APPLIED COLLEGE OF MANAGEMENT AND ENGINEERING (ACME)
Approved by AICTE, Affiliated to M.D. University, Rohtak. 72 Km Stone, NH-2, Delhi Mathura Road, Mitrol, Faridabad-121105 (HARYANA) Ph 01275-206009, EPABX- 099926727, 09996026728 visit us at www.acmecollege.in, email - [email protected]
APPLICATION FORM FOR ADMISSION TO B.Tech. (SESSION 2007 2008)
Applicant is required to submit duly filled application form along with attested copies of mark sheet of 10+2 , AIEEE rank card, latest photograph at our college or nearest office.
Roll. No. AIEEE All India Rank Haryana State Rank Domicile State
Rank
Preference of Branch (Write 1234 in order of preference)
Computer Science & Engg. Information Technology Electronics & Communication Engg. Mechanical Engg.
Name in Full Space For Photograph
Date of Birth DD Fathers Name MM YYYY
Nationality
Mothers Name
Fathers Occupation
Designation
Annual Income
Office Address
Phone:
Mobile:
Correspondence Address
Address:Address:-
Permanent Address
State:STD Code:Mobile:-
Pin Code :Phone No:-
State:STD Code:Email ID:-
Pin Code:Phone No:-
Details of Examination Passed Examination 10th/Matriculation 10+2/ Intermediate Diploma Any Other Year of Passing Board/ University Marks Obtained Maximum Marks Percentage Division
Details of marks secured in Qualifying Examination (10+2)
Subjects
Mathematics %
Physics %
Chemistry %
English %
Optional Subject %
Overall %
Marks Secured
Category (Please Tick in Appropriate Box)
General
Reserved - If from Reserved Category then mention the same and enclose certificate to this effect
Hostel Facility Required
Yes
No
Dated:______________
Signature of Applicant: