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
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