Ghousia College of Engineering
Ramanagara – 562 159, Bangalore, Karnataka Affix recent
(Owned & Manged by Ghousia Industrial & Engg. Trust) Passport size
Hosur Road, Bangalore – 560 029, (Ph: 080-25536527) colour
(Recognised by the Govt. of Karnataka & AICTE, New Delhi, Photograph
Affiliated to Visvesvaraya Technological University, Belgaum
( Accredited by National Board of Accreditation, New Delhi)
E-Mail : principal_gce@hotmail.com Tel : 080 – 27271353 / 27273577 / 27273476
Web : www.ghousiaedu.org Fax : 080 – 27273474
No. _______ Application for Admission to B.E. / M.Tech.
Degree Course in Engineering for 2019 - 2020
Application should be filled legibly in Block letters only
1. Name of the Candidate
(as per the qualifying exam marks card)
2. a) Father’s Name
b) Mother’s Name
c) Postal Address
with pin code
d) Mobile / Phone No. (STD)
e) E-mail ID
f) Parent Occupation &
Annual Income
a) Date of Birth
3.
b) Religion, Caste & Category
c) Nationality & Domicile State
4. Branch of Engineering which the Applicant prefers to select - (Please tick)
Under Graduate Course (B.E) : Post Graduate Course (M.Tech) :
1. Civil Engineering 1. Manufacturing Science & Engg
2. Mechanical Engineering 2. Power System Engineering
3. Electrical & Electronics Engg. 3. Structural Engineering
4. Electronics & Commn. Engg. 4. Machine Design
5. Comp. Science & Engg.
-: 2 :-
a) Qualifying Exam Passed & Specialization
5.
b) Roll No. & Month / Year of Passing
c) Aggregate Marks, percentage &
class obtained
e) Name of the Board / University
f) Name of the College
6. Qualifying Examination Marks and Percentage (for Admission to B.E Courses only)
Optional Subjects Max. Marks Marks Secured Percentage
studied
1) Physics
2) Mathematics
3)
Total :-
Diploma Candidate :
Final V Semester
Year VI Semester
Total :-
7. Qualifying Examination Marks & Percentage (for Admission to M.Tech Courses only)
S.No Semester Max Marks Marks Obtained Month/Year of Passing
1. I Sem.
2. II Sem.
3 III Sem.
4 IV Sem.
5 V Sem.
6 VI Sem.
7 VII Sem.
8 VIII Sem.
Total :- Aggregate
Percentage
8. Institutions at which the applicant studied during the last five years.
Sl. Class Year of Study Name of the Institution
No.
1.
2.
3.
4.
5.
-: 3 :-
9. Mark Cards/Certificates to be produced in original with 04 sets of xerox copies.
(The certificates in Hindi, if any, should be translated into English by a Competent Authority under its seal)
1. Admission Order (CET / PGCET / KRLMPCA / AIEEE / COMED-K / GATE)
2. Qualifying examination marks card / certificate
th
3. Matriculation Marks Card (10 Std)
4. Transfer Certificate / College leaving certificate / Discharge Certificate
5. Caste & Income Certificate
6. Migration Certificate from the concerned State Education Board / University
(applicable for candidate of other Board / University)
7. Character, Conduct & Study Certificate
8. Residential address proof (Tel. Bill / Ration Card / Other Document)
9. Medical Fitness Certificate from a Doctor registered with Medical Council of any state in India
10. Passport size recent colour photographs - 08 Nos.
Declaration
Certified that the information provided is correct and true to the best of our knowledge
Signature of the Parent Signature of the Candidate
Place : _______________
Date : _______________
-------------------------------------------------------------------------------------------------------------------------
Admission Approval
The applicant Mr./ Miss. __________________________________________________
S/o. D/o. _________________________________ is selected by the selection committee
for admission to _______________________ degree course during the year 2019 - 2020.
Date: _____________ Hon. Secretary / Principal
Sl. No. Particulars Receipt No. Amount Remarks
& Date
1 University Fee
2 College Fee
3 Co-operative Society Share Fee
Total Amount
Balance Amount due
For Reservation of Seat – Rs.50,000/- DD shall be drawn in favour of Principal, Ghousia College of
Engineering, Ramanagaram, payable at Ramanagaram.
Accounts Section Special Officer Principal
