Application for B.E / B.tech under NRI (Supplementary Admission for the vacant seats only)

Registration No. :
(Office Use only)
ANNA UNIVERSITY CHENNAI
CHENNAI-600 025, INDIA
APPLICATION FORM FOR ADMISSION TO
B.E/B.Tech DEGREE PROGRAMMES
OFFERED AT UNIVERSITY DEPARTMENTS
UNDER NON-RESIDENT INDIANS (NRI) CATEGORY
(Supplementary Admission)
Registration fee:
Bank Draft No. Date Amount Issuing Bank
US $200
A.DETAILS OF THE CANDIDATE:
1. Name of the candidate (Capital letters)
2. Candidate’s Address for Correspondence: ———————————————–
———————————————–
———————————————–
———————————————–
———————————————–
Phone No: ———————————————–
e-mail: ———————————————–
3. Gender: Male/Female Date-of-Birth:
Day Month Year
4. Name of the Father :______________________________
5. Name of the Mother : ______________________________
Please paste
(do not pin)
3.5×4.5 cm size
recently taken
Colour
Photograph and
sign across the
lower part of the
photo
2
6. Details of Qualifying Examination: (From 10th Standard / Equivalent)
Name of
Examination
Register
No.
Name & Address of
the School
Name of
Board /
University
and Country
Year of
Passing
Medium of
instruction
7. Details of Marks obtained in the qualifying examination. (12th Standard or Equivalent)
Attach authenticated transcripts of grades / marks secured in the qualifying
examination. (Please enter the subjects studied).
Sl.
No. Subject Maximum
Marks
Minimum
prescribed
marks /
grade *
for a pass
Marks /
grade *
obtained
in the
Exam.
1.
2.
3.
4.
5.
6.
.
.
.
.
Mathematics
Physics
Chemistry
Total
Aggregate Marks obtained out of 200 :
(Maths:100, Physics:50, Chemistry:50 Marks)
* If the candidates produce grade certificates, they have to produce actual marks
also, otherwise only the minimum marks applicable to the grades in the eligible
subjects (Mathematics, Physics and Chemistry) will be taken into account. The
candidate should have passed all subjects in all the qualifying examination with
minimum of 35 percent of marks in each subject.
3
8. Name & Address of Local Guardian in India (if both parents are residing abroad)
Residence: …………………… Office: ……………………………
………………………………… ….…………………………………
…………………………………. ……………………………………
………………………………… ……………………………………
Phone: ……………………… Phone: …………………………..
Fax :.……………………… Fax : ….……………………….
e-mail: ……………………… e-mail : …………………………. .
B. DETAILS OF NRI SPONSOR
9. Name of the Sponsor
10. Relationship of the Sponsor to the candidate:
(Father/Mother/Legal Guardian alone can sponsor)
11. Passport details of the sponsor:
Nationality Passport No.
Place and date
of issue
Date of Expiry
12. Employment details of the sponsor (Certificate to be enclosed)
Designation of the sponsor : —————————————————
Annual Income : —————————————————
Name of the Company : —————————————————
Address : —————————————————
—————————————————
—————————————————
—————————————————
Country : —————————————————
13. Residence and Office address of the sponsor (Father/Mother/Legal Guardian) in the
residing country.
Residence: …………………… Office: ……………………………
………………………………… ….…………………………………
…………………………………. ……………………………………
………………………………… ……………………………………
Phone: ……………………… Phone: …………………………..
Fax :.……………………… Fax : ….……………………….
e-mail: ……………………… e-mail : …………………………. .
4
14. Counseling Centre: CENTRE FOR INTERNATIONAL AFFAIRS,
ANNA UNIVERSITY CHENNAI, INDIA
15. Choice of College and Branch: Candidate may choose at the time of Counseling.
16. Photo copies of the following documents are to be attached along with the application:
1. Recent NRI status certificate of the sponsor issued by the Indian Embassy of the
respective country under their seal as per Specimen-I.
2. Employment Certificate of the sponsor as per Specimen-II. In the case of
self-employment, nature of business, annual income and required proof like
Income- Tax paid (for the last 3 years), etc.
3. NRE/NRI bank account pass book of the sponsor.
4. Valid Indian Passport of the NRI Father/Mother.
5. Qualifying Mark / Grade list of the candidate***.
6. Certificate showing that the candidate has proficiency in English language.
7. School Transfer Certificate or Migration Certificate.
Note: The NRI financially supporting the candidate should either be the parent
(Father or Mother) of the candidate or legally declared as guardian of the candidate
by the Court as per provisions in “The Guardians and Wards Act, 1890”.
(Tamil Nadu Government G.O (Ms) No.162 Higher Education (J1) Department
dt.02.06.2009).
*** If the candidate has studied in a non-Indian Government board of education
system in abroad or in India the eligibility certificate obtained from Association of
India Universities, New Delhi or Indian Embassy in abroad, where the candidate
has studied should be submitted.
5
INSTRUCTION TO THE CANDIDATES UNDER NRI CATEGORY
AT ANNA UNIVERSITY CHENNAI, CHENNAI – 600 025, INDIA
1. ADMISSION REQUIREMENTS
1.1 Application
The application form may be downloaded from the website http://www.annauniv.edu/cia/adm
If the candidate wishes to apply for both CIWGC and NRI Category, a separate
application should be made for each category.
1.2 Eligibility and Academic Qualifications
B.E./B.Tech. Degree (Four years):Candidates must have passed the qualifying
examination, i.e. (10 + 2) of Indian System or its equivalent (completed 12 years of
school education).
Candidates must have studied in English medium or having proficiency in English
language and obtained a pass in the qualifying examination with minimum of 35
percent of marks in Physics, Chemistry and Mathematics for admission to all
programmes including Industrial Bio-Technology.
1.3. Registration Fee
A Bank Draft for US $ 200 drawn in favour of the Director, Centre for
International Affairs, Anna University Chennai payable at New York drawn from
the Nationalised Banks of India or other International Banks with branches in India
should be submitted along with the application.
1.4. Last date for Receipt of Application
Application complete in all respects should reach the Director, Centre for
International Affairs, Anna University Chennai, Chennai-600 025, India on or
before 30 July 2010.
1.5 Selection of candidates :
Selection of the candidates will be done on first come first served basis subject to
availability of vacancies and production of the following documents:
1. Recent NRI status certificate of the sponsor issued by the Indian
Embassy of the respective country under their seal as per Specimen-I.
2. Employment Certificate of the sponsor as per Specimen-II. In the case of
self-employment, nature of business, annual income and required proof like
income- Tax paid (for the last 3 years), etc.
3. NRE/NRI bank account pass book of the sponsor.
4.Valid Indian Passport of the sponsor.
5.Qualifying Mark / Grade list of the candidate.***
6.Certificate showing that the candidate has proficiency in English language.
7. School Transfer Certificate or Migration Certificate.
*** If the candidate has studied in a non-Indian Government board of education
system in abroad or in India the eligibility certificate obtained from Association of
India Universities, New Delhi or Indian Embassy in abroad, where the candidate
has studied should be submitted..
6
1.6 Payment of Tuition Fee
1.6.1 On receipt of the allotment order, the candidate has to pay the prescribed fee immediately
in the form of Demand Draft drawn in favour of the Director, Centre for International
Affairs, Anna University Chennai payable at New York.
1.6.2 Fee Structure : (in US dollars)
Course / Branch
Fee
payable
every year
Fee payable in
one installment
per Course
For all branches US$ 7,500 US$ 29,000
* Please refer the enclosed list in Annexure-II.
1.6.3 Fees once paid is not refundable.
1.7. Fitness:
Candidates have to submit a medical fitness certificate at the time of counseling as
per Annexure – III.
2. GENERAL INFORMATION
2.1 Reporting to the University:
Normally, the academic session begins by July – August every year. Candidates
selected for admission are required to report to the Deans of the campus
concerned on the scheduled date mentioned in the allotment order. If the
candidate fails to do so, the offer of admission will automatically stand cancelled.
2.2 Hostel Accommodations:
Limited Hostel accommodation is available inside the campus. Interested
candidates may apply to the Dean of the campus for Hostel admission. They have
to pay the prescribed fee as per Hostel Rules. The Hostel Mess is run on dividing
system.
2.3 Other Fee:
Fees applicable for Library, Examination, Students’ Co-operative Society, Identity
card(Smart card), etc should be paid in Indian rupees at the time of admission or
when required to pay as per the rules.
***************
7
SPECIMEN-I
FORMAT FOR LETTER FROM EMBASSY
(In the Letter head of the Embassy office)
No. Dated:
CERTIFICATE
This is to certify that ……….. (Sponsor’s name) ………..holder of Indian passport
no……………….dated ………..issued at (Place of issue) ………is residing in this country
since ………….He/ She is a Non- Resident Indian.
(Signature, Designation &
seal of the issuing authority)
SPECIMEN-II
FORMAT FOR THE EMPLOYER CERTIFICATE
(In the letter head of the Company / Organization)
No. Dated:
This is to certify that …………(sponsor’s Name) ………..holder of Indian passport
no……….dated ………..issued at ………..(place of issue)………is an employee of our
company / organization since …….. (Date of joining)……..in the position of ……..
(Designation) ……….and drawing a monthly salary of ………….
This certificate is being issued upon his/her request for the purpose of college
admission.
(Signature, Designation &
seal of the issuing authority)
8
ANNEXURE – I
DECLARATION BY THE CANDIDATE
I, _________________________, hereby declare that all the particulars stated in this
application and enclosures are true to the best of my knowledge and belief. I have read
the Information Brochure and I shall abide by the terms and conditions therein. I am
aware that my admission will be provisional and in the event of my being found ineligible
at the time of reporting, my admission will be denied, if I am already admitted, my
admission will be cancelled. I am also aware that in all matters concerning admission, the
decision of Anna University Chennai is final and I shall abide by it. I am fully aware that as
per the directions of the Hon’ble Supreme Court of India and Tamil Nadu Prohibition of
ragging Act 1997, Ragging is an offence and is banned in the Institutions and anyone
indulging in ragging is liable to be punished such as expulsion from the Institution and/or
rigorous imprisonment up to three years and/or fine up to Rs.25, 000/-
Place:
Date: Signature of the Candidate
DECLARATION BY THE PARENT
I, ______________________, hereby declare that all facts given in the application by the
Candidate Mr. / Ms. ___________________________________ who is my son /
daughter are true and correct. In case, any particulars furnished in the application are
found to be incorrect at a later stage, I agree to forfeit the admission of my son/daughter,
no matter, at whatever stage of the course at that time. I hereby give an undertaking to
pay regularly all his/her dues to the University/Hostel till the completion of his/her course
of study. I also undertake the responsibility for his/her good conduct. I am also aware that
in all matters concerning admission of my son/daughter, the decision of Anna University
Chennai is final and I shall abide by it. I am fully aware that as per the directions of the
Hon’ble Supreme Court of India and Tamil Nadu Prohibition of Ragging Act 1997, ragging
is an offence and is banned in the Institutions and anyone indulging in ragging is liable to
be punished such as expulsion from the Institution and/or rigorous imprisonment up to
three years and/or fine up to Rs.25, 000/-
Place: Signature of the parent
Date: Name:
9
DECLARATION BY THE SPONSOR
I ……………………………………… son / daughter of.……………………………………and
having Passport no……………………………………… issued at …………………….and
residing at ………………………………………………………………………………….
hereby declare that I am the Father / Mother/ Legal Guardian of the candidate
Mr./Ms……………………………………………………………………….
I undertake to financially sponsor the above candidate for the entire course of study in
Anna University Chennai. I am also aware that in all matters concerning admission, the
decision of Anna University Chennai is final and I shall abide by it.
Place: Signature of the Sponsor
Date: Name:
10
Annexure II
COURSES OF STUDY IN B.E / B.Tech.
OFFERED AT ANNA UNIVERSITY CHENNAI
(Annual Fee 7500 USD)
S.No Branch College Programme Branch
Code
1 Aeronautical Engineering MIT B.E. AE
2 Mechanical Engineering CEG B.E ME
3 Computer Science & Engg. CEG&MIT B.E. CS
4 Electronics & Communication Engg. CEG&MIT B.E. EC
5 Information Technology CEG&MIT B.Tech. IT
6 Industrial Bio-Technology ACT B.Tech BT
7 Civil Engineering CEG B.E CE
8 Electrical & Electronics Engg. CEG B.E EE
9 Industrial Engineering CEG B.E IE
10 Manufacturing Engineering CEG B.E MN
11 Geo-informatics CEG B.E GI
12 Material Science and Engineering CEG B.E. MA
13 Biomedical Engineering CEG B.E. BE
14 Chemical Engineering ACT B.Tech CH
15 Petroleum Refining & Petrochemicals ACT B.Tech. PP
16 Automobile Engineering MIT B.E. AU
17 Electronics and Instrumentation Engineering MIT B.E. IN
18 Production Engineering MIT B.E. PR
19 Printing Technology CEG B.E PT
20 Agricultural and Irrigation Engineering CEG B.E. AI
21 Mining Engineering CEG B.E. ME
22 Textile Technology ACT B.Tech TX
23 Ceramic Technology ACT B.Tech CR
24 Leather Technology ACT B.Tech LE
25 Food Technology ACT B.Tech. FT
26 Apparel Technology ACT B.Tech. AT
27 Pharmaceutical Technology ACT B.Tech. PH
28 Rubber & Plastics Technology MIT B.E. RT
CEG : College of Engineering Guindy Campus, Chennai – 600 025
ACT : Alagappa College of Technology Campus, Chennai – 600 025
MIT : Madras Institute of Technology Campus, Chennai – 600 044
11
ANNEXURE – III
MEDICAL CERTIFICATE
(to be produced at the time of counseling)
Certified that I, Dr………………………………………………………………………………………..
(IMC. Reg.No. …………………………………….) have this ……………………………………….
day of ……………………………….2010 examined the candidate whose particulars are given below:
1. Name of the Candidate :
2. Name of the parent :
3. Sex : Male / Female
4. Age with date of Birth : ………years
Date Month Year
5. Identification Marks 1.
2.
6. Whether the candidate fulfils the
following standards : Normal If No, specify the defect
(a) General Fitness consists of Yes/No
Full Blood Test including HIV Test
Full Urine Test
Chest X-ray
ECG
Mental Retardness Test and
Other General Tests
(b) Vision : Yes/No
(c) Auditory functions : Yes/No
(d) Speech functions : Yes/No
12
7. Whether Physically Handicapped : Yes/No (If Yes specify the defect
and the extent of disability)
(i) Vision
(ii) Speech
(iii) Hearing
(iv) Limbs
8 OPINION : with the above clinical details
please specify
Whether the candidate is physically
eligible to be considered for admission Yes/No (If No specify
in Anna University Chennai the reasons)
Signature of the Candidate Signature of Regd.Medical Practitioner
Place : Register No. :
Date : Full Address:

About annaunivedu

Jeba Peace
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