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Application No: 192936

Government of Kerala
DEPARTMENT OF TECHNICAL EDUCATION

APPLICATION FOR ADMISSION TO

M.TECH / M.PLANNING / M.ARCH DEGREE COURSE 2019 - 2020

1. Name in CAPITAL Letters, beginning from the left; initials at the end of the name.(Please insert one letter in a box)
S R E E V A S P A

2. Postal Address SREEVIHAR

VENGAD(P.O)
ANJARAKKANDY Affix
KANNUR-670612 recent
passport size
photo
3 (a) Contact Telephone Number 4. Date of birth in Christian Era
STD Code Land Phone Day Month Year
0 5 0 7 1 9 9 6
Mobile No 8 1 5 7 0 6 9 6 4 0 E-mail ID sreevas.sreevihar@gmail.com

5 Sex Is Keralite Religion Caste Reservation Category Non-Creamy Layer

M Yes Hindu General General No

6 Details of GATE Examination passed

Year Reg.No. Score Mark
2018 ME18S21328003 398.00 39.20

7 Details of Qualifying Examination

Degree B.Tech
Branch Mechanical Engineering
University CUSAT
Name of the College COLLEGE OF ENGINEERING THALASSERY
Is the College approved by AICTE Yes
Year of Passing 2017
Semester Wise Mark/SGPA Details
Semesters Marks/SGPA Scored Total Marks/SGPA
Sem 1 & 2 7.86 10.00
Sem 3 7.77 10.00
Sem 4 7.86 10.00
Sem 5 7.95 10.00
Sem 6 8.55 10.00
Total Marks in all Semesters up to and including sem 6 39.99
Maximum Marks in all Semesters up to and including sem 6 50

8 Fee Amount Rs. 500

9 Whether Physically Challenged No

10 Sponsored Candidate No
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11 Choice of specialisation in the order of preference

Choice College Specialisation Category
1 College of Engineering, Thermal Science GATE
Thiruvananthapuram
2 College of Engineering, Machine Design GATE
Thiruvananthapuram
3 College of Engineering, Industrial Engineering GATE
Thiruvananthapuram
4 College of Engineering, Propulsion Engineering GATE
Thiruvananthapuram
5 TKM College of Engineering, Kollam Industrial Refrigeration & Cryogenic GATE
Engineering
6 Government Engineering College, Internal Combustion Engines & Turbo GATE
Thrissur Machinery
7 Government Engineering College, Manufacturing Systems Management GATE
Thrissur
8 Government Engineering College, Production Engineering GATE
Thrissur
9 MA College of Engineering, Thermal Power Engineering GATE
Kothamangalam
10 Government Engineering College, Energy Systems - Analysis & Design GATE
Kozhikode
11 Government College of Engineering, Advanced Manufacturing & GATE
Kannur Mechanical System
12 NSS College of Engineering, Computer Integrated Manufacturing GATE
Palakkad
13 Government Engineering College, Machine Design GATE
Barton Hill
14 LBS College of Engg, Muliar, Thermal & Fluid Engineering GATE
Kasargod
15 College of Engg, Adoor, Thermal Engineering GATE
Pathanmthitta
16 College of Engineering, Manufacturing & Automation GATE
Thiruvananthapuram
17 College of Engineering, Robotics and Automation GATE
Thiruvananthapuram
18 Model Engg College, Thrikkakara, Energy Management GATE
Eranakulam
19 SCT College of Engg, Machine Design GATE
Pappanamcode, TVPM
20 College of Engg and Mgt, Punnapra, Computer Integrated Manufacturing GATE
Alapuzha
21 Rajiv Gandhi Institute of Technology Industrial Engineering & GATE
Management
22 College of Engg, Thalassery, Kannur Manufacturing System & GATE
Management
23 College of Engineering, Financial Engineering GATE
Thiruvananthapuram
24 College of Engineering, Environmental Engineering GATE
Thiruvananthapuram
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25 Government Engineering College, Environmental Engineering GATE

Thrissur

DECLARATION
(To be filled by the candidate)

I, ............................................................. hereby solemnly and sincerely affirm that the statements made and information
furnished in this application and also in the enclosures thereof submitted by me are true to the best of my knowledge and belief.I
hereby agree to abide by the rules and regulations of the college,if admitted.

Place:
Date: Signature of the Candidate

Note:

1. Late applications will be rejected.

2. Applications which do not contain the necessary documents as specified in the prospectus and those contains defective documents are liable to be rejected.

3. Those who have secured qualification from Universities or Institutes outside Kerala, shall produce equivalency certificate at the time of admission/counselling.

List of Enclosures:

Self attested true copy of Engineering Degree certificate and Mark list of all semesters.

Self attested true copy of Mark list upto 6th semester for B.Tech (8th semester for B.Arch) for those who appearing for the final semester examination this year

Self attested true copy of GATE Score card (for Candidates with valid GATE Score)

Self attested true copy of valid non creamy layer certificate/Community and Income certificate for candidates who claim eligibility under SEBC(OBC)/OEC

Self attested true copy of Community certificate issued by the Tahsildar for candidates who claim eligibility for reservation under SC/ST quota.

Self attested true copy of Diploma certicate in case of B.Tech Lateral Entry candidates.

Counterfoil of Chalan after remittance of application fee in any branch of SBI.

Additional Certifiates:

Self attested true copy of Sponsorship Certiciate for candidates applying under the sponsored category.

Self attested true copy of Physical Disability Certificate for candidates who claim eligibility under the Physical Disability quota.
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Instructions to Bank:Please enter the Application No and Student name in the mandatory fields while posting the amount in the Current Account.

STATE BANK OF INDIA Fee Payment Voucher

Branch: Bank Copy
Challan No: To be Filled by Student
Date:............................
Please credit the amount towards Application Fee to the account of DIRECTORATE OF TECHNICAL EDUCATION Account No. 67179772330
with SBI, Temple View,Trivandrum - code - 70481.
Application No 192936 Name of Degree: MTECH
Name of Student: SREEVAS P A
Amount: Rs. 500 Commission: Rs. 24 Total: Rs. 524
Address of Student:
SREEVIHAR
VENGAD(P.O)
ANJARAKKANDY Bank Seal
KANNUR-670612
Mobile Number: 8157069640

Amount in words: Five Hundred and Twenty Four Only

Signature:................................. Cashier: Passing Officer:

-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

To be Filled by Student
Branch: Student Copy
Challan No:
Date:............................
Please credit the amount towards Application Fee to the account of DIRECTORATE OF TECHNICAL EDUCATION Account No. 67179772330
with SBI, Temple View,Trivandrum - code - 70481.
Application No 192936 Name of Degree: MTECH
Name of Student: SREEVAS P A
Amount: Rs. 500 Commission: Rs. 24 Total: Rs. 524
Address of Student:
SREEVIHAR
VENGAD(P.O)
ANJARAKKANDY Bank Seal
KANNUR-670612

Mobile Number: 8157069640

Signature:................................. Cashier: Passing Officer:

-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

Branch: Orginal Copy

To be Filled by Student
Challan No:
To be submitted along with the Application
_____________________________________ Date:............................

Please credit the amount towards Application Fee to the account of DIRECTORATE OF TECHNICAL EDUCATION Account No. 67179772330
with SBI, Temple View,Trivandrum - code - 70481.
Application No 192936 Name of Degree: MTECH
Name of Student: SREEVAS P A
Amount: Rs. 500 Commission: Rs. 24 Total: Rs. 524
Address of Student:
SREEVIHAR
VENGAD(P.O)
ANJARAKKANDY Bank Seal
KANNUR-670612

Mobile Number: 8157069640

Signature:................................. Cashier: Passing Officer: