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Application Form
Diploma in Advanced Digital Systems Design (Course duration 1 year, full time) Name Address Address Address : : Pin Code e-mail: ___________________________
d d m m y y y y
Sex: M No
Are you interested in pursuing MS programme of ISEP at Paris? Yes Fathers Name : Occupation :
Examination Masters Degree (Engg./ Science) Bachelor Degree (Engineering) 3 year (Engg.) / Bachelor (Science) 2
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Telephone No.:
Year of passing % of marks Name of College University / Board
1 year (Engg. / Science) Diploma (Engg.) H.S.C. (12 Standard) S.S.C. (10 Standard)
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SC
ST
DTNT
OBC
Reserved category students please enclose attested photocopy of Caste Certificate, Validity Certificate and Creamy / Non creamy Layer Certificate. I hereby declare that the information given above is true to the best of my knowledge. I have read the selection procedure set forth in the prospectus and related official announcements. I declare that I accept the terms and conditions set forth herein. I recognize the financial obligations & payment dates as stated.
Date: _________________
Entrance Exam. Fee: Rs. 500/- only (Pay by Cash or DD in favour of ICIT Pvt. Ltd., Pune) Demand Draft No.: ___________
Preferred CET Centre
Date: __________
Preferred CET Date
Bank: ___________________
Preferred CET Time
Integrated Circuit and Information Technology Pvt. Ltd., Department of Electronic Science,
University of Pune, Ganeshkhind, Pune 411 007 (India), Tel.: 020-25690836/25690837 E-mail : icitonline@gmail.com
ADMISSION RULES:
1. Candidates will not be admitted to a course without completing joining procedure and forms. 2. 80% attendance in class & laboratory is required for appearing for Pune University examination. 3. Every candidate will have to come regularly in time & finish the assignments in given time frame and should abide by the rules & regulations of the Institute. 4. Mobile is not allowed during classroom & laboratory session and must be switched off. 5. All the equipments & computers of the Institute should be handled carefully & as per given instructions. If there is any loss due to carelessness, the concerned candidate will have to pay penalty for the damages. 6. Due to some unavoidable circumstances, (e.g. Electricity failure, faults or any technical problem regarding computers) if the class is not conducted, alternative arrangements will be made as and when possible. The respective candidate will have to attend the class at that time. 7. Library facility should be used as per the library rules. 8. Papers, printouts, Xerox, blank CD are chargeable. 9. Total 130 hours internet access will be provided for study purpose only during the course. 10. Rules for cancellation of admission and refund of fee. Admission is confirmed when a candidate pays the course fee (part payment or full payment). The candidate cancelling his confirmed admission will be entitled to receive the refund of fees after deducting the amounts as indicated below:
a) From 1st day to 10 days from the date of confirming admission, 20% of the total fee will be deducted. b) From 11th day to 30 days from the date of confirming admission, 40% of the total fee will be deducted. c) After 30 days from the date of confirming admission, 100% of the total fee will be deducted.
11. At the end of the course, final examination will be conducted and the candidate passing the examination will be awarded Certificate by University of Pune. As per university procedures, up to 60 days period will be required to issue Certificate & mark sheet.
12. Placement assistance will be provided by the Institute to deserving candidates after successful
completion of course.
Fee schedule
Fee Installment Confirmation of Admission 1 installment (within 30 days of course commencement) Total course fee
st
Integrated Circuit and Information Technology Pvt. Ltd., Department of Electronic Science,
University of Pune, Ganeshkhind, Pune 411 007 (India), Tel.: 020-25690836/25690837 E-mail : icitonline@gmail.com
FOR THE INFORMATION OF STUDENT ONLY (DO NOT SEND WITH THE APPLICATION FORM)
c)
Please submit copies of your semester wise mark lists. Address for correspondence: ICIT Pvt. Ltd., Department of Electronic Science, University of Pune, Ganeshkhind road, Pune 411 007.
Certificate Course in Embedded System Design Certificate Course in Advanced Computing CET on : December 15 & 16 , 2012 Batches Start on : January 7, 2013 Offline CET in Pune at 11.00 am on December 16, 2012 Last date of application : December 12, 2012
Centre Name
Pune Ahmedabad Chennai Delhi Hyderabad Indore Kolhapur Kolkata Lucknow Mumbai Nagpur Nasik
Dec. 16
Offline Online Online Online Online Online Not Available Online Online Online Online Not Available Online Not Available Online Test Time slots are 09:00 to 11:00, 11:30 to 13:30, 14:30 to 16:30 and 17:00 to 19:00