Application No.

: LE

PSG POLYTECHNIC COLLEGE

COIMBATORE 641 004
Phone : 0422 - 2572177, 4344777 Website : www.psgpolytech.ac.in
1939 (Autonomous and ISO 9001:2008 Certified Institution)
APPLICATION FORM FOR ADMISSION TO SECOND YEAR
(LATERAL ENTRY) DIPLOMA PROGRAMME
2019 - 2020
LAST DATE FOR SUBMISSION OF FILLED IN APPLICATION : Affix here your
7 days from the date of publication of +2 Results. Recent Passport
Note : Application to be filled in by the Applicant Size Photograph

Total Marks : HSC / SSLC + 2years ITI

( ) Academic Vocational ITI Trade :

Community : OC / BC/ BC(M)/ MBC / DNC / SC / SC (A) / ST (Write in the Box)

Nationality : Religion : Mother Tongue :

1. (a) Name of the Applicant (In Capital Letters :

(As per HSC / SSLC Mark sheet)
(b) Name of the Father (In Capital Letters) :
(As per Transfer certificate)
(c) Residential Address (In Capital Letters) :

Phone No.: Mobile : PIN CODE

2. Sex ( Ö ) : Male Female 3. Date of Birth (Christian Era) :

(As found in HSC/SSLC) Day Month Year

4. (a) Community ( Ö ) :
OC BC BC(M) MBC DNC SC SC(A) ST

(b) Name of the Caste as per community certificate :

(Attested Xerox copy should be enclosed)
(c) Sl.No. of the Community Certificate :
(d) Designation of the officer issuing the

community certificate ( Ö ) : Sub Collector RDO PA(G) Tahsildar Dy. Tahsildar

(e) Name of the Revenue Taluk :

(f) Aadhaar No. (Xerox copy should be enclosed) :
5. Marks obtained in qualifying Examination: (Attested Xerox copy should be enclosed)

HSC Marks HSC Marks Marks

SSLC
Academic Secured Maximum Vocational Secured Maximum Secured Maximum
Part I Tamil or Part I Tamil or Tamil or any
any other Language any other Language other Language

Part II English Part II English Part II English

Part III Maths Part III (any one) Maths

Maths/Phys/Chem

Physics Theory Science

Chemistry Practical I Social science

Computer Science Practical II Total 500

Biology
Total Total 2 year ITI

(If the Mark Certificate is found to be bogus, it will lead to cancellation of admission at any stage of study besides criminal
action being taken).

6. Details of Studies

S.No. Class Roll Month and Name and Address of the School State
No. Year of Passing
1. IX Std.
2. SSLC
3. ITI
4. HSC/CBSE

7. Place of Birth : 9. Parent's Occupation :

8. Native District : 10. Annual Income : Rs.

Payment Details (Only for Downloaded application) :

DD No. : Date : Bank Name : Place :

Amount Rs. 150/- DD in favour of "The Principal, PSG Polytechnic College" payable at Coimbatore.

DECLARATION BY THE APPLICANT AND PARENT

I,……………….………………………………………………….. Son/Daughter of ……..…..………………………………….
hereby solemnly declare that the information furnished in the statements given in the application, and the enclosures are true,
correct and complete. I further declare that should it be found otherwise, I will be liable to forfeit my seat and or be removed from
the rolls of the institution at whatever stage of study.

Signature of the Parent Signature of the Applicant

Name in capital letters Date :

Note : Attested photo copies of the certificates (downloaded marks sheet if orginal marksheet is not received)should be enclosed
along with the application. However at the time of admission, the original certificates/provisional certificate attested by
Headmaster of the school should be produced.
 PSG POLYTECHNIC COLLEGE
COIMBATORE - 641004
Admission to Second Year (Lateral Entry) Diploma Programme
1939
INSTRUCTIONS TO CANDIDATES
PSG Polytechnic College was started in the year Institutions not domiciled in this State may also apply and
1939 with three courses LME, LEE and LPT and an intake compete with other candidates for admission, irrespective
of their domicile, provided the parent or guardian of the
of 22 students. At present, the Polytechnic College is
candidate is employed for a period of 5 years
offering 15 Diploma courses with a student intake of 570 (continuously) in this State at the time of submission of
per year and the present total student strength is around application which should be supported by a certificate from
1700 the employer of the parent. (The certificate should also
state that the person is a permanent employee of the Firm
PSG Polytechnic College became autonomous in or Institution concerned.)
the academic year 1976. It has been one among the ten
Qualifying Examination and Age limit
Polytechnic Colleges in Tamil Nadu state to receive
A pass in SSLC with 2 year ITI or HSC (Academic)
financial aid under the World Bank project from the year
or (Vocational) courses offered in the Higher Secondary
1993.
Schools in Tamil Nadu affiliated to the Tamil Nadu Higher
The students of PSG Polytechnic College enjoy the Secondary Board with eligibility for University Courses of
benefit of getting exposure to excellent latest equipment study or equivalent examination.
and other facilities of PSG College of Technology. They
also derives the benefit of Inplant training at PSG Industrial No age limit for Diploma admissions.
Institute, situated in the same campus. Allocation of seats
The selection for the courses shall be made on
PSG Polytechnic College has an Independent merit and communal reservation as follows.
Placement Office devoted to cater to the needs of
(a) Open Competition
organizations in conducting campus interviews for
(b) Backward Class
placements. For several years, diploma students from
(c) Backward Class (M)
PSG Polytechnic College have been placed in India's top
(d) Most Backward Class/ Denotified Community
industries including TCS, TVS, L& T, Siemens Ltd., Wipro,
(e) Scheduled Caste
Whirlpool, Ashok Leyland and LMW.
(f) Scheduled Caste (A)
Courses Offered (g) Scheduled Tribe
Govt. Aided Courses Duration The candidates belonging to Tamil Nadu only will be
1. Diploma in Mechanical Engg. 2 Years considered for communal reservations. BC/BC(M)/MBC &
2. Diploma in Design & Drafting ” DNC/SC/SC(A)/ST candidates are eligible for selection
3. Diploma in Electrical & Electronics Engg. ” under Open Competition in addition to the reservations
4. Diploma in Textile Technology ” made for them.
Self Supporting Courses
Candidates seeking admission against
5. Diploma in Mechanical Engg ”
6. Diploma in Foundry Technology ” ST/SC/MBC & DNC/BC quota should obtain the certificate
7. Diploma in Mechatronics ” of social status in the prescribed Permanent Community
8. Diploma in Computer Networking ” Certificate in Tamil Nadu with State Goverment Gopuram
9. Diploma in Apparel Technology ” Seal and produce at the time of admission.
10. Diploma in Computer Engineering ” The ST candidates should obtain the Community
11. Diploma in Automobile Engg. ” Certificates only from the RDO of their native place.
12. Diploma in Electronics & Communication Engg. “ For Communities linked with Districts, the
13. Diploma in Information Technology “ candidates should obtain their Community Certificate in
the respective districts only.
Eligibility
Mode of Selection
Applicants belonging to Tamil Nadu only will be
considered for admission. However the following Selection of candidates shall be done by ranking of
all candidates put together. The candidates are selected
categories of candidates are also eligible to apply.
Children of Central Government Employees and on the basis of total marks secured in the Examinations
children of persons employed in Registered Joint Stock (i.e., out of 1200)
Companies, Private or Public or Government Recognised The candidates shall be considered for admission to
any one of the branches/disciplines of the Diploma results. All entries in the application form must
irrespective of the branch of his study in HSC be legible.
(Vocational Course). DETAILS OF VOCATIONAL COURSES
"The call letter for counselling will be sent to TECHNICAL
the individul eligible candidates and the details
1. Building Maintenance
of counseling schedule will be also made
available in PSG Polytechnic website: 2. Soil Conservation and Rural Construction
www.psgpolytech.ac.in" Technology

General Information 3. Draughtsman (Civil)

The following original certificates should be 4. Electrical Domestic Appliance Repairs and
produced at the time of admission. Maintenance

(a) HSC/SSLC/ITI marksheet/provisional certificate 5. Electrical Motor Re-Winding

attested by Headmaster of the school 6. Domestic Electronic Equipment (Project 27.
(b) Original Community Certificate with Gopuram Equipment) Servicing and Maintenance
seal 7. Radio and Television Maintenance & Repairs
(c) Transfer Certificate and Migration Certificate for 8. Farm Machines & Post Harvest Technology
Other State Students 9. General Machinist
(d) Three sets of Xerox copies of above certificates 10.Auto Mechanic
(a), (b) and (c) duly attested by Headmaster or 11. Repair & Maintenance of Two wheelers
Gazetted Officers of Grade A or B.
12.Tractor Repair and Maintenance
(e) Candidates should confirm the Name in
13.Diesel Mechanic
Transfer Certificate and Community Certificate
as per mark sheet and also check the father's 14.Business Machines & Computer Programming
name, caste and community in Transfer 15.Draughtsman (Mechanical)
Certificate with Community Certificate, including 16.Repair & Maintenance of Refrigeration and Air-
initial. conditioning equipments.
\Vðkö[ \]©ØÃõ ÄV[¤>µ, \Vu®ß ÄV[¤>µ \u®D 17.Sheet Metal works
ÄV]ß ÄV[¤>µ ¶çª Ý]KD ØÃBì, ¸ÅÍ> ¼>], ØÃu¼ÅVì
ØÃBì, ÄV]l[ ØÃBì gþBçk μ« \V]öBVï ÖòÝ>_ 18.Foundry / Foundry Technology
¼kõ|D. °¼>ÐD \V®Ãâ| Öò©¸[ cöB ¶KkéïÝ]_ 19.Welding
]òÝ>ºï^ ØÃu®, ¶Kkéö[ çïØBV©ÃD \u®D 20.Fitting
¶Kkéï xÝ]ç«ØÃũæ¼kõ|D.
21.Metal Finishing
(f) Applicants need not enclose Original
Certificates. Only attested Xerox copy of the 22. Maintenance and Servicing of Electrical
certificates should be enclosed along with the Machines including Generators
application. 23. Textile Technology
(g) The marks obtained by the candidate may be 24. Leather Technology
furnished, based on Internet results and the 25. Maintenance and Servicing of Textile Machinery
same has to be attested by Head master of the 26. Letter Press Printing
school.
27. Printing Technology (Lithograph)
Application for admission to the diploma course
28. Composing & Printing Technology (Letterpress)
should be sent / submitted to the Principal,
PSG Polytechnic College, Coimbatore - 04 29. Computer Science
only. 30. Electronics
Last date for submission of filled in application is
7 days from the date of publication of HSC