Regd. No.

Application No.

St. Peter’s Engineering College,

(Approved by the AICTE, New Delhi and Affiliated to the Anna University, Chennai
NBA Accredited and ISO Certified Institution )

AVADI, CHENNAI – 600 054. APPLICATION FORM FOR ADMISSION TO THE

B.E. / B.Tech. / M.E. /M.B.A./M.Sc. (2Yrs) / M.Sc. (5Yrs) / M.E. Degree Course
2006 - 07 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. B.E.
Computer Science and Engineering B.E. Electronics and Communication Engineering
B.E. Electrical and Electronics Engineering B.E. Electronics and Instrumentation
Engineering B.E. Mechanical Engineering B.E. Production Engineering B.E. Civil
Engineering B.E. Bio – Medical Engineering B.Tech. Information Technology B.Tech.
Chemical Engineering B.Tech. Bio – Technology M.E. CAD / CAM M.E. Power
Electronics and Drives M.E. Applied Electronics M.E. Engineering Design M.E.
Instrumentation Engineering Master of Business Administration Master of Computer
Applications

Name of the Applicant (In BLOCK letters) : ………………………………………………………………… Address for

Communication (In BLOCK Letters) ______________________________________________
______________________________________________
______________________________________________ Pin :______________ Phone
______________________ (with STD Code)

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INSTRUCTIONS 1. Read all the instruction carefully before filling up the
application form. 2. No original certificate should be attached with the
application. 3. Only Xerox copy of the mark sheet of the qualifying exam must be
enclosed. 4. Applicants who have passed examination other than CBSE / ISC / DBSCE
or State Board Examinations of Tamilnadu should obtain eligibility certificate
from the Anna University in support of their eligibility to join B.E./ B.Tech
Degree Course of the University. 5. The candidate should ensure that the correct
marks are furnished by him / her in the application form. The candidate is
informed that if after the proper scrutiny of his / her marks, it is found that
the marks furnished by him / her in the application form are not correct then, (i)
(ii) (iii) he / she well forfeit that admission no matter at what stage of the
course he / she is at that time. he / she will be debarred from pursuing any
course of study for a period of three years. Legal action will be instituted
against him / her for furnishing wrong marks.

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1. Name (IN BLOCK letters)
2. 3. 4. Sex Date of Birth (DD/MM/YY) Place of Birth

: : Male :

Female

District :

: Village : : Yes : : Hindu Christian : OC MBC / DNC

5. Are you a citizen of India? 6. Mother Tongue

7. A. Religion (Tick in the Box applicable ) B. Community (Tick in the Box
Applicable)

No

Muslim Others BC

SC / ST

Particulars of BC / DNC / MBC / SC / ST certificate i. Name of the caste ii. Sl.

No. of the certificate iii. Date of issue : : :

iv. Designation of the issuing officer : v. Office of issue : : : : : Office

Address : ___________________________________ __________________________________
___________________________________ Pin : _____________ Phone ____________ (with
STD Coder)

8. Name of Parent / Guardian

Occupation Annual Income Residence Address _________________________________
_________________________________ _________________________________ Pin :
_____________ Phone __________ (with STD Coder)

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9. Choice of Course (Please indicate your order of preference of courses using
numerals 1,2,3, etc. in the

boxes provided: Sl. No. COURSE ORDER OF YOUR PREFERECES

1. 2.
3.

B.E. Computer Science and Engineering B.E. Electronics and Communication

Engineering B.E. Electrical and Electronics Engineering B.E. Electronics and
Instrumentation Engineering B.E. Mechanical Engineering B.E. Production
Engineering B.E. Civil Engineering B.E. Bio – Medical Engineering B.Tech.
Information Technology B.Tech. Chemical Engineering B.Tech Bio – Technology M.E.
CAD / CAM M.E. Power Electronics and Drives M.E. Applied Electronics M.E.
Engineering Design M.E. Instrumentation Engineering Master of Business
Administration Master of Computer Applications Master of Science (Information
Technology – 2 years) Master of Science (Computer Technology – 5 years)

4.
5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16.

v -

17.
18. 19. 20.

10. Extra Curricular activities : (Originals must be produced at the time of

admission) a) Sports : . . ……………………………………………………………………….
b) Games : ………………………………………………………………………… c) N.C.C. : …………………………………………………………………………
d) Others : …………………………………………………………………………... 11. ADMISSION TO B.E. / B.TECH. i.
Academic Stream : Reg. No. …………………………………. Board ………………………………… No. of attempts : ……
……………………. Year ………………………………….. Institution : …………………………………………………………………………..
SUBJECT MARKS OBTAINED MAXIMUM MARKS PERCENTAGE

Higher Secondary Marks

{M+(P+C)/2}

/ 200

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Higher Secondary Average Marks of (M+P+C) ii. Vocational Stream : Reg. No. …………………
……………….

/ 100

No. of attempts : …………………………. Year ………………………………….. Examination Board : ……………………………

…………………………………… Institution : ………………………………………………………………………….. SUBJECT MATHS /
PHYSICS / CHEMISTRY VOCATIONAL SUBJECTS PUT TOGETHER HSC Vocational Marks : (Marks
in M or P or C, Plus marks in vocational subjects put together) = ………/ 200 MARKS
OBTAINED MAXIMUM MARKS PERCENTAGE

iii. Entrance Examination

DETAILS Register Number Marks Obtained in Mathematics Marks obtained in Physical
Science To Marks obtained

: TNPCEE CET

iv. (i) Total HSC + Entrance marks in TNPCEE

(ii) Total HSC + Entrance marks in CET Overall rank in CET

: : :

/ 300 / 300

Overall rank in Anna University Rank List :

12. FOR SECOND YEAR LATERAL ADMISSION : Name of the Diploma Passed Registration
Number DIPLOMA EXAMINATION PRE-FINAL SEMESTER SUBJECT % of Marks Obtained 1. 2. 3.
4. 5. 6. Total 1. 2. 3. 4. 5. 6. Total FINAL SEMESTER SUBJECT % of Marks Obtained
: : Year of passing :

Total Marks (Pre-Final & Final semester) : …………………….. / 100 DIPLOMA (SANDWICH)
EXAMINATION FIFTH SEMESTER SUBJECT % of Marks SIXTH SEMESTER SUBJECT % of Marks
SEVENTH SEMESTER SUBJECT % of Marks

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Obtained 1. 2. 3. 4. 5. 6. Total 1. 2. 3. 4. 5. 6. Total

Obtained 1. 2. 3. 4. 5. 6. Total

Obtained

Total Marks (V, VI & VII Semester) : …………………….. / 100 13. ADMISSION FOR M.Sc. (CT)
(i) Higher Secondary Marks S.No. 1. 2. 3. 4. 5. 6. 7. Subject Language – I
Language – II ………………. ………………. ………………. ………………. ………………. Total : : : % %
----------------------Total 14. FOR M.E. ADMISSION Name of the Degree Obtained
Name of the College Name of the University Register No. : …………………………… : : : Year
of Passing : ………………………….. % -----------------------% of Marks

(ii) Diploma Marks

: Pre – Final Final

Marks obtained (3rd to 8th Semester ) : ……………………… % ENTRANCE EXAM TANCET CET
OTHERS, Specify REG. NO MARKS RANK

15. FOR MBA / MCA / M.Sc. (IT) ADMISSION

Name of the Degree Obtained :

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Name of the University Name of the College Register No. : …………………………….. Whether
Mathematics is one of the subjects in +2 or degree level (for MCA, proof to be
enclosed) No. of Attempts Division / Class ENTRANCE EXAM. TANCET CET OTHERS,
Specify Part – I …………… REG. NO.

: : Year of passing …………………

: :

Yes / Not Applicable

Part – II …………… MARKS OBTAINED MAXIMUM

Part – III …………… RANK

DECLARATIONS BY THE APPLICANT, PARENT / GUARDIAN

I ………………………………………………………. S/O. D/O. ……………………………………… …. hereby solemnly and
sincerely affirm that the statement made and the information furnished by me in
the application as also in the enclosures submitted by me are true. If it is
proved at any stage that there is incorrect or false statement or data, I hereby
agree to be proceeded against legally, eventually leading to my dismissal from the
institution and I also agree that I would lose all rights and claims consequently.

I am aware that ragging within or outside the Institution

is prohibited and it is punishable with

imprisonment and liable to a fine and dismissal from the Institution. I affirm,
that I will not directly or indirectly commit, participate, abet or propagate
ragging within or outside the Institution. Place ………………… Date : …………………. Signature
of Candidate : ………………… Name in Block letters ……………………

I …………………………………………………… F/o. / M/o. …………………………………………….. do hereby declare that all

the information given herein are true and correct. I stand guaranteed for the good
conduct of my ward during the course of his / her study. I authorize the
institution to initiate disciplinary action against my ward for violation of any
of the rules and regulations. I also promise to compensate damage that may have
been caused by my ward due to his / her action.

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I am that ragging within or outside the Institution is prohibited and it is
punishable with imprisonment and liable to a fine and dismissal from the
Institution. I affirm that my son / daughter will not be direcly or indirectly
commiting, participating, abetting or propagating ragging within or and outside
the institution. Place ………………….. …. Date …………………… Name in Block letters : ……………………
……………… Signature of the Parent / Guardian : ……………………

Completed applications must be sent by post or delivered in person to THE

PRINCIPAL

St. PETER’S ENGINEERING COLLEGE

AVADI, CHENNAI – 600 054, Phone : 044-26558080 to 26558084 Fax : 044-26558080 to
26558084 Extn. : 128 (or) Administrative Office : SIRE MANSION, (Khivraj Motors
Building), 621, Anna Salai, Chennai – 600 006. Ph : 044 – 28293218 Telefax : 044-
28295110

CHECK LIST
1. Photograph Affixed 2. Whether order of preference is filled up. 3. Declaration
signed by candidate and parent. 4. Enclosures : a) Attested copies of (i) (ii)
(iii) (iv) X and XII examination mark sheets [for B.E. / B.Tech. / M.Sc. (CT)] X
and Diploma pre and final semester mark sheets [for Lateral Entry] X and Degree
mark sheets [for M.E. / MBA . M.Sc. (IT)] X, XII and Degree mark sheets [for MCA]

b) Attested copy of TNPCEE / CET / TANCET Entrance Marksheets. c) Attested copy of

TC d) Attested copy of the Permanent Community Certificate (for BC / MBC / DNC /
SC / ST candidates only) e) Attested copy of Nativity Certificate (if applicable)
f) Attested copy of certificates of sports, games NCC etc. (if any)

g) Two numbers of self – address covers with postage stamp for Rs. 5/ each.