MINORITY STATUS

FOR
SELF-FINANCING ENGINEERING COLLEGES

APPLICATION FORM

FOR CLAIMING MINORITY STATUS - FORM : I

Directorate of Technical Education,

53, Sardar Patel Road,
Guindy,
Chennai 600 025.
Telephone Nos. 22351018 / 22350525

APPLICATION FORM FOR CLAIMING MINORITY STATUS

[ FOR SELF-FINANCING ENGINEERING COLLEGES]

FORM : I
APPLICATION FEE :
S.No

Demand Draft No.

Demand Draft Date

Bank

Amount (Rs.)

Rs. 1000 /=
Demand Draft in favour of "Commissioner of Technical Education,
Chennai" payable at Chennai should be enclosed.
1.
2.

Name of the Trust / Society

Address of the Trust / Society

:
:

PINCODE
Mobile
Phone
Fax
E-mail
Whether
the
Educational
Institution is run by Registered

:
:
:
:
:
:

STD :
STD :

Registered Society / Trust :

Nature of the Trust

Society or Trust (Nature of the

Phone No. :
Fax No.
:
YES / NO :

Trust to be specified)
4.

Deed Registration No. with Date

5.

Office of the Registration

6.
7.

Name of the Institution

Address of the Institution

:
:

DISTRICT
PINCODE
Mobile
Phone
Fax
E-mail
8.
9.

Year of Establishment
AICTEs approval No. & Date

:
:
:
:
:
:
:
:

Registration No. :

STD :
STD :

Date :

Phone No. :
Fax No.
:

10.

Minority Status claimed

(Specify the minority as Christian/

Muslim/Telugu/.....)
11.

Religion / Linguistic :
Specify the minority :

Composition of Educational Agency Board of Management or Board of Trust Names of the

Trustees/ Educational Agency along with the particulars of the religion/mother tongue

(Please enclose the proof of religion / mother tongue) :

Sl.
No.

12.

13.

14.

Name

Whether the Institution was

originally established and
continuously being administered
by the members of the minority.
Whether the original Trust Deed /
Memorandum of Association / Bye
laws reflect the objective of the
Trust to sub serve the interest of
the minority community.
Any Supplementary Deed was
executed. If YES, state the
purpose
for
which
the
Supplementary
Deed
was
executed.

Post

Religion / Mother Tongue

YES / NO :
If NO, State the reason and
provide the details :

YES / NO :
If NO, State the reason and
provide the details :

YES / NO :
If YES, State the
purpose :

(Enclose the Xerox copy).

15.

Any change in the Trust Members

(Change from the

Established Trust).

Originally

Change in the Trust

YES / NO :

If YES, Whether it is
Registered

YES / NO :

Deed Registration No :
Registration Date :
Office of the Registration

16.

17.

18.
19.

Whether the Supplemental Deed

has been approved by Court as
per Section 92(3) of C.P.C. Act.
Whether all certificates supporting
the religious / linguistic nature of
minority enclosed.
Whether applied for minority
status earlier.
Whether already minority status
was conferred in the previous
years.

YES / NO :

YES / NO :

YES / NO :

YES / NO :

If Yes, furnish the details for all

previous years

Whether minority status was

conferred once and later rejected.
If Yes, furnish the details.

G.O. No. & Date:

(Enclose the Xerox copies).

20.

Year

YES / NO :

DECLARATION
I / We solemnly declare that no information has been withheld and all the information
provided in this application form is true. If any information is found to be incorrect or
false, I / We understand that proposal shall be liable for rejection.

Station :
Date :

Name and Signature of the

Chairman / Secretary
of the Trust / Society with Seal & Date

COLLEGE SEAL

Name and Signature of the

Head of the Institution
with Seal and Date

1
2
3
4
5
6
7

9
10

11

12

13

14

Section A
(Admission Details for the Year 2014-2015)
Civil
Mech
EEE

Name of the Branch (*)

Sanctioned intake
Total No. of candidates admitted against the sanctioned intake
No. of candidates admitted under Govt. Quota
No. of candidates admitted under Management Quota
No. of religious / linguistic candidates admitted in Govt. quota
belonging to Institutes own minority community
No. of religious / linguistic candidates admitted in
Management quota belonging to Institutes own minority
community
Total No. of religious / linguistic candidates admitted in both
Govt. quota and Management quota belonging to Institutes
own minority community.
No. of candidates admitted under category such as NRI etc.
admitted within Management Quota
Percentage of religious / linguistic candidates admitted from
the minority Institutes own community out of the total
candidates admitted under Govt. Quota
Percentage of religious / linguistic candidates admitted from
the minority Institutes own community out of the total
candidates admitted under Management Quota
Percentage of religious / linguistic candidates admitted from
the minority Institutes own community out of the total
candidates admitted
Whether the list of candidates admitted during 2012-13
against minority quota is enclosed (Refer Section B).
Whether the Institution has admitted not less than 50% of

YES/NO

ECE

CS

IT

Total

their own community from out of the seats earmarked for

admission by the management. If not, state the reasons.

(*) any other Courses in the College should be added.

Note:- Details furnished in the columns 2 to 8 of Section A must be in conformity with the admission approval obtained from the
D.T.E. (Copy of the admission approval must be enclosed).

Name and Signature of the Chairman / Secretary

of the Trust / Society with Seal & Date

Name and Signature of the

Head of the Institution with Seal and Date

SECTION B
(Students admitted during 2014-2015)
Institute :
Branch :
Sanctioned Strength
:
No. of students admitted in Govt. Quota :
No. of students admitted in Magmt. quota:
S.No.

Name

Quali.
Marks
Max.200

MotherTongue/
Religion

Name and Signature of the

Chairman / Secretary
of the Trust / Society with Seal & Date

Category
GQ / MQ

Name and Signature of the

Head of the Institution
with Seal and Date

LIST OF ENCLOSURES
S.No Description
1.

2.

Application Fee
[Rs. 1000 /- Demand Draft in favour of "Commissioner of Technical
Education, Chennai" payable at Chennai]
Copy of AICTE Approval Order and subsequent Approval Orders till date, if any

YES / NO

3.

Copy of Anna University Affiliation Order

4.

Trust Deed

5.

Supplementary Deed

6.

RDO Certificate in case of Linguistic Minority

7.

Baptism Certificate, Wakf Board Certificates in case of Religious Minority

8.

Proof of religion / mother tongue for Trust Members

9.

Copy of all the certificates supporting the religious / linguistic nature of minority

10.

11.

Form A & Form B given by Admission Section of Directorate of Technical

Education and Admission Approval Order issued by Directorate of
Technical Education.
Section : A
Admission Details

12.

Section : B

13.

Copy of the minority status already conferred in the previous years, if any

14.

Copy of the minority status conferred once and later rejected, if any

Students admitted Details