Recent passport size colour photograph Admission No. Application No.

For Office Use

Note: Read the INSTRUCTIONS provided in pages 3 - 4 carefully before filling the form. For programme code & course codes, refer page three.

M.S ENGINEERING (Aerospace) APPLICATION FORM

NAME OF THE APPLICANT

DATE OF BIRTH

GENDER (TICK)

PROGRAMME CODE

DATE

MONTH

YEAR

MALE
ST

FEMALE

REFER PAGE THREE

INDICATE YOUR CHOICE OF COURSE

REFER PAGE 3

1 PREFERENCE

2ND PREFERENCE

3RD PREFERENCE

COURSE CODE

COURSE CODE

COURSE CODE

NATIONALITY

RELIGION

CASTE

CATEGORY (PLEASE TICK THE RELEVANT GROUP AND ENCLOSE THE RECENT CASTE AND INCOME CERTIFICATE)

GENERAL

SC

ST

CATEGORY 1

CATEGORY 2A

CATEGORY 2B

CATEGORY 3A

CATEGORY 3B

PHYSICALLY CHALLENGED

FATHERS NAME / MOTHERS NAME / GUARDIANS NAME

OCCUPATION

TOTAL ANNUAL INCOME (IN INDIAN RUPEES)

ADDRESS FOR CORRESPONDENCE ( DO NOT REPEAT NAME)

CITY

STATE

PIN CODE

COUNTRY CODE

STD CODE

TELEPHONE NUMBER

MOBILE NUMBER

EMAIL ADDRESS

PASSPORT NUMBER

YEAR OF EXPIRY

PLACE OF ISSUE

Jain University Application Form

DETAILS OF UNIVERSITY / INSTITUTION STUDIED (BACHELORS LEVEL) QUALIFICATION Degree Others EXAMINATION RESULTS BACHELORS DEGREE SEMESTER / YEAR % OF MARKS OBTAINED WORK EXPERIENCE (IN REVERSE CHRONOLOGICAL ORDER) NAME OF THE ORGANIZATION POSITION HELD PERIOD OF ASSOCIATION NATURE OF WORK 1 2 3 4 5 6 7 BRANCH 8 9 10 AGGREGATE / GRADE CLASS PROGRAMME BRANCH UNIVERSITY / COLLEGE YEAR OF PASSING

SPONSORING CERTIFICATE FROM THE ORGANISATION

DECLARATION I hereby declare that all the particulars stated in this application form are true to the best of my knowledge and belief. I have fully understood the programme contents & the affiliations. I have read and understood all provisions of admissions and agree to abide by them. In the event of submission of fraudulent, incorrect or untrue information or suppression or distortion of any fact like educational qualification, marks, nationality, etc., I understand that my admission / degree is liable for cancellation. I further understand that my admission is purely provisional subject to the verification of the eligibility conditions. I am also aware of the financial obligation of applying to and studying at this institution and I undertake to pay the tuition and other fees payable to the institution and to abide by all rules and regulations of the institution.

Signature of the Applicant Documents to be enclosed a. Birth Certificate / High School / Higher Secondary Certificate mentioning date of birth d. Caste Certificate if applicable e. Sponsoring Certificate from the Organisation if any Note: The duly filled application form along with a DD of ` 500/- in favour of Jain University payable at Bangalore should be sent to: b. The photocopy of Academic Records

Date:

c. Work experience certificate if any

The Director, International Institute for Aerospace Engineering and Management (IIAEM), Jain University, Global Campus, Jakkasandra Post, Kanakapura Taluk, Bangalore Rural District 562 112 Tentative schedule for admission: Last date for receiving filled application form : Wednesday, 26 December 2012 Date and Time for Entrance Test & Counseling : Sunday, 13 January 2013 at 10.30 am Venue for Counseling : Jain University School of Graduate Studies, J C Road, Bangalore - 560 027 Eligibility Criteria: Pass in the prescribed qualifying degree examination or equivalent with not less than 50% (for SC/ST 45% marks) in the aggregate. Must be in service for a period of at least two years and shall be sponsored by the respective organization.

Fee structure University Registration Fees: ` 5,000/-

Tuition Fees: ` 80,000/- (for the entire course)

Thesis Evaluation Fee:

` 20,000/-

Programme Advisor: Dr. C. Subramanian M 9880446746 E chamakuzhi@gmail.com

Jain University Application Form PROGRAMME & COURSE CODES

Programme Name

Programme Code

Course Code 5101

Courses

Aerospace Engineering - Aerodynamics (AD) Aerospace Engineering - Aero-Structures (AS) Aerospace Engineering - Propulsion (PL) Aerospace Engineering - Avionics (AV) Aerospace Engineering - Manufacturing and Maintenance Management (MM)

M.S Engineering (Evening)

051

5102 5103 5104 5105

SAMPLE FORM
1. NAME OF THE APPLICANT: Write your name in CAPITAL LETTERS as it appears in your 10th standard marks card. Leave one blank box between adjacent words. Your name should not exceed 31 characters including the blank spaces. Do not use any prefixes like Mr., Miss/Ms, etc. For example, MR. PRAVEEN K NEERAJ should be written as: P R A V E E N K N E E R A J

2.

DATE OF BIRTH: Enter the date, month and year of your birth as recorded in 10th standard marks card in DD / MM / YY format only. When the number of date or month is a single digit, zero should be prefixed. For example, 5th January1990 should be written as: 0 5 0 1 9 0

DATE

MONTH

YEAR

3.

GENDER: Tick the appropriate box only.

MALE

FEMALE

4.

PROGRAMME GROUP CODE: Refer to the list given in page three for programme group code For example, an applicant for M.Tech (Evening) programme should write as: 0 5 1

5.

INDICATE YOUR COURSE PREFERENCES IN ASCENDING ORDER Refer to the list given in page three for course codes For example, an applicant whose 1st preference in M.S in Aerospace Engineering - Aerodynamics (AD), 2nd preference is Aerospace Engineering - Aero-Structures (AS) & 3rd preference is Aerospace Engineering - Propulsion (PL) should write as: 1ST PREFERENCE 5 1 0 1 2ND PREFERENCE 5 1 0 2 3RD PREFERENCE 5 1 0 3

COURSE CODE

COURSE CODE

COURSE CODE

6.

CATEGORY: Tick the relevant group

GENERAL

SC

ST

CATEGORY 1

CATEGORY 2A

CATEGORY 2B

CATEGORY 3A

CATEGORY 3B

PHYSICALLY CHALLENGED

7.

NAME OF THE PARENT/GUARDIAN: Write the name of your parent or guardian For example, MR. K NEERAJ should be written as: K N E E R A J

8. 9.

OCCUPATION: Write parents occupation TOTAL ANNUAL INCOME: Write parents annual income

10. ADDRESS FOR CORRESPONDENCE: Write the complete postal address including PIN CODE to which communications are to be sent. Also write the telephone number with STD code and e-mail address, if any. NOTE: It is mandatory to give your full e-mail address for speedy communication. The University will not be responsible for non receipt of the email if the ID given is incomplete or incorrect. 11. PASSPORT DETAILS: Write the passport number, year of expiry & place of issue 12. DETAILS OF UNIVERSITY / INSTITUTION STUDIED: Write the bachelors degree, branch, university / college & year of passing 13. EXAMINATION RESULTS: Write the bachelors degree, branch, % of marks obtained semester wise, average marks / grade & class 14. DETAILS OF WORK EXPERIENCE: Write the name of the organization, position held, period of association & nature of work 15. SPONSORSHIP CERTIFICATE 16. DECLARATION: Applicant must sign along with the date to authenticate the information provided by them. Unsigned applications will not be accepted.

JAIN UNIVERSITY Jain Global Campus, NH 209, Jakkasandra Post, Kanakapura Taluk, Ramanagara District - 562 112. P +91 80 2757 7203 F +91 80 2757 7199 W www.jainuniversity.ac.in

Design & Print, Office of HR, Communications & Corporate Affairs, Jain University

11 - 594 (R++)