Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
Name of Candidate
(in BLOCK LETTERS)
Date of Birth
Sex Male/Female
Fathers / Guardians
Name & Occupation
Permanent Address
Address for
Correspondence
Mobile No.
Phone (R)
Email
FOR OFFICE USE ONLY
Registration No.
Date of receipt.
Admission Granted YES / NO
Fees Receipt No.
Remark if Any
CENTRE FOR CONTINUING EDUCATION
GOVERNMENT ENGINEERING COLLEGE BARTON HILL
THIRUVANANTHAPURAM 695035
Website : www.gecbh.ac.in Email: adamcourse@gecbh.ac.in
Phone : 0471 2300484, 2300485 Fax : 0471 - 2300484
ADVANCED DIPLOMA IN AUTOMOTIVE MECHATRONICS (ADAM)
Application form for Admission
Affix a Recent Photograph
QUALIFYING EXAM DETAILS
(Please enclose copy of final year mark list OR bona fide certificate if appeared / appearing for final year exams)
Examination Passed Board / University CGPA / Percentage of
Marks
Year
DETAILS OF WORK EXPERIENCE
Name and address of Organization Post Held Duration
DEMAND DRAFT DETAILS
Name of Bank
DD Number
Date
* Note: The downloaded and filled in application form along with a demand draft of Rs 500/-(nonrefundable entrance examination fees) favoring
Coordinator-ADAM, Government Engineering College, Barton Hill should be sent to Coordinator - ADAM, Government Engineering College, Barton
Hill, Thiruvananthapuram PIN 695 035. Forms received without the above Demand Draft will be rejected.
Declaration:
I hereby certify that the entries made by me in Application form are correct to the best of my knowledge and I
have not concealed any information in any manner.
I certify that I am not involved in any illegal activity and no criminal case is pending against me in any court of law.
I understand that if at any stage, it is found that I have provided any wrong information to seek admission to
the Institution, my admission shall stand cancelled automatically and I shall have no claim whatsoever, on the seat
or the dues paid to Institution.
I hereby declare that I have read and fully understood all the conditions above and freely agree to abide by them.
(Dated Signature of the Candidate)