SOUTHERN COLLEGE OF ENGINEERING AND TECHNOLOGY
LUIZ NAGAR, CHALAKUDY PIN 680 307
KERALA STATE, SOUTH INDIA
APPLICATION FOR ADMISSION
Name of Applicant (As per Birth Certificate/S.S.L.C.Book
Father's Name
Permanent Address
Mailing Address
Telephone No.
Date of birth Day Month Year Age
MonthWhether Indian Yes No      Name of the Country
Examination Records  
Examination
Exam Authority
Subjects
% of Marks
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
  
Affix
Photograph
DD/IPO/Bank Receipt No.................For an amount of Rs.500/850 to be attached with this form, towards9Non-refundable) Application Registration Processing Fee.
Other Merits, if any of the applicant
This form should accompany two attested photocopies of each certificate, to prove age, educational qualification and 5 passport size photos, a self addressed stamped envelop and a registration fee of Rs.500(for Indian Students)Rs.850 for (Foreign Students)
DECLARATION
a. All the entries made in this form are correct to the best of my knowledge and nothing material has been concealed by me.
b. I shall abide by all the rules, regulations and standing orders of the institution that are in force and that will be made herein after. Incase I am found guilty, the authorities may take any action against me, inclusive of expulsion from the institute.
c. I shall pay all my dues on time and shall not claim any refund for any reason whatsoever.
d. I know any fees/dues/charges paid by me are neither refundable nor transferable.
e. I possess a good moral character and I am not involved in any criminal case.
f. I do not stand debarred from any public examination.
g I shall not take part in any activity, which is detrimental to the didcipline of the institute.
h. All disputes are subject to the jurisdiction of Chalakudy Courts only.
  Signature of the Applicant
  Date of submission of the form