Online Admission Form

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Application Number

Admission Number

Admission Mode

Program Applied

B.Tech

M.Tech

Name (As per 10th std Records)

Date of Birth

Gender

Name of Guardian

Religion

Caste

Email

Mobile (Parent)

Permanent Address

House Name/Number

Street

Place

City

District

State

Country

Pincode

Phone

Communication Address

House Name/Number

Street

Place

City

District

State

Country

Pincode

Phone

Details of Entrance Examination

Name of Exam

Register Number

Entrance Score/Rank

Educational Profile

Qualifying Exam

Specialisation

Reg No:

University/Board

Year of Passing

Percentage Obtained

Details of marks Obtained

Physics

Chemistry

Maths

Total

Branch of preference

Preference 1

Preference 2

Preference 3

Require Hostel Admission

Conveyance Facility Required

Upload your photo

Documents to be Uploaded

SSLC certificate

HSE/Degree Certificate

Entrance Score Card

TC

VISA

Passport

Allotment Memo

Signature of Parent

Signature of Student