SOUTHERN COLLEGE OF ENGINEERING & TECHNOLOGY
LUIZ NAGAR, CHALAKUDY, KERALA - PIN: 680307

Name Of the applicant

Father’s Name

Permanent Address

Mailing Address

Contact no

Date of Birth & Age

Whether Indian

Name of the Country

UPI Transaction ID or Bank Transaction ID

Bank Details
Name	Southern College of Engg & Tech
Bank Name & Address	HDFC BANK Sruthi Tower, /Near Nest, NH 47, South Kalamassery, Kalamassery, Kochi - 682022, Kerala
BRANCH	South Kalamassery
A/c. No.	07178640000022
IFSC Code	HDFC0000717
Swift Code	HDFCINBB

All entries made in this Application form are correct to the best of my knowledge and nothing material has been concealed by me.
I do not stand debarred from any public examinations.
Application submission charge is Rs. 1000/- (Payment of Rs. 1000/- is included in the total fee structure).

I hereby declare that the above statements are true and correct to the best of my knowledge.