Office : 0484 2463825

Fax : 0484 2463828

ADI SHANKARA INSTITUTE OF ENGINEERING & TECHNOLOGY
(AN ISO 9001:2008 CERTIFIED INSTITUTION)
(Affiliated to Mahatma Gandhi University, Kottayam)
Vidya Bharathi Nagar, Kalady 683574
No. Post Box No. 1, Ernakulam Dist., Kerala.
E-mail : adishankara.net@gmail.com
Website : www.adishankara.ac.in
APPLICATION FOR ADMISSION TO THE M.TECH DEGREE COURSES 2014 - 2016
(Under Merit/Management Quota)
Courses Offered : Indicate the course
applied for
a. M.Tech Computer Science & Engineering
b. M.Tech in Electronics & Communication VLSI & Embedded System
c. M.Tech in Electrical & Electronics Power Electronics & Power system
d. M.Tech in Electronics & Communication - Communication Engineering

1 Name of the Applicant (in Block Letters)


a) Sex


b) Religion & Caste


c) Age & Date of Birth


2

Permanent Address
(in Block letter with Pin Code)


3

Present Address/Contact Address


4
Phone No.

Mobile No.
Rank
as per DTE
Merit List
5 Details of Exam Passed :
Name of
Exam Branch of Study University Year of Passing

% of Marks

B.Tech


Plus Two


S.S.L.C.


Gate Score
Percentile Marks out of 100/Rank






6
To which Branch/Specification Applied for


7
Are you Employed?
If Yes
Give details and Experience

8
Are you sponsored Candidate?
If yes
Give details


9
Do you require Hostel facility



Declaration
I hereby declare that the particulars given in this form are true, complete and correct to the best of
my knowledge and belief.

Place :
Date : Signature of guardian Signature of the Applicant

Document to be submitted along with the Application form
The duly filled in application form should reach the principal before the stipulated date.
The following documents are essential
Attested copies of:
1. 10
th
Mark List
2. +2 or equivalent mark list
3. B.Tech Degree Certificate
4. B.Tech Marklist
5. Proof of Caste SC/ST/OBC/SEBC, etc
6. Conduct certificate
7. GATE Score Card and Admit Card and Govt Rank details
8. Experience Certificate in case of Sponsored Candidates
9. Sponsor Ship Certificate in case of Sponsored Candidates

For Further details Contact:
Managing Trustee
Kochi
Ph : 0484 2351768

ADI SANKARA TRUST Ph : 0484 2463825, 2461933
Vidya Bharathi Nagar, Kalady P.O., Fax: 0484 2463828
Post Box No.1, Ernakulam Dist.,Kerala, Pin 683574.