ADI SHANKARA INSTITUTE OF ENGINEERING & TECHNOLOGY (AN ISO 9001:2008 CERTIFIED INSTITUTION) (Affiliated to Mahatma Gandhi University, Kottayam) Vidya Bharathi Nagar, Kalady 683574 DL Post Box No. 1, Ernakulam Dist., Kerala. E-mail : adishankara.net@gmail.com Website :www.adishankara.ac.in APPLICATION FOR ADMISSION TO THE 3 rd SEMESTER B.TECH DEGREE COURSES 201 - 201 in Lateral Entry Scheme (Under Management Quota) Courses Offered : a) Applied Electronics & Instrumentation b) Computer Science & Engineering c) Electronics & Communication d) Electrical & Electronics e) Information Technology f) Mechanical Engineering g) Civil Engineering
1 Name of the Applicant (in Block Letters)
a) Sex
b) Nationality, Religion & Caste
c) Place of Birth (Village/Town, District, State)
d) Age & Date of Birth
2 Branch Sought for 3 Name & Address of Parent (with Phone No. & Occupation)
4
Address for Communication (in Block letters with Pin Code)
5
Lateral Entry Entrance Exam (LET) Reg.No./Rank
6 Contact Phone Number with STD code
Academic Details (Attach attested copies of Mark Sheets, including marks obtained) Name of Examination passed Year of Passing % of Marks Class secured 7 S.S.L.C. + Two
3 year Diploma Course 1 st Year 2 nd Year 3 rd Year 8 Name of Institution studied for Diploma Course
9 Do you require Hostel accommodation
10 Details of all extra curricular activities, prizes won etc.
11 Address of Two referees
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
ADI SHANKARA INSTITUTE OF ENGINEERING & TECHNOLOGY, KALADY B.Tech Lateral Entry Admission 2014 (Management Quota) FEES STRUCTURE 2014 - 17 ADMISSION
FEE ITEMS AMOUNT Admission fee 250.00 Tuition fee 95000.00 Special fee 5000.00 Caution Deposit 10000.00 University Fees 950.00 Students Union 1000.00 PTA 1000.00 ASAP & Add on Course 10000.00 Grand Total 1,23,200.00
Payment Details Rs.1,10,250/- as DD. In favour of Managing Trustee, Adi Sankara Trust, Payable at Kalady/Angamaly.
Balance amount Rs.12950/- should be remitted as cash.
HOSTEL ADMISSION
Admission fee 300.00 Establishment fee 3000.00 Caution Deposit 3000.00 Advance Rent 1200.00 Grand Total CASH PAYMENT 7500.00
Hostel recurring charges will be Rs.3300/- approximately per month inclusive of all charges Mess, Rent, etc.