1 SHRI INSTITUTE OF TECHNOLOGY AND SCIENCE. INDORE. (An Autonomous Institution, Established in 1952). 23, Park Road, INDORE, Pin 452 003 (MP) Ph.:0731-2582-171/112/156. Fax : (0731) 2432540, website : No. BE(PT)/Admin/Advt/2016-17/ 587 Date : 10/08/2016. ADMISSION TO (Part-Time) Civil/ applications are invited from working Diploma Holders for ADMISSION to above courses, who have secured at least 50% marks (48% reserved category) in Diploma Examination. The last date for receipt of completed application form is 27th August, 2016. Institute website may be visited for details such as counseling Schedule, Vacant Seats, Proforma of application, Fees etc. DIRECTOR. SHRI INSTITUTE OF TECHNOLOGY AND SCIENCE. INDORE. (An Autonomous Institution, Established in 1952). 23, Park Road, INDORE, Pin 452 003 ( ) Ph.:- 0731- 2582-171/112/156 Fax : (0731) 2432540. website : No. BE(PT)/Admin/Advt/2016-17/ Date : 10-08-2016. ADMISSION TO (Part-Time). applications on prescribed proforma are invited from all those working Diploma Holders, who have secured not less than 50% (48% for SC/ST Category Candidates) marks in aggregate in Diploma Examination for ADMISSION to Post-Diploma (Part-Time) in Civil, Electrical, Electronics &.
2 Telecommunication, Industrial & Production, and Mechanical Engg. Courses in this Institute for the session 2016-17. The application form alongwith rules for ADMISSION may be obtained on cash payment of Rs. 500/- from the Accounts Section of the Institute on all working days. The last date for the receipt of completed application form is 27th August,2016. The counseling for ADMISSION will be held on 30th August, 2016 from 11:00 hrs. in Conference Hall. No separate call letter will be issued. The application form can also be downloaded from the Institute website and must be accompanied by a DD of Rs. 500/- payable to Director SGSITS Indore at the time of submission, of the applications . DIRECTOR. Cost of application form & Processing fee application form SHRI OF TECHNOLOGY AND SCIENCE, INDORE ( ). (An Autonomous Institution). 23, Park Road, Indore ( ) 452003. Phone No. 0731-2582-171/112/156. Fax :- 0731-2432540, website : application form .
3 FOR ADMISSION TO (PART-TIME) DEGREE COURSE. LAST DATE FOR SUBMISSION OF form IN THE INSTITUTE 27/08/2016. DATE OF COUNSELLING ON 30/08/2016 AT 11:00AM,CONFERENCE HALL. 1. Branch for which applied for : _____. 2. Name (In Block Letter) : _____ Passport Size Photo 3. Father's Name : _____. 4. Date of Birth : _____. 5. Address (Correspondence) : _____. : _____Pin Code_____. 6. Telephone/Contact No. : _____. 7. Category (SC/ST/OBC/PH/GEN) : _____. (Attach certificate in case ST/SC/OBC/PH(Physically handicapped). 8. Details of Passing DIPLOMA ENGG. : Year Branch Div. % of Marks in % of Theory Marks Awarding Authority Final Year in Final Year I II III IV V VI. 9. Name, Address & Phone No. : _____. of the employer _____. (Mention Regn. in case of Private firm) _____. 10. Total Experience in full years : _____. after passing the Diploma Engg. _____. (Counted upto the last date of submission). (Signature of the applicant & full name). Date_____.)
4 DOCUMENTS TO BE ENCLOSED: i. All attested copies of marks sheets (High School onwards) : Yes/No ii. NOC in prescribed format in original : Yes/No iii. Attested Copy of experience certificate : Yes/No iv. Category certificate copy attached & verified from original : Yes/No v. Affidavit regarding working place within 40 distance from the Institute : Yes/No FOR OFFICE USE. 1. Candidate's Eligibility : Yes/No 2. Merit Marks : (85xDTM) + x N). Where DTM Diploma theory marks in %. ( Column V of the form ). N- years of experience after getting diploma in Engg. With maximum of 10 years for weightage of 15 marks. Total Merit Marks:---------------------------------- ---------------------------------------- ---------------- Name & staff member checking the form (PTDC). -2- PROFORMA OF NO OBJECTION CERTIFICATE. (To be issued by the Appointing Authority only). This is to certify that Son/Daughter of Shri _____ Mother Name _____ applicant for ADMISSION to (Part-Time), at Shri of Technology and Science, Indore is in continuous and regular/tempery employment in this Department/ Office/ Organization on the post of_____ form_____.
5 It is further certified that :- 1. He is presently posted at (Name of Place)_____. 2. He is assigned the following work / duties, which are supervisory in nature _____. _____. 3. In case, is offered ADMISSION to (Part-Time), it is certified that he would be posted in Indore Proper or in the vicinity of (within 40 kms.) Indore before the last date fixed for ADMISSION to the Part-Time Degree Course. 4. He is sponsored for the complete course of eight-semester duration. 5. The undersigned is the appointing authority for the post presently occupied by the candidate. 6. He/She will be given leave during exam time of each semester. Date:_____. Signature, Name & Designation of the Appropriate Authority Seal of the office Relevant Registration No. (Wherever applicable). NOTE:- 1. Please strike out whichever is not applicable. 2. No other proforma for this certificate will be accepted. (a) In case of self-employment, the candidate should have his organization in the vicinity of Indore (within 40 kms.)
6 Registered under in maintenance / construction in Engineering field. -3- APPENDIX III. EXPERIENCE CERTIFICATE. (FOR THOSE WORKING IN PRIVATE FIRMS / INDUSTRIES). 1. Name of the Organization : _____. _____. 2. Address/Phone detail :_____. _____. 3. Name of the Candidate : _____. 4. Designation of Candidate in the firm : _____. 5. Salary per month : _____. 6. Period of Employment : From_____To_____. 7. Total experience upto the last : _____ _. date mentioned in prospectus 8. Specific duties of the candidate : _____. in the organization Place:_____. Date:_____. Signature of Employer and Seal of the Office. -4- Phone No.:- 0731-2582-171/112/156. Extn. 171. SHRI INSTITUTE OF TECHNOLOGY AND SCIENCE, INDORE 452003 ( ). form application form for ADMISSION to the first year of (Part-Time) for Diploma Holders The application form is to be properly filled in and signed by applicant and his father /. mother/guardian and should reach the Director, Shri of Technology and Science, Indore- 452003, on or before last date.
7 The envelope must be super scribed application form for (Part-Time) Ist year of size 25x15 cms. Late and / or-incomplete application will not be entertained Application will be deemed incompleted unless all the entries and properly made and necessary documents including NOC in qualification, Experience Marks sheets and Character Certificate. If in future it is found that any candidate has secured ADMISSION on giving false information in his application form , his ADMISSION is liable to be cancelled at any time, and in that case entire fees paid by him will be forfeited. As required by the Rajeev Gandhi Proudyogiki Vishwavidyalaya, Bhopal those candidate who have passed Diploma Examination from outside have to produce Eligibility Certificate at the time of ADMISSION . 1. Full Name of the Applicant _____. (in block letter beginning with surname). 2. Address to which correspondence _____. may be made _____. 3. Date of Birth _____. 4. Nationality of candidate _____.
8 5. Whether belongs to SC/ST/OBC YES/NO_____SC/ST/OBC_____. OBC (Enclose certificate from Tribal Welfare Officer / Collector). 6. a) Name of Father/Guardian _____. (if father is dead). b) Address of Father/ Mother/ Guardian_____. c) Profession of Father/Mother /Guardian_____. -5- 7. Educational Information : a) Branch of Engg. In Civil/ Electrical / Electronics & Telecommunication/ Industrial &. Production/ Mechanical Engg. b) Period of Passing the examination From _____to_____. c) Duration of Diploma Three / Four year courses. d) Authority Conducting the _____above examination. e) Year of passing the Diploma and Division Obtained. f) Aggregate theory Mark sheet _____out of_____( %). obtained in the final year Diploma Examination. 8. Total Professional Experience _____. After passing the Diploma Examination as on last date of submission (Evidence to be enclosed). Name of the Name of Date of Joining Date of Salary Proof Encl. post held Employer Leaving No.
9 Designation &. address 1 2 3 4 5 6 7. 9. If admitted, I agree to abide by all the rules and regulations of the college and Rajeev Gandhi Proudyogiki Vishwavidyalaya, Bhopal in regard to this course I shall continue in employment in Engineering Concern during the period of (Part-Time) and shall also produce. NO OBJECTION. CERTIFICATE from my employer before taking ADMISSION , if unable to do so, my ADMISSION to (Part-Time) may be cancelled. 10. Please strike out whichever is not applicable. Place:_____. Date:_____. Signature of Applicant -6- PROSPECTUS FOR (PART-TIME)(4 YDC) DEGREE COURSE. FOR DIPLOMA HOLDER FOR THE YEAR 2016-17. AIMS AND OBJECTIVE : The course provides to persons working in industries and other organization an opportunity to improve their qualification and knowledge for further advancing in their professions. The course further aims at training a large number of engineers and technicians within a short time and with little expenditure.
10 This Part Time Degree Course is specially designed for the development of persons who hold a diploma in Engineering and Supervisory position in the Industry. APPLICATION: The institute is autonomous and affiliated to Rajeev Gandhi Proudyogiki Vishwavidyalaya, Bhopal for the above mentioned will be made to the first year of the course from June/July every year. INTAKE OF THE COURSE: ADMISSION capacity of the course would be limited to 150 and the distribution for Civil, Mechanical, Electrical, Industrial & Production and Electronics & Telecommunication Engineering would be 30. in each branch. For ADMISSION to Post Diploma (Part-Time) (4 YDC) in the five programmes Eligibility as are under :- (i) Civil Engg. Diploma in Civil Engg. or Construction Technical & Management. (ii) Electrical Engg. Diploma in Electrical Engg. or Electrical &. Electronics. (iii) Electronics & Telecommunication Engg. Diploma in Electronics, Electronics & Industrial Electronics, Opto Electronics, Mecatronics and Information Technology.