Amal Jyothi College Of Engineering Automotive Technician

Application for admission
AUTOMOTIVE TECHNICIAN TRAINING PROGRAMME

AMAL JYOTHI COLLEGE OF ENGINEERING
EICHER CENTER
for AUTOMOBILE TECHNOLOGY

OFFICE USE ONLY

Application No:

Admission No:

Admit:

Yes

No

(Please tick z the appropriate boxes) 1 Primary details
Name of the Applicant (in BLOCK CAPITALS) as entered in Standard X certificate:

Affix recent passport size photograph

Age:

Date of birth (dd/mm/yyyy):

Religion:

Caste / Community:

If Catholic, (name of parish & diocese) Parish:

Gender: Male

Female

Nationality:

SC/ST

OBC

Diocese:

2 Details of marks obtained in the qualifying examination (10th / ITI)

Name of institution

Board (Kerala HSC/NCVT/ Year of passing AISSCE/ISCE/other

Reg. No. of final exam

Total marks obtained

Percentage/ division/grade

3 Personal details
Address for communication:

Permanent address:

Postal Code:

State:

Telephone (with code):

Mobile:

Email address:

Father’s name & occupation:

Mother’s name & occupation:

Name of local guardian if any & relationship with applicant:

Annual family income:

Postal Code: Telephone (with code): Mobile: Email address:

State:

Amal Jyothi College of Engineering Eicher Center for Automobile Technology - Automotive Technician Training Programme 1

4 Details of marks obtained

Details of highest exam passed / completed

Name of the course

Name of institution

Board (Kerala HSC/NCVT/ Year

Percentage/ Passed/Course

AISSCE/ISCE/other

of passing division/grade completed

Remarks

5 Check list

(Attach self-attested copies of all relevant certificates available) Proof of date of birth Character and conduct certificate from the previous institution

Mark list of the qualifying examination Demand Draft of Rs. 250 / Cash at office counter

6 Community Certificate (for Catholics only)

This is to certify that Mr/Ms.................................................................................................................................................................. Son/daughter of Mr/Ms.........................................................................................................belongs to............................................................................................Parish under the Catholic diocese of ....................................................................................................

Signature of the Parish Priest
7 Declaration

(Parish Seal)

I................................................................................................................................................do hereby declare that the information furnished above is true and that if admitted, I will obey the rules and regulations of the institution. I shall submit all certificates and documents in original at the time of admission for verification and return.

Signature of the applicant

Signature of the parent/guardian with date

AMAL JYOTHI COLLEGE OF ENGINEERING
EICHER CENTER
for AUTOMOBILE TECHNOLOGY
“ A state-of-the-art training center at Amal Jyothi Campus Kanjirappally,
sponsored by VE Commercial Vehicles Ltd. (VECVL), a joint venture between the Volvo Group (Volvo) and Eicher Motors Ltd (EML).

a joint venture of VE COMMERCIAL VEHICLES Ltd and AMAL JYOTHI COLLEGE OF ENGINEERING, Kanjirappally

Amal Jyothi College of Engineering Kanjirappally, Koovappally P.O. Kottayam Dt., Kerala, S. India - 686518
[email protected]

Reception Tel: +91 4828 305500, 305555
Course Coordinator Tel: +91 4828 305627

Amal Jyothi College of Engineering Eicher Center for Automobile Technology - Automotive Technician Training Programme

www.amaljyothi.ac.in
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