Application Form
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Personal Information
*Name of the applicant (As in Plus 2/Equivalent Certificate)
Salutation (First Name) (Middle Name) (Last Name)
*Date of Birth *Gender Male Female
*Category *Nationality
State of Domicile Place Of Birth
Marital Status Religion
Blood Group Caste
Social Status Rural Urban Aadhar Number
Note A student shall be treated Rural if he / she passed 10th / 12th from a school located in a village.
Present Address
*Address Line 1 Address Line 2
*Country
* State
*District
*Town/City
*Pincode *Mobile No.
Telephone *Email Address
*Confirm Email Alternative Email Address
Permanent Address Same as Present Address? Yes No
Permanent Address
*Address Line 1 Address Line 2
*Country
*State
*District
Town/City
*Pincode *Mobile No.
Telephone
Parent's Details
*Father's Name * Father's Occupation
Mother's Name Mother's Occupation
*Total Annual Income
Guardian Details (If Applicable)
Guardian Name Address Line 1
Address Line 2 Country
State
District
Town/City Pincode
Mobile No Relationship with the
Applicant
Upload Your Photo
 
*Do you want to upload your photos now?     Yes  No 
   

SSC Details

*Name of SSC School *Board
* Address of SSC School *Year of Course Completion
Max Marks in SSC Marks Obtained
Grade Obtained Percentage of Marks
Class/Division Awarded
SSC/Equivalent Details
Subject 10th Marks/Grade Obtained 10th Max Marks
Physics
Chemistry/Equivalent
Maths
English
*Are the result and details of HSC/Plus two exam available now?     Yes    No   
*Are the result and details of Diploma examination available now? (Applicable only for lateral Entry Candidates)     Yes    No   
*Have you appeared in Kerala Engineering Medical Entrance (KEAM)?     Yes    No   
*Have you appeared in any AIEEE / JEE / KSFECMA Entrance(KSFECMA)?     Yes    No   
   
Courses
*Please select Course category option UG 
*Under Gratuate Courses B.Tech (Normal)  B.Tech (Lateral)  B.Tech (College Transfer) 
Preferred Branches
*Choice 1: *Quota 1 Applied For:
*Choice 2: *Quota 2 Applied For:
*Choice 3: *Quota 3 Applied For:
*How do you propose to fund your Education?
Accommodation and Transport Requirement Detail
Note Subject to availability.
*Do you need hostel accommodation? Yes  No   
*Do you need transport? Yes  No   
   
Familiy Details (Of Brothers and Sisters)
Relationship Name Occupation Educational Qualification
Awards and Recognitions in Academics and Sports
Awards Year Basis
Contact Details
Person Name Phone Mobile Email
Self
Father
Mother
Guardian
Physical Details
Height (in CM) Weight (in Kgs)
Physically Handicapped Yes No
Language Proficiency
Type Language Writing Reading Speaking
Mother Toungue
Other Language I
Other Language II
Other Language III
   
How did you know about us?
How did you know about us?
Application enclosures
Note The following documents has to be submitted at the time of . The applicant is liable to produce any other document if demanded by the concerned authority.
1. E Form( Printout of the online application).
2. Mark list of the qualifying examination (Higher Sec or equivalent)
3. Pass certificate of the qualifying examination (if issued).
4. Eligibility certificate from University of Calicut, in case of Candidates who have passed a qualifying examination other than HSE /VHSE conducted by Government of Kerala or the examination conducted by CBSE/ICSE and ISC.
5. Migration Certificate, if applicable.
6. Class 10th certificate in original to prove date of birth.
7. Attested copies of PLUS TWO and SSLC mark lists and certificates (2 No.s each)
8. Transfer Certificate from the School/College last attended.
9. Conduct Certificate from the School/ College last attended.
10.Admit Card of the Entrance Examination.
11.Rank certificate of the Entrance Examination.
12.Score card of the Entrance Examination.
13. Allotment Memo from CEE(for Govt. Merit Quota only).
14.Receipt of fee remitted in the Bank (for admission under Govt. Merit Quota).
15.Physical Fitness Certificate in the relevant format given in the KEAM Prospectus.
16. Income Certificate (for reservation category).
17.Community Certificate for SC/ST/OEC/SEBC.
18.Anti-ragging declaration duly filled.
19.Declaration regarding the restriction of Mobile phone.
20.Liquidated damages compliance undertaking.
21.Declaration from NRI sponser (For NRI Quota Only).
22.Copy of passport/employment certificate/Bank Statement (For NRI Quota Only).
23.Passport size photograph (Colour) 5 copies.
24.Family Photograph with parents 1 copy.
25.Copy of Aadhar.
Declaration
 

I have carefully read the academic and administrative rules and regulations of the B.Tech. Program as given in the Information Brochure, Application Material &Prospectus and agree to abide by the same. I understand that these rules are only indicative and the complete list of rules and regulations as updated from time to time will be given to me on my admission in the form of Student Handbook and / or any other communication issued from time to time. I also understand that Ammini College of Engineering reserves the right to change/modify the rules and regulations from time to time and I agree to abide by the same. I agree to pay the fee as per the schedule of fee payment stipulated. I hereby declare that the information provided by me in the Application is true and correct to the best of my knowledge. My signature below certifies that I have read, understood and agreed to the rules and regulations of Ammini College of Engineering including 'Disclosure and Legal Aspects' (given on the last page), and my financial responsibilities.

*Place *Date

 
    I Agree  
   
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