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Application No:

BANGALORE COLLEGE OF ENGINEERING AND TECHNOLOGY


Affiliated to Vivesvaraya Technological University, Approved by AICTE, New Delhi,
Recognized by the Government of Karnataka.
Opposite to Heelalige Railway Station, Chandapura, Hosur Main Road,

BANGALORE 81
Phone: 080 27834822, 27835331 Fax: 080 27834877
E-Mail: bcetcollege@yahoo.com Website: www.bcet.ac.in

APPLICATION FORM FOR ADMISSION TO THE I YEAR / II YEAR (Lateral Entry)


B.E (BACHELOR OF ENGINEERING) DEGREE COURSE
ADMISSION FOR THE ACADEMIC YEAR 20 - 20
Admission Category / Quota:

CET

ComedK

MGT

Affix a Recent
Passport Size Color
Photo

BRANCH: B.E. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

1.Name of the
Candidate
2. Name of the
Parent / Guardian
3.Occupation of the
Parent / Guardian
4. Sex

5.Date of Birth

6. Nationality
8. Caste
9. Address for
Communication with
Pincode & Phone
Numbers

10. Mother Tongue

7.Religion
SC

ST

OBC

GM

Permanent

Others
Present

11. Qualified
Examination Passed
12. Percentage of
Marks obtained in
PCM in 12th Std or
equivalent

S.No

Subjects

Marks

Mathematics

Physics

Chemistry

Biology / Electronics /
Computer Science

Percentage

Total
13. Type of Entrance
Examination Written,
If so its Rank No

FOR II YEAR B.E. (III

CET

MGT

SEMESTER ) LATERAL ENTRY

Admission Category / Quota


BRANCH : B.E. - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
14.
YEARS
I YEAR
II YEAR
III YEAR

15.CET Entrance Test


Rank No:

Marks obtained in Diploma Examinations


YEAR OF
PASSING

MAXIMUM
MARKS

MARKS OBTAINED

PERCENTAGE OF
MARKS

DECLARATION:
1. The information furnished is true and correct to our knowledge and belief. The original
Certificate will be produced at the time of admission or on demand. If any information is found
incorrect or false, no matter at what stage of the course it is, we agree to forfeit any claim for
admission / seat.
2. We agree to abide by the rules and regulation now in force and those that may come into effect
from time by University / Government / A.I.C.T.E and other agencies.
3. We promise to abide by the rules and regulations of Bangalore College of Engineering and
Technology.
4. We promise to abide by all the decisions of the authorities in all matter of training , examination,
tests, assignments, conduct and the disciplinary matters with no right of questioning in any court
of law
5. We will make good, the loss or damage caused to any of the properties of the institute by bus.
6. We promise that we will not involve in anything that will interfere with its functioning and
discipline, either inside or outside of the Institution.
7. We accept that upon admission, fees paid to the institution are not refundable.
8. We further accept that if the student has to leave the institution in the middle of the course, we
will pay the Special fee for the remaining duration for transfer and other certificates.

Place :

Signature of the Applicant


Name :

Date:

Signature of the Parent / Guardian


Name :

DOCUMENTS TO BE PRODUCED AT THE TIME OF ADMISSION


PLEASE NOTE: The following in original along with 3 sets of Photostat copies should be produced
Of Admission, failing which the application is liable to be rejected.

I YEAR CANDIATES:
1. S.S.L.C. / 10th Marks Card
2. PUC / 12th Marks Card
3. Study Certificate
4. Conduct Certificate
5. Transfer Certificate
6. Migration Certificate (Only for Non Karnataka State Candidates)
7. Recent Color Photograph- Passport size 3nos & Stamp size 3nos.
8. Photostat Copies (Xerox) of item No. 1, 2 & 6 3 sets.
II YEAR (LATERAL ENTRY) CANDIATES:
1. S.S.L.C./ 10th Marks Card
2. I Semester to Final semester Marks card / Provisional Diploma Certificate

3. Study Certificate
4. Conduct Certificate
5. Transfer Certificate
6. Recent Color Photograph- Passport size 3nos & Stamp size 3nos.
7. Photostat Copies (Xerox) of item No. 1, 2 & 6 3 sets.

FOR OFFICE USE ONLY


Admitted to the I Year B.E. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Course for the academic year . . . . . . . . . . . . . . . . Under . . . . . . . . . . . . ... .. . . . . . . . Category.
_________________________________________________________________________________
Admitted to the IIYear B.E. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Course for the academic year . . . . . . . . . . . . . . . . Under . . . . . . . . . . . . ... .. . . . . . . Category.
_________________________________________________________________________________
Paid fee Rs. : . . . . . . . . . . . . . . . . . . . . . . . . . . . in CET Cell / ComedK and paid a sum of
Rs.: . . . . . . . . . . . . . . . . . . .to the College vide Receipt No. : . . . . . . . . . . . . . Dated: . . . . . . . . . . . .
Certificates Verified by :
Office Superintendent

Principal

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