Application form for M.Tech admission through Management quota

SREE BUDDHA COLLEGE OF ENGINEERING
PATTOOR P O, (VIA) PADANILAM, ALAPPUZHA DIST, KERALA - 690 529.
Tel . 0479 - 2375440,42,43 Fax : 0479 - 2375441
E -mail : principal@sbce.ac.in, sreebuddhacollege @ hotmail.com
website : www.sbce.ac.in
Application for admission to PG programme in …………………………………………………………
Name of the applicant :-
Application Number:………………………………
Date of Birth :
Sex : M/F
Religion :
Community :
Name of parent / Guardian :
Address for Communication :
PIN :
Telephone Number :
Mobile Number :
Email - Address :
Signature of Applicant

DETAILS OF MARKS OF +2 OR EQUIVALENT
Name of Course attended …………………………………… Name of Institution……………………………………………………………..
Subjects
English
Physics
Chemistry
Mathematics
Total
Marks secured
Maximum marks % of marks Class / Grade
Mark Details of Qualifying Examination :
Qualifying
Examination
Total
Name of College University Year/ Semester Marks Maximum % of Month &
Details of GATE Score, if any:
Score
Sem I
SemII ‐ I yr
SemIII
SemIV‐II yr
Sem V
Sem VI ‐ III yr
Sem VIII ‐ IV yr
Year of qualifying
secured marks marks year of passing
Other Qualification, if any :
Teaching / Other Experience:
Name of Institution Designation No.of years of service Details of experience
certificates attached
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 read and
understood all provisions of admissions and agree to abide by them. I also affirm that I fullfill the eligibility requirements for the course applied.
In the event of submission of turbulent, incorrect or untrue information or suppression or distortion of any fact like education qualification, marks,
nationality etc., I understand that my admission/ degree is liable for cancellation. I further, understand that my admission,if selected is purly
provisional subject to the verificatin of the eligibility conditions .
Signature of Parent/ Guardian :
Place :……………………………………..
Date:………………………………………
For office use
Signature of Applicant
Principal