Application for Admission to 4 Years (8 Semesters) B.E. Degree Course in Engineering for the year 2006 – 2007.
1. Name of the Candidate (in block letters)
7. Year in which the candidate appeared for GATE Examn.
GATE Score valid upto
Reg. No.
Percentile
Scheme Annual / Semester
No.of additional attempts taken to Complete the Exam.
Aggregate marks (including Sessional marks)
Percentage of Marks
Ist Year 1 Sem. 2 Sem.
II Year 3 Sem. 4 Sem.
III Year 5 Sem. 6 Sem.
IV Year 7 Sem. 8 Sem.
Overall Percentage
Name of the Applicant
Name & Address of the College/Organization where the applicant is currently employed
Year of Joining
Present College / Organisation (a)
Previous College / Orgn. (b)
Total Experience C = (a) + (b)
Name & Signature of the Authority with Seal & Date
Enclose the following photo copies:
a) S.S.L.C. & P.U. Marks Cards b) B.E. Marks cards of all years / semesters & Degree Certificate c) Certificate in respect of Reservation Category d) Gate Score Card e) Two testimonials from the College last studied f) Experience Certificate in respect of sponsored candidate.
