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Page No. 1(Autonomous Institute, affiliated to Visvesvaraya Technological University, Belgaum)
VIDYA SOUDHA(Recognized by Govt. of Karnataka, AICTE, accredited by NBA)
Subject to Bangalore Jurisdiction Only
M.S.RAMAIAH NAGAR, M.S.R.I.T.POST, BANGALORE -560 054Phone Nos : 080-23600822,23606934,23606936,23607902 WebSite : www.msrit.edu Email : [email protected]
'A' ADMISSION FORM
Phone No. (with Code)
Permanent Address
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Temp. USN
Full Name of Applicant in Block Letters (As per PUC Marks card):
Branch FOR B.E FOR THE YEAR
KEA/CET / COMEDK Reg. No. Rank
Quota Category Claimed Category Allotted
First Name Middle Name Last Name/Surname/Initials
Date of Birth Gender Blood Group
Admission Order No. and date
Issued Date Date of Allotment Last date of joining
College Code Admission Type
Semester Term
Admission based on CET Fees Paid
Religion Caste Sub-Caste
Current Address
City State Pincode Country
City State Pincode Country
Mobile No. Phone No. (with Code) Emergency Contact Number
Email ID Domicile Area
Place of Birth State of Birth
Country of Birth Birth place Pincode
Nationality NRI Mother Tongue
Disability / Handicap Type of disability Economically Backward
RAMAIAH INSTITUTE OF TECHNOLOGY
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Page No. 2(Autonomous Institute, affiliated to Visvesvaraya Technological University, Belgaum)
VIDYA SOUDHA(Recognized by Govt. of Karnataka, AICTE, accredited by NBA)
Subject to Bangalore Jurisdiction Only
M.S.RAMAIAH NAGAR, M.S.R.I.T.POST, BANGALORE -560 054Phone Nos : 080-23600822,23606934,23606936,23607902 WebSite : www.msrit.edu Email : [email protected]
'B' ACADEMIC DETAILS
PUC / 12th Details
'C' PARENTS DETAILS
Father Details
Address
"Outcome Based Education " software by contineo.in
RAMAIAH INSTITUTE OF TECHNOLOGY
School/College Name
Board Name
Year of Passing School/College State
Marks Card No. Medium of Instruction
School/College Town Roll/Reg. No
School/College Country
Subject Name Maximum Marks Minimum Marks Obtained Marks
ENGLISH 100 35
KANNADA 100 35
PHYSICS 100 35
MATHEMATICS 100 35
CHEMISTRY 100 35
SANSKRIT 100 35
Total 600 210
Aggregate %
PCM %
PCM Marks
Name of Father
If claiming under OBC/GOVT SNQ as per annual income certificate Yes Annual Income
Occupation PAN Number
Mobile No 1. Mobile No 2. Phone No.(with Code)
Email ID
City State Pincode Country
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Page No. 3(Autonomous Institute, affiliated to Visvesvaraya Technological University, Belgaum)
VIDYA SOUDHA(Recognized by Govt. of Karnataka, AICTE, accredited by NBA)
Subject to Bangalore Jurisdiction Only
M.S.RAMAIAH NAGAR, M.S.R.I.T.POST, BANGALORE -560 054Phone Nos : 080-23600822,23606934,23606936,23607902 WebSite : www.msrit.edu Email : [email protected]
Mother Details
Address
Email ID
Sl.No. Documents Original Copies
1 NATA Score card for Architecture Course YES YES
2 Stamp size photos YES YES
3 10th Marks Sheet YES YES
4 12th Std. Marks Sheet/s. YES YES
5 Caster Certificate and Income Certificate (If claiming under SC/ST/1/2A/2B/3A/3B category) YES YES
6 Certificate from the indian embassy in proof of NRI status YES YES
7 KEA/COMEDK/UGCET Admin.Order 1+3 YES YES
8 Migration Certificate(if studied other than PUC of Kar.) YES YES
9 Passport and Visa Copy YES YES
10 Study Certificate 7/10 Years YES YES
11 Transfer Certificate / College Leaving Certificate YES YES
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RAMAIAH INSTITUTE OF TECHNOLOGY
Name of Mother
Annual Income Occupation PAN Number
City State Pincode Country
Mobile No. Mobile No 2. Phone No.(with Code)
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Page No. 5(Autonomous Institute, affiliated to Visvesvaraya Technological University, Belgaum)
VIDYA SOUDHA(Recognized by Govt. of Karnataka, AICTE, accredited by NBA)
Subject to Bangalore Jurisdiction Only
M.S.RAMAIAH NAGAR, M.S.R.I.T.POST, BANGALORE -560 054Phone Nos : 080-23600822,23606934,23606936,23607902 WebSite : www.msrit.edu Email : [email protected]
DECLARATION BY THE PARENT / GUARDIAN
1. If there is any false information/fake certificate or any forgery in the Particulars/certificates/documents submitted by my ward to the
authorities of MSRIT/University, my ward's admission may at once be cancelled and necessary action may be taken
2. I agree to the applicant's admission to the Institution. I shall be responsible for the payment of all fees and charges.I shall be responsible
for my ward's conduct and good behavior during the course for the entire period till he/she gets the degree.
There is no necessity for MSRIT to inform further regarding these matters.
OFFICE USE
Admn.Sec.Verified by
A/C.Sec Verified by............................................................to SIS dt.........................................................................................
Dated.................................................................................Fee paid Rs....................................................................................
In charge Accounts Section
Admitted to.........................................................Year/Sem..................................................................................................
PRINCIPAL
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RAMAIAH INSTITUTE OF TECHNOLOGY
Place :
DECLARATION BY THE STUDENT
1. I declare that particulars and information furnished on pages 1 & 2 are fully correct.
2. I declare that I have Passed the 10+2 Examination conducted by Gfd Board / University Gfd state during 2014 and secured 57.83% of
marks in aggregate
3. If there is any false information/fake certificate or any forgery in the particulars / certificates / documents submitted by me to the
authorities of MSRIT /University, my admission may at once be cancelled and necessary action may be taken.
4. I do understand that, my admission at MSRIT is provisional and subject to approval of the VTU,Belgaum.
5. I Promise to abide by the rules and regulations of the Institution and the University, and I can be subjected to disciplinary action, if need
arises,and also I can be dismissed from the college, if I am found not obeying the rules and regulations
6. I agree to adhere to Rules and Regulations, Scheme of study and Examinations of the Autonomous Institute, affiliated to Visvesvaraya
Technological University, Belgaum.
7. I do not indulge in ragging in any of the forms.
8. I do know that the mobile phones are banned in the college campus. I do know that, I should come with decent dress to the college. If I
fail to do so suitable action may be taken against me.
Date : Signature of the Candidate
Place :
Date : Signature of the Parent
.............................................................................................. to SIS No dt
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Page No. 6(Autonomous Institute, affiliated to Visvesvaraya Technological University, Belgaum)
VIDYA SOUDHA(Recognized by Govt. of Karnataka, AICTE, accredited by NBA)
Subject to Bangalore Jurisdiction Only
M.S.RAMAIAH NAGAR, M.S.R.I.T.POST, BANGALORE -560 054Phone Nos : 080-23600822,23606934,23606936,23607902 WebSite : www.msrit.edu Email : [email protected]
WELCOME TO FRESHERS FOR THE ACADEMIC YEAR 2016-2017
INSTRUCTIONS
The following instructions are to be followed by you before filling the Application Form. Hence, you are requested to act upon
according to it.
1. You are informed to keep sufficient number of copies of all the certificates including Admission Order before submitting the
original certificates. Once Original certificates submitted will not be returned till the Admission is approved by the University.
2. You will require these certificates to apply for Scholarship/ Bank Loan/ Education Loan/Passport etc. Original documents will
be returned to the candidate during the II/III Year UG / PG Courses only.
3. The students of both UG and PG courses, who are eligible for the Scholarship/Fee Concession (All types of scholarships) are
hereby informed that the Government of India has introduced the new scheme of Direct cash transfer to the students. Hence,
students are hereby informed to open a Savings bank A/c. (Vijaya Bank, MSRIT Branch) and Aadhar Card is Mandatory for
availing the above benefits for the academic year 2016-2017. For further details, you may log on to website:
www.dcekar.nic.in
The PG Students who are Eligible for GATE Scholarship are required to open a Savings Bank A/c. in State Bank of India(SBI)
in any branch and Aadhar Card is Mandatory. In case of students belongs to SC/ST Category are required to submit the
Caste Certificate in English version only for availing the Direct Cash Transfer from AICTE.
4. If the candidate has obtained 90% and above in the qualifying examination (10+2) Exam, then you are eligible for merit
scholarship. For details, please log on to National Scholarship Portal.
5. If the candidate belongs to SC/ST category and selected the seat through KEA/PGCET, they can collect the Application for
Scholarship which is available in the Admission & Scholarship Section. The candidate is required to submit
the duly filled in Application with required attested copies of certificates to Admission Section within the stipulated date every
year during the month of August/September. Late application will not be accepted under any circumstances.
6. If the candidate belongs to SC / ST Category and your parents Annual Income is below or equal to Rs.2,50,000/ - you have
to register your name on the Social Welfare Department website. For any further information required, you may contact Social
Welfare Department, The Taluk Social Welfare Officer, Bangalore North Taluk, No.704, 'A' Sector, 6th Main Cross,
Yelahanka Upnagar, BANGALORE - 560 064 or Asst. Registrar, Admission & Scholarship Section.
7. In case of Non-receipt of Scholarship/Fee-reimbursement from Social Welfare Office / Director of Technical Education,
Government of Karnataka before Commencement of even semester examination, the candidate shall have to pay the fee
prescribed by our Institution before appearing to the even semester examination every year.
8. If you have selected through KEA-UGET/KEA-PGCET and belongs to CAT-1 (Parent Annual Income is than or equal
to 2 Lakhs) and for IIA,IIB,IIIA & IIIB ( parents annual income is less than or equal are eligible
For further details, you may log on to http://karepass.cgg.gov.in
9. There is also a provision for scholarship / financial aid from Government Department / Public Sectors / Pvt. Trusts/Agencies
for Merit Cum Poorer section of students, the list is announced on the notice board. Eligible candidates can apply when the
"Outcome Based Education " software by contineo.in
RAMAIAH INSTITUTE OF TECHNOLOGY
to then
less
youRs.1,00,000 for
Fee-concession.
/Fee-reimbursement
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application is called for.
10. You are strongly advised and informed to see the Main and Departmental Notice Board regularly. Please note that
late submission of Application with regard to Scholarship, Examination, Re-Registration etc., will result in losing the
benefits which the candidate is eligible.
11. You are not allowed to use mobile inside the campus.
12. You are informed to come to college with decent dress.
13. Keep your belongings safely. The college authorities are not responsible for any loss.
14. You should not indulge in any anti-social activities. You should not indulge in any ragging. You must abide by the
disciplinary norms stipulated by the college. If you violate these instructions, the college authorities have the right to take
suitable disciplinary action against you.
15. In case the student discontinues the course, at any time AFTER the LAST DATE of admissions, the student will have to
pay the fees for the remaining years of study and then obtain the original documents.
16. The classes for I Semester are likely to commence during First week of July / August (tentative). The exact date
will be announced on the website: www.msrit.edu
17. Please read and understand the Autonomous Rules and Regulations which are currently in force and are available
on website. In case of any doubt, please contact the Head of Department / Controller of Examinations / Registrar
(Academic) / Principal.
18. You are informed that you have to pay the Annual tuition fee every year during the month of July / August by D.D. drawn in
favour of INSTITUTE OF TECHNOLOGY, BANGALORE or through RTGS to our SB Account
141201011008909 IFSC VIJB 0001412 MICR: 560029070. If you do not pay the fees within the stipulated date, you will not
be allowed to attend the classes. In this regard, parents are requested to confirm from the Accounts Section, well in time,
whether the fees are paid in time by their wards. This is particularly important if the parents are sending the fees through their
wards so that they can avoid inconvenient to attend the classes / semester end examination by their wards.
19. Students who intend to change from Engineering course to other course on KEA(CET)/COMEDK allotment after the last date
of admission, will have to pay full four years fees if they are leaving MSRIT for any other institution.
20. The newly admitted students are hereby informed to submit the Visvesvarya Technological University undertaking on a
Judicial Stamp Paper of Rs.20/- and shall be sworn before notary and submit the same to the concerned department after
the commencement of the classes without fail.
We certify that we have read and understood the above instructions. We undertake to abide by the rules and regulations prescribed
by the Institute's authorities from time to time.
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Name of the Student : Name of Parent :
Class & Branch : Contact Number with STD Code :
Quota / Category : Mobile Number :
Signature of Student with Date Signature of Parent with Date
RAMAIAH
of
commencement
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Page No. 8(Autonomous Institute, affiliated to Visvesvaraya Technological University, Belgaum)
VIDYA SOUDHA(Recognized by Govt. of Karnataka, AICTE, accredited by NBA)
Subject to Bangalore Jurisdiction Only
M.S.RAMAIAH NAGAR, M.S.R.I.T.POST, BANGALORE -560 054Phone Nos : 080-23600822,23606934,23606936,23607902 WebSite : www.msrit.edu Email : [email protected]
ACKNOWLEDGEMENT
Sl.No. Documents Original Copies
1 NATA Score card for Architecture Course YES YES
2 Stamp size photos YES YES
3 10th Marks Sheet YES YES
4 12th Std. Marks Sheet/s. YES YES
5 Caster Certificate and Income Certificate (If claiming under SC/ST/1/2A/2B/3A/3B category) YES YES
6 Certificate from the indian embassy in proof of NRI status YES YES
7 KEA/COMEDK/UGCET Admin.Order 1+3 YES YES
8 Migration Certificate(if studied other than PUC of Kar.) YES YES
9 Passport and Visa Copy YES YES
10 Study Certificate 7/10 Years YES YES
11 Transfer Certificate / College Leaving Certificate YES YES
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KEA/COMEDK Hall Ticket No : KEA/COMEDK Ranks No :
Received the following Original Certificates from Ms/Mr :
Admitted to B.E in : Computer Science and Engineering Sem : Semester Year :
Category :
RAMAIAH INSTITUTE OF TECHNOLOGY
Date : Signature
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APPLICATION FOR TRANSFER CERTIFICATE
Sir/Madam,
SUB: Issue of Transfer Certificate
Signature of the Candidate
MSRIT/TC/No. Date: .............
PRINCIPAL
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To : Bangalore
The Principal, Date :
I have been admitted to in at M.S. RAMAIAH INSTITUTE OF TECHNOLOGY
MSRIT Post, Bangalore-560054 provisionally subject to the production of my Transfer Certificate. The particulars during my stay in your
college are given below.I request you kindly to send my Original Transfer Certificate to The Principal, M.S. RAMAIAH INSTITUTE
OF TECHNOLOGY (Autonomous Institute, Affiliated to VTU) MSRIT Post, Bangalore -560 054.
If i have to pay arrears to the college, same may kindly be communicated to me.
Name :
Father name :
Data of Birth :
Class & year of Admission to your college:
Class, Section & year in which I was studying at the time of leaving your college : ..............
Subject / Degree Studied in the college
Examination passed : ........... Reg.No : ..................... Month/Year : ................
Date : Yours faithfully
Place :
RAMAIAH INSTITUTE OF TECHNOLOGY
(Autonomous Institute, Affiliated to Visvesvaraya Technological University, Belgaum)
M.S. RAMAIAH INSTITUTE OF TECHNOLOGY,MSRIT Post,Bangalore560 054.
Through:
The Principal
RAMAIAH INSTITUTE OF TECHNOLOGY,
Autonomous Institute, Affiliated to VTU,
RAMAIAH INSTITUTE OF TECHNOLOGY,
MSRIT Post
Bangalore-560 054
Forwarded to the Principal with a request to issue Transfer Certificate in person or send by Reg. Post at an early date.The
Branch/Course may kindly be mentioned in the covering letter while sending the Transfer Certificate,to which admission is taken in this
college by the candidate .
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