APS COLLEGE OF ENGINEERING
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ACHARYA  PATASHALA  EDUCATION  TRUST ESTD:1935
APS COLLEGE OF ENGINEERING ESTD:1997
Anantha Gnana Gangotri
Somanahalli, Bangalore South-560082
Admission  for Semester Engg. Course for the              
year
Appl_ No                                                 Date:
1. Name of the Candidate            :
 
2. Date of Birth :
3. Birth Place :
4. Mother Tongue :
5. Email-id :
5. Postal Address :
Phone No:
Mobile No:
6. Permanent Address :
7. Parent/Guardian's
a. Name :
b Address :
8. Parent/Guardian's
a. Profession :
b. Annual Income :
9. Official Guardian's
a. Relationship with candidate :
b. Address
10. Category of admission
SC ST Cat-1 IIA
IIB IIIA IIIB GM(R)
GM(U) Out of State NRI
11. Candidate Last Examination Passed
a. Year of Passing :
b. Institution :
c. % of marks :
12. II PUC/12th Std Marks
Physics :
Chemistry :
Mathematics :
% in PCM
13.
CET Rank :
COMED Rank :
AIEEE Rank :
(Attach the Record/proof)
 
DECLARATION
 

The information furnished by me in the above columns are true and correct to the best my knowledge and belief. In case the information furnished by me are found to be false I am liable for disciplinary action as per rules and I forfeit all my claims in respect of this admission.

I abide by all the departmental rules and admission throughout my study in this institution which will be in force from time to time
 
Signature of Candidate
 
Date