Email: bishopjeromegi@yahoo.com

Call Us : +91 474 2764052 | +91 474 2764053

Bishop Jerome Institute

A Centre of Excellence in Professional Education of
the Catholic Diocese of Quilon

School Of Engineering & Technology
School of Architecture , School of Management
Approved by AICTE & CoA
Affiliated to APJ Abdul Kalam Technological University
AN ISO 9001 : 2015 CERTIFIED INSTITUTION

College Code

BJK
BJR

Online Application

application for admission ( Fill in the blanks with block letters or put tick where applicable )
Course
Govt. Quota
Mgt. Quota
NRI
Name of the candidate as in qualifying certificate
[150Wx200H]
Date of Birth
Age
Sex
Nationality
Religion
Community
Blood Group
Aadhar Card
Email
Permanent Address (capital letters)
Pin
Whatsapp Number
Address for communication (capital letters) Same as Permanent Address
Pin
Telephone (with STD)
Father's Name
Occupation
Mobile No.
Official address with designation of parent (if employed)
Pin
Telephone (with STD)
Mother's Name
Occupation
Mobile No.
Official address with designation of parent (if employed)
Pin
Telephone (with STD)
Guardian's Name
Relationship
Mobile No.
Student's Email
Parent's Email
Courses applied for

(give order of preference) Write I for branch opted & 2,3,4 for others if desired

civil engineering
mechanical engineering
electrical & electronics engineering
electronics & communication engineering
Name of institution last attended
+2 exam passed
Others Specify
Register Number
Year & Month of passing
Total PCM
Percentage PCM
No.of chances taken
Details of marks secured in +2 examinations
Subject Marks Obtained Max. Marks Result Division / %
Mathematics
Physics
Chemistry
Other
Total
NATA Qualifying Exam Details Engg. Entrance Exam Details
Roll No.
Rank No.
Marks
Graduation Details
Name of College
Name of University
Degree Obtained
Details of Marks Obtained(Percentage). If awaiting result, use AR
Sem-1 Sem-2 Sem-3 Sem-4 Sem-5
Sem-6 Sem-7 Sem-8 Sem-9 Sem-10
Details of Marks Obtained(Percentage). If awaiting result, use AR
Year-1 Year-2 Year-3 Year-4 Year-5
Details Of Management Aptitude Test
Reg No.
Date
Score
Percentile
Category (specify community)
Others Specify
Details of NRI sponsor (for NRI quota)
Declaration

    I hereby declare that the information furnished in the application form are correct to the best of my knowledge and belief. Note that the decision of the University is final with regard to the selection for admission. If selected for admission, I promise to abide by the rules and regulations of the University and college. Fee paid for admission will not be claimed back under any circumstance. If I intend to discontinue the course after joining, I hereby undertake to pay the course fee as applicable for the remaining years of my course.

Application Fee Rs.500/-

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Date

Download
College Prospectus

Download
Admission Guide

Download
Examination Guide 2018

Contact Us

Bishop Jerome Institute
Fatima College Road,
Kollam – 691001
Kerala, India

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Ph. +91-474- 2764052/53

E-mail:- info@bjgi.in

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