No. ....................

SAINTGITS SCHOOL OF INFORMATION TECHNOLOGY

IN
SAINTGITS COLLEGE OF ENGINEERING
(A Christian Minority Institution)
Corporate Office : III Floor, Unity Building, K. K. Road, Kottayam-686 002
Phone: (O) 91- 481-2584330 Fax: 91- 481-2300365,
email:corporateoffice@saintgits.org
Campus: Kottukulam Hills, Pathamuttom, Kottayam, Kerala - 686 532
Phone: (O) 91- 481-2436169, 2436170, email: mail@saintgits.org Please affix
Passport size
APPLICATION FOR ADMISSION TO MASTER OF COMPUTER APPLICATIONS (MCA / LMCA)
Photograph
2017-2018
Academic Year..........................................
INSTRUCTIONS
1. Please read the prospectus carefully and fill this form legibly. All information provided should be correct.
2. Attach attested photocopies (A4 Size) of the X & XII standard mark lists, qualifying Examination mark list and CEE mark list
along with the application form.
3. Incorrect and incomplete application forms will be rejected.
PERSONAL DETAILS (Fill in BLOCK LETTERS or tick whenever applicable)
NAME :

DATE OF BIRTH : BLOOD GROUP : SEX: M F AADHAAR NO:

RELIGION : COMMUNITY :
CATEGORY : SC ST N.R.I. OTHERS
PERMANENT ADDRESS: (With District and Pin Code) ADDRESS FOR COMMUNICATION: (With District and Pin Code)

Tel. No. with STD Code Tel. No. with STD Code

Mobile No. (Student) : e-mail ID. (Student) :

EDUCATIONAL DETAILS
Subjects Univ./Board Year of Passing % of Marks
SSLC or equivalent
Plus Two or equivalent
Bachelor’s degree
Others ............................
DETAILS OF COMMON ENTRANCE EXAMINATION
REG. No. RANK:
B. Sc. / B. Com (% of marks only) B. C. A./B. Sc. Comp Sc. (% of marks only)
Part I -English Semester I

Part II - (________________________________________) Semester II

Major - (________________________________________) Semester III

Optional I - (_____________________________________) Semester IV

Optional II - (_____________________________________) Semester V

Semester VI

Division of Class Division of Class

% of marks excluding languages % of marks excluding languages

Subjects appeared more Subjects appeared more
than once than once
Name & address of institution and university last attended:

FATHER’S NAME : MOTHER’S NAME :

ANNUAL FAMILY INCOME
OCCUPATION :
(TOTAL OF ALL FAMILY MEMBERS)
NAME AND ADDRESS OF GUARDIAN: (With District and Pin Code)

e-mail ID:

ETel. No. with STD Code Mobile No. (Guardian):

EXTRA CURRICULAR ACTIVITIES

At College/School Levels
Literary Activities
Sports and Games

Hobbies

Cultural & Social Activities

Requirement of : Hostel College Bus

DECLARATION
I ........................................................................................................................................ hereby undertake, on being admitted
to the college, to abide by the rules and regulations of the college and do nothing either inside or outside the college that will
interfere with its orderly working, discipline and reputation. I agree for disciplinary action including expulsion in case of
indiscipline or violation of college rules & regulations. I understand that ragging in any form is banned and I will be liable for
strict disciplinary action and prosecution, if found guilty.
Place:
Date : Signature of the Candidate

If my son/daughter/Ward ................................................................................................................ is admitted to the

college, I .................................................................................................................. hereby undertake to see to his/her good
conduct and discipline within and outside the college. I understand that ragging in any form is banned and my son/daughter/Ward will
be liable for strict disciplinary action and prosecution, if found guilty.
Place:
Date : Signature of the Parent/Guardian

Approved for Admission PRINCIPAL

Following documents must be submitted at the time of admission at the college office
1. Conduct Certificate and Transfer Certificate from the institution last attended. Students from Universities of Kerala other than
M.G. University should submit Migration Certificate also. Students from Universities outside Kerala should submit both Migra-
tion and Eligibility Certificate and admission will be subject to university approval.
2. X and XII Mark lists, Marklist and Certificate of the qualifying examination.
3 Two Passport size photographs.

aFOR OFFICE USE ONLY

Score Evaluation : Admission No. :

Qualifying Exam :
Date of Admission :
Additional Qualification :

Aptitude Test : Roll No. :

Group Discussion :
Sig of the Suptd. :
Interview :
Sig. of the Principal :
Total :