus, Warje, Pune (RMDSTIC) NBN Sinhgad Technical Institutes Campus, Ambegaon, Pune (NBNSTIC) SKN Sinhgad Institute of Technology and Science, Lonavala, (SKN SITS)
Passport Size Photo of Applicant

APPLICATION FORM
[FOR M.E. ADMISSION 2013 - 2014] 1. Name: _____________________________________________________________
(Surname) (Name) Gender: Male / Female (Middle Name) Mothers Name: _________________________ 2. Date of Birth: (DD/MM/YYYY)

____/_____/_________ Nationality __________________

3. Category: a)OPEN/SC/ST/VJ/DT/NT-A/NT-B/NT-C/NT-D/OBC/SBC b) GATE c) Sponsored / Non-sponsored GATE / Non-GATE & Non-sponsored d) Physically Handicapped 4. Postal Addresses for Communication: __________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ Tal: _______________ Dist._______________ State_____________ Pin _______________ 5. Permanent Addresses: ______________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ Tal: _______________ Dist._______________ State_____________ Pin ________________

6. Mobile No. 1._______________ 2. _________________ Landline No. _________________

7. Email ID: 1.________________________________ 2.______________________________ 8. Adhar Card UID ___________________________ 9. Bank Account No._____________________ Branch Name ______________________ IFSC Code ______________________________ 10. Qualifying Discipline: Bachelor of Engineering in __________________________________

11. Courses Applied For (Write your choice of Specialization and name of the College) Preference
1 2 3 4 5 6 7 8 9 10 11 12 Note: For ME Mechatronics, B. E. Production, Industrial Engineering, or equivalent; B. E.

Course/ Specialization

College

Electronics, Electronics & Telecommunication is eligible to apply. 12. A). Academic Information Sr. Examination B. E. Or equivalent) Discipline/ Specialization University/ Board Year of Marks Passing Class

1.

B) GATE Qualified Candidates GATE Exam No GATE qualification Year GATE Score SBI Bank Account No Branch Name IFSC Code

13. Employment Record: Total Experience (Industrial) _____Years, teaching _____Years Sr.No. Name of Employer (Last Two Only) Post Experience Details From Year To Year

1 2 11. Certificates - Attested photo Copies of appropriate certificates are compulsory (Please Tick () in Submitted row) (* in case change in Name) Certificates SSC HSC BE/AMIE GATE Score Card Submitted Verified
For female candidates if Change of name after Marriage, copy of Gazette should attach. Non Cast Cast Validity Creamy

Sponsorship SBI Bank Layer Pass Certificate Book

General Guidelines Admissions will be effected according to merit list prepared on the basis of GATE score/ Entrance Test followed by technical interviews. If the application form is downloaded from Internet then send the DD of Rs.750/- in favor of Principal, Sinhgad College of Engineering, payable at Pune, along with the application form. The date of entrance test and technical interviews will be displayed on college web site. The date of merit list/ admission will be displayed on college web site. For the eligibility criterion, the University guidelines on following address may be referred. nditions.pdf All candidates should submit appropriate certificates. Place: Date: Signature of Applicant

CERTIFICATE OF SPONSORSHIP (To be Printed on Letter Head of Sponsoring Company)

This is to certify that Shri/ Smt.______________________________is working with us for last _______ years as ________________. He/ She is permitted to take admission for the M.E. degree at Sinhgad College of Engineering, Pune 41. In case he/ she get admission, his/ her duty hours in this organization/ Institute/ office will be suitably adjusted. He/ She shall not be deputed for long during first two years from date of admission.

Seal of the office

Signature of Sponsoring Authority