Application No.

13 / ME /

SETHU INSTITUTE OF TECHNOLOGY

An Autonomous Institution Affiliated to Anna University, Chennai
An ISO 9001:2008 Certified Institution & Approved by AICTE, New Delhi
(Approved Research Centres for the Departments of MECH, CSE, EEE & Chemistry by Anna University)

( Accredited by NBA, AICTE, New Delhi for MECH, CSE, ICE, ECE )

Pulloor, Kariapatti 626 115, Virudhunagar Dt. Ph: 04566-308001 - 04 Fax: 308000, 308006

Admn Off : Plot No. 392, Anna Nagar, Madurai - 625 020.
Ph: 0452-2532215,2538294 FAX: 2538126 Email: principal@sethu.ac.in, Website: sethu.ac.in

APPLICATION FOR ADMISSION TO M.E. DEGREE COURSES

c
M.E. CAD/CAM (Full Time / Part Time)

c
M.E. Vlsi Design (Full Time / Part Time)

c
M.E. Communication Systems (Full Time / Part Time)

c
M.E. Computer Science & Engineering

c
M.E. Computer Science & Engineering (Full Time / Part Time)
c
M.E. Power Electronics & Drives (Full Time / Part Time)

(with specialization in Networks) (Full Time / Part Time)

c
M.E. Structural Engineering (Full Time / Part Time)

Eligibility : As per Anna University norms.

Category of the Applicant : Please Mark

c
GATE

: Score

Year

c
TANCET

: Score

Year
Affix a Passport size
photograph

c
SPONSORED
1. Applicant's Name

:....................................................

(in Block letters with initial)

2. Mailing Address with Pincode

:............................................................................................
.............................................................................................

3. Permanent Address with Pincode

:.......................................................................................
:.......................................................................................

4. Phone No. with STD code (if any)

:.......................................................................................

Mobile No.

:........................................................................................

5. Mail ID

:.......................................................................................

6. Sex

:c
Male

7. Date of Birth

: Date

8. Place of Birth

Month

Village/Town/City

c
Female
Year

Age as on 01.04.

District

State

8. Religion

: ....................................................................................

9. Community

:c
SC c
ST c
MBC c
BC c
OC

10. Nationality

: ....................................................................................

Parent / Guardian Details

Father

11. Name of the Parent / Guardian

Occupation
Annual Income

:
:
:

12. Office Address of the Parent

Office Phone / Mobile

Mother
:
:
:

13. Educational Details :

i. Qualifying Degree
ii. Branch of Specialisation
iii. College & University
iv. Give the particulars of marks in each semester after branching off, in the following table.
Sl.No.

Semester

1.

2.

II

3.

III

4.

IV

5.

6.

VI

7.

VII

8.

VIII

Total Marks
out of

CGPA

% of Marks

Remarks

Grand Total
Average Percentage
v. Class obtained

: ....................................................................................

14. Academic Honours, Prizes etc.

(Attach extra sheet if necessary)

: ...................................................................................

15. Professional Details :

Teaching Experience
Sl.NO.

Name of the Institution

& the post held

Number of Years of Service

Subjects taught

Designation

No. of Year of Service

Industrial Experience
Sl.NO. Name of the Organisations

I hereby certify that the information furnished above are true to the best of my knowledge, If they are found to be
incorrect, my admission to M.E degree course can be automatically cancelled without any reference to me at any time.

Date :

Signature of the Applicant

SPONSOR'S CERTIFICATE

This is to certify that Mr. / Ms. ............................................................. is a bonafide employee of

.................................................................................................................... (organisation / Institution),
working for the past .............. years. He / She is sponsored to undergo the M.E. programme (full Time / PartTime) for 4 / 6 semesters.

Date :

Signature of the Employer with seal

Enclosures

Place :
1. X, HSC, Diploma, B.E. Degree, Consolidated Mark Sheet Community original certificate and 3 set of xerox copies.
2. Original Transfer Certificate, Conduct Certificate and Medical fitness Certificate.
3. A Demand Draft of Rs.500/- (Rupees Five Hundred only) should be drawn in
favour of "Sethu Institute of Technology" payable at Madurai
4. 4 Copies of Passport size photo of the student.
5. 3 Copies of Passport size photo student with parents.

I hereby solemly and sincerely affirm :

1. The information furnished are true and correct to the best of our knowledge. The original certificates will
be produced at the time of admission or on demand. In case any information furnished is found incorrect
we agree to forego any claim for admission/or found to be false at a later date on verification. I/My
son/daughter/ward willforfeit the admission / Seat, no matter at what stage of the course/class will be, at
that time.
2. That my son/daughter/ward would confirm strictly to all the rules and regulations in force now or which
may be introduced in the institution hereafter and that I realise that breach of discipline and rules on my
son's/daughter's/ward's part would entail summary forfeiture of his/her seat in the institution.
3. That I am aware that if my son/daughter/ward does not put in a minimum of 75 percent attendance
during the year, my son/daughter/ward will not be allowed to write the University Examination.
4. That I am aware that the curriculam for the various courses is not rigid and that my son/daughter/ward
will follow the syllabus for the various courses if force at the time of his/her admission that any revision or
modification made in the syllabus during the course of his/her study in the institution will be binding on
him/her.
5. We accept all decisions of the authorities in all matters, training, conduct, examination and discipline
with no right of questioning in any court of law.
6. We accept that any amount paid to the institution is non-refundable.
7. WE FURTHER ACCEPT THAT IF I/MY SON OR DAUGHTER WISH TO LEAVE THE INSTITUTION IN THE
MIDDLE OF THE COURSE, WE WILL PAY THE ENTIRE FEES FOR THE FULL COURSE BEFORE THE
ISSUE OF THE TRANSFER CERTIFICATE AND OTHER CERTIFICATES.
8. THAT IN CASE THE QUALIFICATIONS POSSESSED BY MY SON/DAUGHTER/WARD IS NOT
RECOGNISED BY THE ANNA UNIVERSITY FOR ADMISSION TO THE M.E DEGREE COURSE MY
SON/DAUGHTER/WARD WILL DISCONTINUE THE COURSE FORTHWITH.
9. I agree to abide by the rules and regulations of the College and Hostel.

Name:

Signature of the Student

I also give my consent for the above declaration

Name:

Signature of the Parent/Guardian

Place :

Date :

Date :