MEPCO SCHLENK ENGG.

COLLEGE, SIVAKASI
(An Autonomous Institution, Affiliated to Anna University, Chennai)
MEPCO ENGINEERING COLLEGE (PO) 626 005
VIRUDHUNAGAR DISTRICT, TAMIL NADU
Phone : 04562-235000 (30 Lines); 235104 Fax : 04562-235111
Email : msec@mepcoeng.ac.in
Web : http://www.mepcoeng.ac.in/

APPLICATION FORM FOR ADMISSION TO THE

M.E. / M.Tech DEGREE PROGRAMMES

Note: 1) Information provided should be complete and accurate.
2) On announcement of results the copy of consolidated marks statement must be communicated.
3) Please check whether you qualify to the eligibility criteria.

Passport Size
Photograph

Application No.

(Do not provide any

computer printed
photograph)

Please enclose a DD for Rs.650/- along with the filled in application form, drawn in
favour of Mepco Schlenk Engineering college, payable at Sivakasi.
Date

Name of the Bank

Draft Number/Cash receipt No.

Value

COMMON ELIGIBILITY CRITERIA FOR M.E./M.Tech.

As prescribed by the Directorate of Technical Education (DoTE), Chennai/Anna University, Chennai

(Please mark
over the appropriate box)
Category of the Applicant :

GATE General Sponsored (Full time / Part-time) SC/ST

Note :
i. Sponsored candidate's application is to be forwarded by the employer.
ii. SC/ST candidate should attach the attested copy of Community Certificate.
iii. All candidates should attach photo copies of X, +2, all sem. mark sheets, degree certificate & experience certificate (if any)

Programme for which you are applying :

(Separate application form to be submitted for each Programme). Please
the appropriate box.
 M.E. Structural Engineering
 M.E. CAD / CAM
 M.E. Power Electronics and Drives
 M.E. Industrial Safety Engineering
 M.E. Communication Systems
 M.Tech.Nano Science and Technology
 M.E. VLSI Design
 M.Tech. Information Technology
 M.E. Computer Science and Engg.
 M.Tech. Biotechnology
Qualifying Degree & Branch: .... (Please refer Prospectus for eligibility criteria)
FOR OFFICE USE
Name of the Candidate
: ...................................................
Programme & Department Applied: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Percentage of Marks / CGPA

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(upto 7th / 8th Semester)

TANCET Entrance Test

Reg. No. . . . . . . . . . . . . . . . . . . . . . . . . Score : . . . . . . . . . . . . .

GATE Score (if any)

. . . . . . . . . . . . . . . . . .Year : . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Merit List / Waiting List No.

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

Checked by

..................
Recommendation of HOD

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A04

1. Personal details
Name (in CAPITAL letters with initials)

 Male
 Single

Gender (
)
Marital status (
)

 Female
 Married

 Transgender

Name :

Father/Guardians Name & Occupation

Occupation :
Name :

Mothers Name & Occupation

Occupation :
` 60,000
& below
1

Income

Annual Income of Parents

Tick

Age & Date of Birth

` 60,001 ` 1,00,001 ` 2,00,001 ` 2,50,001 ` 4,50,000

1,00,000 2,00,000 2,50,000 4,49,999 & above
2
3
4
5
6

Age:
Caste

Caste/Community/Religion/Nationality

Date of Birth:
:

Religion:

Address Permanent

Community

Nationality

Address For Communication

Pincode :

Pincode :

Phone with STD code :

Phone with STD code :

Mobile :

e-mail:

Mobile :

e-mail:

Place of Birth ___________________ ___________________

Town / Village
District

___________________
State

2. Educational Qualification:
a. School / Polytechnic
Name of the School / Polytechnic College
and place

Examination Passed

Branch

Medium of
Study

Year of
Passing

% of Marks /
CGPA

Remarks (if any)

X Std
+2
Polytechnic
b. College
i. Qualifying degree & Branch :

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

ii. College Name

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

iii. University Name

. . . . . . . . . . . . . . . . . . . . . . . . Univ. Reg.No: . . . . . . . . . . .

iv. Overall CGPA / % of Marks :

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

v. UG Project

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

Semester

:
II

III

IV

GPA /
% Marks
History of
Arrears
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VI

VII

VIII

Overall %
(or) CGPA
(I to VIII)

3. Entrance Examination Details :

a) Tamil Nadu Common
Entrance Test (TANCET)

Register No. : . . . . . . . . . . . . . . . . . . .Score. . . . . . . . . . . . .

(Enclose Photo copy of Hall Ticket)

b) GATE Score (if any, copy to be enclosed)

: . . . . . . . . . . . . . . . . . . . . . .Year. . . . . . . . . . . . . . . . . .

4. Details of Health :
Height

Weight

Blood
Group

General Health Condition

Have you undergone any major operation/major

health disorder; if so, give details

5. Experience Details (Teaching / Industry) : (Please attach separate sheet if necessary)

Sl.No.

Name of the
Institution / Industry

Period

Position Held

From

To

Total Years

1.
2.
6. Awards / Others
Academic Honours, Prizes etc.
(Attach extra sheet if necessary)
Co-curricular activities
Extra-curricular activities
Area of Special interest
I agree to abide by the rules and regulations of the College / Hostel.
I hereby certify that information given above are true to the best of my knowledge. I am fully
aware that if the details furnished are found to be incorrect or not qualified as declared by the authorities
concerned at the time of checking after admissions, my sons / daughters / wards admission to M.E. /
M.Tech degree programme can be automatically cancelled without any reference to me.
Date :

Signature of the Parent/Guardian

Signature of the Applicant

FORWARDING NOTE BY EMPLOYER FOR SPONSORED CANDIDATES

This is to certify that Mr. / Mrs. / Miss. ................................................................................ is a
bonafide employee of ...................................................................................................... (Organization /
Institution), working as ................................................... for the past ................ years. He / She is
sponsored to undergo the M.E. / M.Tech. programme (Full time / Part time) for 4 / 6 semesters.
Date :
Place :

Signature of Employer
with seal

Note : Eligibility for sponsored category : As per Anna University Norms / Govt. Norms.
Ps: Please enclose attested copy of the sponsorship certificate.
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ANNEXURE

Joint Declaration by the Parent or Guardian and the Applicant

I hereby solemnly and sincerely affirm :
1.
2.

I have gone through the Prospectus and understood the Rules and Regulations framed by the Institution and the fees as prescribed.
That the statements made and information furnished in my son's / daughter's / ward's application as also in all the enclosures there to
be submitted by him / her are true. Should it however be found that any information furnished therein is untrue in material particulars,
I realise that I am liable to criminal prosecution and I also agree to the forfeiture of his/her seat in the institution.
3. That my son/daughter/ward would conform strictly to all the rules and regulations in force now or which may be introduced in the
institution hereafter and that I realise that breach of discipline and rules on my son's/daughter's/ward's part would entail summary
forfeiture of his/her seat in the institution.
4. That I am aware that the curriculum for the various courses is not rigid and that my son/daughter/ward will follow the syllabi for the
various courses in force at the time of his/her admission that any revision or modification made in the syllabi during the course of
his/her study in the institution will be binding on him/her.
5. That in case of my son's/daughter's/ward's progress in studies is uniformly poor in the institution, his/her studies are liable to be
terminated by the issue of Transfer Certificate.
6. That in case my son/daughter/ward becomes a scholarship holder and does not show special progress, the scholarship is liable to be
cancelled and that if my son's/daughter's/ward's conduct and character are not good, it will be cancelled summarily.
7. As per the University regulation I am aware that if my son/daughter/ward does not put in a minimum of 75 percent attendance during
the semester, my son/daughter/ward will not be permitted to write the University Examination.
8. That my son/daughter/ward is aware that breach of discipline and rules or bad conduct in academic, co-curricular and extra-curricular
activities will also entail summary forfeiture of seat in the institution, in addition to such other proceedings that may be taken against
him/her.
9. That I am aware that if my son/daughter/ward is admitted into the hostel he/she will strictly abide by the rules and regulations in
enforce in the hostel and that any breach of discipline or rules or any unruly conduct or undesirable activities will be summarily dealt
with by forfeiture of seat both in the hostel and the institution in addition to such other proceedings that may be taken against him/her.
10. That in case the qualifications possessed by my son/daughter/ward is not recognised by the University, the admission to the M.E.
degree course is liable for cancellation.
11. I understand that the institute will not permit leaving the Institute / transfer in the middle.
12. I agree to abide by the rules and regulations of the College and Hostel.

Accorded and Signed below :

I understand that Admission will be made on the basis of the procedures stipulated by the Govt.
Signature of the Parent/Guardian
Name :
I have also read, understood and give my consent for the above declaration.
Place :
Date :

Signature of the Student

Name :

ELIGIBILITY CRITERIA* for M.E./M.Tech. Programmes

M.E. Structural Engineering : B.E./B.Tech. (Civil, Civil and M.Tech.Nano Science & Technology : B.E./B.Tech. (Mech.
/ECE / EEE/Ceramic/Engineering Physics / Bio Technology
Structural Engg.)
/Industrial Bio Technology/ Chemical/ Biomedical/Agricultural Bio
M.E. Power Electronics & Drives : B.E./B.Tech.
Technology/Materials Science & Engg.) Bio-Informatics/Chemical
(EEE/ECE/E&I/I&C/Electronics/Instrumentation)
and Electrochemical/ M.Sc. (with mathematics as one of the subjects
M.E. Communication Systems : B.E./B.Tech. (Electronics &at B.Sc. level) Physics/Material Science/Chemistry/Applied
Communication/Electronics)
Chemistry /Bio Chemistry / Bio Technology)/B.Pharm
M.E. VLSI : B.E./B.Tech.(ECE/EEE/Electronics/
M.Tech. Information Technology : B.E./B.Tech. (ECE /IT
Instrumentation/E&I/I&C/CSE/IT)
/CSE /Software Engg./Computer Hardware and Software/Electronics
M.E. Computer Science & Engineering : B.E./B.Tech.
Engg.)
(ECE/IT/CSE/Software Engg./Computer Hardware and Software / M.Tech.-Biotechnology : B.E./B.Tech. (Chemical Engineering/
Electronics Engg.)

Leather Technology/ Genetic/ Bio Chemical Engineering/Industrial

Bio Technology/ Petroleum Technology/Petroleum Engineering/Bio
/Manufacturing /Production/ Aerospace /Industrial /Mechatronics / Technology/Petrochemicals/ Agricultural Bio Technology/ Petroleum
Marine/Aeronautical)
Refining & Petro Chemicals/Chemical and Electrochemical M.Sc.
M.E. Industrial Safety Engg : B.E./B.Tech. (All Branches) (Bio Chemistry/Micro Biology/Bio Physics/Bio Technology/Genetics/
* For any latest update, please refer Anna University, Chennai B.Pharm
/ Directorate of Technical Education (DoTE) website

M.E. - CAD/CAM : B.E./B.Tech (Mechanical /Automobile

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