Admission 2023-24

Student basic details

Communication/Parent details

Admission Mandatory details

Branch Preferences & Declaration

Programme *

B-Tech

Programme Type *

Full Time

Admission Type *

Admission Quota *

Student Basic Details

Full Name (Enter as in 10th certificate) *

0 / 50

Date of birth *

Age *

Place of birth *

Gender *

Blood Group *

Email ID *

Mobile Number *

Land Line Number

Nationality *

Mother Tongue *

Religion *

Caste *

Category *

Annual Family Income *

Aadhar Number *

Economically Backward

Handicapped

Please Note: Rotate phone to landscape mode on mobile to upload photos

Click here to upload Passport Size Photo *

Click here to upload Signature *

Parent/Guardian Details

About Father

Name of Father *

Occupation *

Mobile *

Email ID

About Mother

Name of Mother *

Occupation *

Mobile

Email ID

Communication details (Student)

Permanent Address

House name or number , street *

0 / 200

District *

State *

PIN *

Communication Address

Same as permanent address

House name or number , street *

District *

State *

PIN *

Entrance Examination

Candidates must enter Entrance Examination Application No, Roll No, entrance marks(Individual), Total Score as soon as results are published.

Entrance type *

Entrance Application Number *

Entrance Roll Number *

Entrance Rank *

Educational details

10th

Board/University *

Institution *

Month & Year of passing *

Mark/Grade Obtained *

Max Mark/Grade *

Mark/Grade Percentage *

Plus Two

Board/University *

Institution *

Month & Year of passing *

Mark Obtained *

Max Mark*

Mark Percentage *

Details of Physics (P), Chemistry (C) & Mathematics (M) marks

P - Mark Obtained *

P - Max Mark *

C - Mark Obtained *

C - Max Mark *

M - Mark Obtailed *

M - Max Mark *

Percentage P,C & M Marks *

Branch Preference (Indicate your order of preference by entering 1,2,3,4 or 5)

Preference	Branch
1	Preference 1 *
2	Preference 2
3	Preference 3
4	Preference 4
5	Preference 5

Hostel/Transaportation

Whether hostel facility is required

Whether transportation facility is required

Declaration

By submitting this application form I, , do here by declare that all the information furnished above is true and promise that if admitted, will obey the rules and regulations of the institution.