Om Sakthi

ADHIPARASAKTHI COLLEGE OF ENGINEERING

(Approved by AICTE New Delhi & Affiliated to Anna University, Chennai)
G.B.NAGAR, KALAVAI – 632 506, VELLORE DIST.
Phone : 04173 – 242089,584,648
E-mail: [email protected]
Web site : www.apcegbn.in
APPLICATION FORM FOR ADMISSION TO M.B.A. DEGREE COURSE IN I YEAR

LAST DATE FOR RECEIPT OF FILLED IN APPLICATION : ……………………… Application No.

Photo of the Candidate

1. Name in Block Letters :

(Initials at the end)
Space for affixing recent
Passport size
Photograph duly
attested by grade’ A’ or
2. Name of Parent/Guardian : ‘B’ officer of the Central
/ State Government or
Head of Institution last
studied
3.Address for Communication:
………………………………………………………………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………………………………………………………..
………………………………PIN E-Mail ID : ……………………………………………………………………….

Contact Telephone No ……………………………………….. Mobile No: ………………………………………..

(with STD Code) Tamil Nadu Others

Male Female 4. Sex : ( the appropriate box) 5.Nativity :

( the appropriate box)
Tamil Nadu Others

6. Place of Birth : 7.Mother Tongue: ( the appropriate box)

Date Month Year
8.Date of Birth (Christian Era ) :
(as found in SSLC or its equivalent certificate)

9. Name of the Community : ( the appropriate box)

BC
ST SC SCA MBC&DNC Muslim BC Others

10. Name of the Caste :

Buddhism Christianity Hinduism Islam Jainism Sikhism Others

11. Religion : ( the appropriate box)

12. Father’s / Guardian’s Profession : ……………………………………………………………………………………………………………………

13.Fathers’s Office Address if any : ………………………..………………………………………………………………………………………….

……………………..…………………………………………………………………………………………….

14.Annual Income of parent / Guardian : …………………………..………………………………………………………………………………………..

15. Qualifying Degree
( the appropriate box) : B.E/B.Tech B.A/B.Sc/B.Com/BBA M.A./M.Sc./M.Com Others (Please specify)

16. Pattern of Study : ( the appropriate box) :

10 + 2 + 3 10 + 3 (Diploma) + 3 10 + 2 + 4
th
(10 +HSC + 3year Degree) (10th + 3yrs.Diploma + th
(10 +HSC + 4year Degree)
3year Degree)

17. Details of institution last studied :

Name of the College with Address Name of the University Discipline of the
Qualifying Degree

18.Appearance in the Final Year Qualifying Examination : Passed Appeared

19.Major Subject : ………………………………………………………..

Allied Subjects : ……………………………………………………….

20. Average Percentage of mark Secured in the Qualifying

Examination (upto Pre-Final Semester / Year) :

21.Marks Secured in Consortium Entrance Test :

22. Registration Number of Entrance Test : ……………………………………….

Place :
Signature of the Candidate
Date :
 DECLARATION

All the information furnished in the prepages are true to the best of my knowledge. I am aware that any
wrongInformation may result in punitive action in addition to the summary cancellation of may candidature for
admission and forfeiture of the fee paid.

 I have the required qualification for admission to MBA/MCA as per university / Institutions Eligibility.
 I have Studied Bachelor’s degree course in 10+2+3/4 years pattern [or] 10+3 years diploma +3 years pattern.
 I have not studied B.E/B. Tech. degree through distance / week end mode.
 I have not studied M.Sc. /M.C.A. degree in Week end mode.

I am also aware that a pass in recognized Bachelor’s degree of minimum 3 year duration in 10+2+3/4 years pattern
and obtainer at least 50 % (45% in case of candidates belonging to reserved category) at the qualifying examination is
the minimum eligibility required for admission to PG courses as per AICTE norms.

Place :
Signature of the Candidate
Date :

CHECK LIST
(To be filled by the Candidate)

1.Attested Photograph affixed on the 5.consortiusm Entrance Test Mark Sheet….

Application …..
6.Attested Photocopy of Transfer
2.Attested Plus Two Mark Sheet/ Certificate ….
Diploma Certificate …...
7.Attested Photocopy of Permanent
3.Attested Photocopy of All Semester Community Certificate Card for ST ,
Mark Sheet (All appearances) of SC, SCA, MBC & DNC, BC, BCM ….
Qualifying Examination (Xeroxing both
Sides) 8.Attested Photocopy of Nativity
Certificate (if applicable ) ….
4. Attested Photocopy of Degree /
Provisional Certificate ….. 9.Physical fitness certificate obtained
From Regd. Doctor ….

FOR OFFICE USE ONLY

1.Application Complete: YES NO

*if No ‘tick the relevant item in the following defects.

1.Not satisfying Tamil Nadu Nativity.
2.Not Passed the prescribed qualifying examination.
3.Not obtained minimum percentage of marks in the UG qualifying examination.
4.No proper Community Certificate.
5.Not applicable for special category.

The candidate is Eligible……………………………………………………………………………………………………………………………………………………

(if not Eligible, Specify the reason)
Scrutinizing Staff Name……………………………………………………………………Signature………………………………………………………………..

Details of mark obtained in the UG Degree qualifying Examination

(To be filled in by the Candidate)

UG Degree :

University :

Sl.No. Semester/ Year Maximum Marks Marks Obtained

1. I
2. II
3. III
4. IV
5. V
6. VI
7. VII
8. VIII
9. IX
10. X
Overall Total

Total % of Marks

If Final Semester / Year results are not published, fill up Particulars up to Pre-final Semester/Year.

Average percentage of mark upto pre-final Semester/ Year in the qualifying Degree examination
(For Inter- Se Merity purpose)

Total marks obtained till Total Maximum Mark till pre-final % of Marks
Pre-final Semester/ Year Semester/ Year

Note : When the Candidates produce grade certificate, they have to furnish to furnish the actual mark also otherwise
Only minimum mark applicable to the grades in the subjects will be taken into account.

Signature of the Candidate

 Eligibility Qualifications for admission to M.B.A. and M.E
Degree programmers

Course Eligibility
M.B.A A pass in a recognised Bachelor’s degree of minimum 3 Years duration and obtained at
least 50% (45% in the case of candidates belonging to reserved category) in the qualifying
degree examination.
a) 10+2+3 Years Pattern
(or)
b) 10+3 years Pattern
(or)
c) B.E./B.Tech./B.Arch./B.Pharm
(or)
d) i) 10+2+AMIE*
(or)
ii) 10+3 years diploma (awarded by the state Board of Technical Education) +AMIE*.
M.C.A A pass in a recognised Bachelor’s degree of minimum 3 Years duration with
mathematics at 10+2 level or at Graduate level and obtained at least 50% (45% in the case
of candidates belonging to reserved category) in the qualifying degree examination.
a) 10+2+3/4 Years Pattern
(or)
b) 10+3 years diploma+ 3 Years Pattern
(or)
c) i) 10+2+AMIE*
(or)
ii) 10+3 years diploma (awarded by the state Board of Technical Education) +AMIE*.

A pass in a recognised Bachelor’s degree of minimum 3 Years duration in BCA, B.SC

M.C.A (information Technology / Computer Science) with mathematics as a course at 10+2 level
(Lateral Entry) or at Graduate level and obtained at least 50% (45% in the case of candidates belonging to
reserved category) in the qualifying degree examination.

a) 10+2+3 Years Pattern

*Candidates with section ‘A’ & ‘B’ Certificates and other similar certificate of professional bodies or societies (e.g.
A.M.I.E.) recognised by the Ministry of Human Resource Development, Govt. of India are considered to be
equivalent to be equivalent to B.E./ B.Tech. Degree holders only with 2 Years regular full time Teaching / Industrial
experience in the relevant field after successful completion of the course including project work. An experience
certificate is to be produced by the candidates.
Note:
1. Candidates admitted through Lateral Entry in degree courses are not eligible except, B.E. /B.Tech. and MCA
degree course
2. Candidates with B.E./ B.Tech. degree obtained through Distance mode/week end courses are not eligible.
3. Candidates with degree obtained without studying 10th, 12th Std., (or) 3 years degree programme are not
eligible.