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Application for Admission to Degree Course in Engineering
1.
Name of the applicant in full (Block Letters)
:
2.
a. Religion & Nationality
:
b. Caste
:
c. State whether you belong to scheduled caste, scheduled tribe, backward class, backward tribe or most backward class
:
3.
a. Home town or Village
:
b. Taluk
:
c. District
:
d. State
:
4.
a. Date of Birth/in words
:
b. Age on 1
st
July
:
5.
Name & Address of parent/guardian with pin code, phone number & mobile number
:
6.
Occupation & Permanent address of parent/guardian with pin code, phone number & mobile number
:
7.
Annual Income of parent/guardian
:
8.
a. Last College/School attended
:
b. date of leaving the Institution
:
c. Highest Examination Passed
:
9.
a. Name of the University/Board last studied
:
b. Date of entering the University/Board
:
c. Date of leaving the University/Board
:
10.
Examination
Year of passing
Optional subjects studied
Total marks secured
Marks in Physc, Chem & Maths
a. PU or 10+2
b. Intermediate exam in science
c. Diploma
d. B.Sc. (PCM)
e. Other (if any)
11.
a.
CET RANK NO
:
b.
COMED-K RANK NO
:
c.
AIEEE RANK NO
:
12.
Branch of Engineering which the applicant prefers to opt (state the order of preference)
a.
Electronics & Communication
:
b.
Computer Science & Engineering
:
c. Telecommunication
:
d. Electrical & Electronics Engineering
:
e. Mechanical Engineering
:
(Power of alloting the branch is vested with the college)
13.
E-mail ID for further reference
:
Trust Office :
M.S.Educational Trust
No.463/D, 11Th main Road
Rajamahal Vilas Extension
Sadashivanagar
Bangalore-560 080
Tel: +91 80 2361 3451
Fax: +91 80 4113 7900
Campus At :
M.S.Engineering College
Navarathna Agrahara,Sadahalli P.O.
Off Bangalore International Airport,
Bangalore-562 110
Tel - College Office: +91 080 28567450/28567451
Principal Office : +91 080 28567452/9738481799
Fax : 080 28567453
Placement Cell: +91 80 3297 0290
Email :
msec@vsnl.net
,
principal@msec.ac.in
