MODEL ENGINEERING COLLEGE, THRIKKAKARA
MEN'S HOSTEL


APPLICATION FOR ADMISSION / RENEWAL OF ACCOMMODATION

Name of the Candidate*
Date of Birth & Age*
Class *
Admission No.*
(Eg: 5978/14)

Name of Parent/Guardian*
Contact Phone No. with STD Code
of Parent/Guardian*

Res :
Office :
Mobile :
Home Address for Communication *
Religion, Caste and Community*
Whether Eligible for SC/ST/OEC reservation*
Yes      No
Details of previous stay in
MEC Men's Hostel

Period :
Room No. :
Period for which accommodation is
sought for /renewed *

From :
To :
Distance ( in KM ) from Residence to Institution*
Percentage of Total marks in Physics, Chemistry and Mathematics For First Year B.Tech students only
%