application pg 2013 -14 (1).pdf

7/28/2019 application PG 2013 -14 (1).pdf

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Cost of ApplicationForm: Rs.1000/-

Cost of ApplicationForm: Rs.1000/-Photo with

S k y B l u e B a c k g r ou n d

Application No.

A P P LICATION FOR A D M IS SION S 2 0 1 3 - 1 4P P L I C A T I O N F O R A D M I S S I O N S 2 0 1 3 - 1 4

Roll No.(To be allotted by the University)

.Name of the Applicant

D D N o & D at e:

Bank Name:

3.Date of Birth

5.Blood Group

Male Female

6.(a) Religion:

6 . (b ) S o c i al S t at u s OBC/SC/ST/Others

4.Gender

8.Name of the Father / Guardian

1 . Mo t he r s N a me

9.Occupation of Father / Guardian 1 0 .F a t he r s / G u a rd i an s A n nu a l I n co m e

2.Permanent Address (Do not repeat the Name)

7.Nationality

2.Course Applied for: R e f e r t h e A p p e n d ix f o r c o u r se d e t a i l se f e r t h e A p p e n d i x f o r c o u r s e d e t a i l s

st Optionn d

2rd

3

Na me o f th e Co u rse Co d e

DD

CASH

(Put a mark)

F i l l t h e d et a il s i n E n gl i s h in b l o ck l e tt e rs

R e a d c a r ef u l l y t h e I n st r u c ti o n s g i v e n i n t h e A p p e n di x

U s e b l a ck b a l l p o i n t pe n f o r fi l l i n g th e d e t ai l s

For Eligibilit y Cr it er ia, please visit our websit e

www.ametuniv.ac.in

1

P OS T GR AD UAT E C OU RS ES / G ME / E TOO ST GR AD UAT E C OU RS ES / GM E / E TO

3 . A d dr e s s f o r C o r r e sp o n d e n ce ( D o n o t r e p e a t t h e N a m e )

Option

Option

( U nd e r Se c . 3 o f U G C A ct 1 9 56 )


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College University Year of passing Percentage / CGPA*

4. ST D C od e 15.Telephone 16.Mobile Number

8.Email ID ................................................................................................................................

7 . L o ca l Gu a r d i an ( Na m e / Ad d r e s s/ L o c a l P h o n e N u m b e r)

20.For GME/MBA/M.Sc/M.Tech., Course only (Tick the course you appeared for)

Marks Scored in English (Higher Secondary/12th Std) .....................

*CGPA: Cumulative Grade Point Average

Specialisation in UG Course (In Block Letters)

9 . Fo r M B A C o u r s e o n l y

N a me o f t h e Te s t C AT / M AT / AT M A / X AT / J M E T / TA N CE T M onth & Year Test Score

%

Certificate of Competency

M AT E ( F G)

M A ST E R ( F G)E X TR A M A ST E R

S E CO N D C L AS S ( M OT O R)

F I RS T C L AS S ( M OT O R)

E X TR A C H IE F

MICS

% of Marks inMajor Subject

AcademicQualification

S.No Name of the Organisation PositionPeriod of service

From To

Major

P.U.C. / + 2

B a ch e lo r s D e gr e e ( At t es t edX e r o x c o p y o f P r o v i s i o n a lCertificate or Degree/Diplomato be enclosed)

F o r M A RI N E R S C a t e g or y o f Eligibility

IssuingAuthority

Dateof Issue

Placeof Issue

CertificateNumber

ClassYear of Passing

UniversityName of the

Institution

2 1 . P. G. C OUR S E S FOR M A RI N E R S ( C OD E N U M B ER S : 4 0 2 a n d 4 0 3 ON LY )1 . P. G. C OUR S E S FOR M A RI N E R S ( C OD E N U M B ER S : 4 02 a n d 4 0 3 ON LY )

CDC

P. G . C O UR S E S F O R M A R IN E RS / O T H E RS ( M BA . , M . Sc . , M .Te c h. , ) ( Ti c k t h e c o u r se y o u a p p e a r e d f o r)P. G . C O UR S E S F O R M A R IN E RS / O T H E RS ( M BA . , M . Sc . , M .Te c h. , )2 2 . Pr o f e s si o n a l E x p e r ie n c e2 . Pr o f e s si o n a l E x p e r ie n c e

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26.Please answer the following questions.

a ) H ow d i d yo u c om e t o kn o w a b ou t A M ET U n iv e rs i ty ?

b) Are you aware of the fee structure?

News Paper

Yes No

TV Website Edu. Fair Alumni Others

I f o t he r s s p ec i fy :

Declarationeclaration

S en d f il le d i n A pp li ca ti on t o C it y O ff ic e ( An na N ag ar ) A dd re ss

2 3 . W h et h e r H o s t e l r e q u i re d

2 5 . S p ec i f y E n t r a nc e E x a m i n a t i o n C e n t r e ( R e f e r A p p e n di x )

2 4 . S p or t s A c h i e ve m e n t

State National International NoneYES NO

confirm to the best of my knowledge that the information given in this form is correct. If admitted to this course, I, also agree tob i d e b y t h e r u l es a n d r e g u l at i o n s o f AM E T U n i v er s i t y. I d o a g r e e t o a b id e b y t h e U n i ve r s i ty A nt i R a g gi n g R e g u la t i o ns , a s

irected by the Hon'ble Supreme Court of India. Please see number 5 of instructions below.

Applicant's Signature Fathers / Mothers/ Guardian's Signature

Date ...........

NSTRUCTIONS:1 . E n c l os e t h e at t e s te d c o p ie s o f t h e fo l l o w in g a l o ng w i t h th e a p p li c a t i on f o r m

th th( i) 1 0 & 1 2 s td m ar k s he et(ii). Provisional / Degree Certificate(Iii) Consolidated Mark Sheet Statement(iv) Sports Merit Certificates, if any(v) Transfer Certificate(vi) Conduct Certificate from last School/college attended

(vii)Community Certificate2 . P a s t e Pa s s p or t s i z e c ol o u r p h ot o g r ap h o n p a g e 1 (a p p l i ca t i o n s wi t h o ut p h o t og r a p h wi l l b e r e j e ct e d )3 . A l l t h e or i gi n al c e rt i fi c at e s t o b e s ub m it t ed a t t h e ti m e o f ad m is s io n f or v e ri f ic a ti o n4 . M a i n ta i n a ph o t o co p y o f t h i s a p p l i ca t i o n a n d b ri n g c op y a t t h e ti m e o f a d m i ss i o n .5 . A f fi d a v i t b y t he p a r e n t/ s t u de n t i n N o n -J u d i ci a l s t a m p p ap e r a s p e r y o ur s t a t e r ul e s a s g i v e n i n t h e s pe c i m en c o p y w i l l

have to be submitted at the time of admission. (Specimen available in Information Booklet)6 . A f fi d a v i t f or I n d e mn i t y B o nd b y t h e s t u d en t i n N o n - Ju d i c i al s t a mp a s p e r y o u r s t at e r u l e s a s g i ve n i n t h e s p e c im e n c o p y

will have to be submitted at the time of admission. (Specimen available in Information Booklet)7. Upper portion of the Hall Ticket should be attached with the Application.

3

(Dispute , if any, will be subject to Chennai jurisdiction only)

.............. ..........................................................


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ndN o .5 1 07 , H 2 , 2 Av e nu e , An n a N a ga r , C h en n ai 6 00 0 40

Tel. 044 -26161026/ 1180/ 2031 Fax: 044 - 26162827

C I TY O F FI C EI T Y O F FI C EN o .1 3 5, E a st C o as t R o ad , K a na t hu r 6 03 11 2 , C h en n ai , I n di a

Te l . 0 4 4 - 3 2 5 7 70 0 2 /3 2 5 7 70 3 0 / 27 4 7 2 15 5 / 5 7 F a x : 0 4 4 - 2 74 7 2 8 0 4M o b : 9 3 8 1 5 05 7 4 7 / 9 3 4 5 65 6 2 2 4 M o b : 9 3 8 2 35 0 6 0 7

CAMPUSAMPUS

1 . U se S e pa r a t e f o r m f o r U n d e r G r a du a t e /H N D C o u rs e s2. For Post Diploma and Research Programmes (M.Phil.,/Ph.D) Separate Application Forms can be downloaded fromwww.ametuniv.ac.in

3

M e di c al E x am i na t io n

Selected for admission

Fit

Yes No

Unfit

NOTE:

F o r O f f i c e U s e o n l yo r O f f i c e U s e o n l yApplication Received on

Verified by

Interviewed on

R e su l ts o f E n t ra n ceExamination

Results of Interview

Score

W e ll S u it a bl e Suitable To meet counselor

Pass Fail

Web: www.ametuniv.ac.in/ Email: office@a metuniv.ac.inWeb: www.ametuniv.ac.in/ Email: office@a metuniv.ac.in

4


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Code No. Name of the course Duration

103 GME P re S ea Training for Graduate M echanical Engineers 1 year

108 ETO (Electro Technical Officer) 17 Weeks

302 MBA Shipping & Logistics Management 2 years - 4 semesters

303 MBA Shipping Finance 2 years - 4 semesters

304 MBA Marine Human Resource Management 2 years - 4 semesters

305 MBA Cruise Ship Hospitality Management 2 years - 4 semesters

401 M.Sc. Marine Biotechnology 2 years - 4 semesters

402 M.Sc. Fleet Operations Management 2 years - 4 semesters

403 M.Tech Marine Engineering Management 2 years - 4 semesters

Appendix

5

E X AM I N AT I ON C E N TR E D E TA I LS

1 . D EL HI

2.MUMBAI

3 . L UC KN OW

4 . PAT N A

5 . C OC HI N

6 . K O ZH I CO D E

7 . C HE NN AI

C O U RS E D E TA I LS W I T H C OD E N U M BE R :


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HALL TICKET

F U LL N AM E A ND C OM PL E TE P OS TA L A DD RE SS O F T H E C AN DI DAT E ( IN C AP I TA L L E TT E RS )

Pin Code

Name ............................................................................................

Address

S I G NAT U R E O F T H E C A ND I D AT E

Course Name

Course Code

Examination Centre

Mobile Number

A

PC

A

UM

E

P

LI

TIO

N

N

B

R............................................................................................

............................................................................................

..................................................................................

............................................................................................

............................................................................................

............................................................................................

..................................................................................

Photo withS k y B l u e B a c k g ro u n d

F U LL N AM E A ND C OM PL E TE P OS TA L A DD RE SS O F T H E C AN DI DAT E ( IN C AP I TA L L E TT E RS )

Pin Code

Name ............................................................................................

Address

S I G NAT U R E O F T H E C A ND I D AT E

Course Name

Course Code

Examination Centre

Mobile Number

APP

LICATIO

N

NU

MBER .......................................................................................................................................................................................

.......................................................................................................................................................................................

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.......................................................................................................................................................................................

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Photo withS k y B l u e B a c k g ro u n d

[ RE FE R A PP EN DI X F OR C O UR SE A ND E XA MI NAT IO N C EN TR E D ETA IL S]

[ AT TA C H T H IS P O RT I ON T O A P P L IC AT I ON ]

D ETA CH T H IS P OR TI ON O F T H E H A LL T I CK ET A ND P RO DU C E D UR I NG E NT R AN CE E XA MI NAT I ON

application pg 2013 -14 (1).pdf

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