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SDMIT Application 2021

The document appears to be an application form for admission to an engineering college in India. It requests personal details from applicants such as name, date of birth, address, education history, income, caste or religion. It also includes declarations to follow college rules and pay fees that must be signed by the applicant and guardian.

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Deekshith Gowda
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66 views2 pages

SDMIT Application 2021

The document appears to be an application form for admission to an engineering college in India. It requests personal details from applicants such as name, date of birth, address, education history, income, caste or religion. It also includes declarations to follow college rules and pay fees that must be signed by the applicant and guardian.

Uploaded by

Deekshith Gowda
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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SDME Society (Regd.

) Ujire

SRI DHARMASTHALA MANJUNATHESHWARA


INSTITUTEOF TECHNOLOGY
Ujire - 574 240
APPLICATION FOR ADMISSION TO B.E. Course
(Academic Year 20 - 20 ) Affix passport
(Regular/Lateral Entry) size photo

Application No.
CET / COMEDK / MNGMT/NRI

Branch Allotted / Opted


EE EC CS IS AI & DS Civil

1. Name of the Applicant in Block : ................................................................................................


Letters (as recorded in the marks
card of the qualifying examination) ................................................................................................

2. Date of birth (as recorded in : Date Month Year


X standard marks card) in words

3. Mother Tongue : ...................................................................... ...........................

: .................................................................................................

4. Place of Birth : .................................................................................................

5. Nationality : .................................................................................................

6. Religion / Caste / Sub caste & Category : .................................................................................................


: GM / SC/ ST / OBC Urban / Rural

7. Name and Occupation of the Father/Guardian: .................................................................................................

8. Annual Income of Father / Guardian : .................................................................................................

9. Permanent Address of the Father /Guardian : .................................................................................................

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

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

10. Local Guardians address : ................................................................... ..............................


Pin :

.................................................................................................
Parents Mob. No. :

11. Extra-Curricular Activities : ................................................................ .................................

.................................................................................................
b

Sl. No. Exam Passed Month & Year Institution / Percentage of Marks Scored Remarks
of Passing Board
1. SSLC / X STD
2. PUC / XII STD PMC:
PMB:
PME:
PM Biotech:
PM Computer Science:
PM Electronics

12. Details of Applicant for Admission to B. E.


Student’s Mobile No.
Student’s Aadhar Card No.
Student’s Mail ID
Student’s Bank Details Account No.
Bank Name
Branch
IFSC Code

13. Declaration by theCandidate


All the particulars stated in this application are true to the best of my knowledge and belief. I hereby declare that I
have carefully read the "Rules of admission" to the college and abide by them. I understand that if any information
provided in the application is found to be incorrect or fail to comply with the admission criteria, my application is liable to
be rejected/ admission remains cancelled by the institute or competent authority. It is also given to my knowledge that
fee paid is non-refundable

Date: ..................................

Place: .................................. Signature of the Applicant

14. Undertaking by the Parent / Guardian


I ....................................................... father / mother / Guardian of ............................................................. hereby
undertake to follow all the rules & regulations of the college and pay all the fees due to the institution regularly. I also
undertake to be responsible for his/her conduct. Further, I understand that if any information provided in the application
is found to be incorrect or fail to comply with the admission criteria, my ward’s application is liable to be rejected/
admission remains cancelled by the institute or competent authority. It is also given to my knowledge that fee paid is
non-refundable.

Date: ..................................

Place: .................................. Signature of the Parent / Guardian

15. DOCUMENTS TO BE SUBMITTED:

CET For all


1. Caste Certificate (if SC / ST / OBC) 1. Seat allotment order (CET / COMEDK / NRI / MGMT)
2. Income Certificate (if low income) 2. SSLC / X STD Marks card
3. Study Certificate (7 years in Karnataka) 3. PUC / XII STD Marks Card
Management / NRI 4. Transfer Certificate
1. Sponsorship letter (if under NRI Quota) 5. Character Certificate

2. Rank Card CET or COMEDK 6. Study Certificate


COMEDK 7. Eligibility Certificate & Migration
Certificate (for non-Karnataka Students)
1. Tulu Linguistic Certificate (if under Tulu 8. Copy of Aadhar Card
quota)

FOR OFFICE USE ONLY

Fee Receipt Date Amount

Accts. Supdt. PRINCIPAL

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