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    manisampooranam
    1) The document is an application form for admission to an M.E. degree program through a modular based credit banking scheme at Anna University of Technology in Tiruchirappalli, India. 2) It requests information such as the applicant's name, address, contact details, academic qualifications, professional experience, date of birth, gender, community and payment details. 3) The applicant must also submit attested copies of documents and obtain authorization from their institution's head for admission under the credit banking scheme.

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    Membcbs App

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    1) The document is an application form for admission to an M.E. degree program through a modular based credit banking scheme at Anna University of Technology in Tiruchirappalli, India. 2) It requests information such as the applicant's name, address, contact details, academic qualifications, professional experience, date of birth, gender, community and payment details. 3) The applicant must also submit attested copies of documents and obtain authorization from their institution's head for admission under the credit banking scheme.

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    1) The document is an application form for admission to an M.E. degree program through a modular based credit banking scheme at Anna University of Technology in Tiruchirappalli, India. 2) It requests information such as the applicant's name, address, contact details, academic qualifications, professional experience, date of birth, gender, community and payment details. 3) The applicant must also submit attested copies of documents and obtain authorization from their institution's head for admission under the credit banking scheme.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    11 views2 pages

    Membcbs App

    Uploaded by

    manisampooranam
    1) The document is an application form for admission to an M.E. degree program through a modular based credit banking scheme at Anna University of Technology in Tiruchirappalli, India. 2) It requests information such as the applicant's name, address, contact details, academic qualifications, professional experience, date of birth, gender, community and payment details. 3) The applicant must also submit attested copies of documents and obtain authorization from their institution's head for admission under the credit banking scheme.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    APPLICATION NO.

    ANNA UNIVERSITY OF TECHNOLOGY


    Tiruchirappalli – 620 024
    APPLICATION FOR ADMISSION TO M.E. DEGREE PROGRAMME
    THROUGH
    MODULAR BASED CREDIT BANKING SCHEME – 2011

    Branch Applied for

    1. Name: ________________________________
    (in block letters with initials at the end)
    Recent passport
    2. Address for communication:
    size photo attested
    by the Head of the
    Address
    Institution

    City Pin Code

    Phone Number E-mail-Id


    (with STD code)

    3. Organization Details:

    Organization Name

    Address

    City Pin Code

    Phone Number E-mail-Id


    (with STD code)

    4. Academic Details:

    Qualifying Discipline of the Date, Month Average


    Name of the Name of the
    Degree Qualifying and year % of
    Institution University
    Passed degree of passing Marks/Grade

    (Attested copies of mark sheets, degree certificates, Experience certificates and Transfer
    Certificate must be attached)
    5. Professional Experience (Teaching / Research / Industrial) if any, after obtaining the qualifying
    degree:

    Sl. Name of the Institution Designation and Period of service Duration of service
    No. Nature of work From To Years Months Days

    (Note: Attach a separate sheet if the space provided is not sufficient)


    Total No. of Months
    6. Personal Details:
    Date Month Year
    Date of Birth : (as entered in SSLC (or) its equivalent)

    Gender : Male Female

    Nativity : Tamilnadu Other State

    Nationality : Indian Foreigner

    Father’s Name :

    Community : Blood Group

    7. Payment Details: DD.No. DD.Date: Name of the Bank:

    All information submitted above are true to the best of my knowledge.

    Place :

    Date : Signature

    Authorization Certificate from the Head of the Institution


    This is to certify that --------------------------------------------- may be permitted to pursue his / her
    M.E. degree programme through Modular Based Credit Banking Scheme offered by Anna University of
    Technology Tiruchirappalli, Tiruchirappalli – 620 024

    Place :

    Date : Signature of the Head of the Institution with seal

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