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College Admission
Date :
   
Name of the pupil : (in block letters)
Attach Passport size photograph :
Age :(on July 1st)
Date of birth :  
Nationality :
Religion & Community :
Gender :
Mother Tongue :
Particuculars Father Mother Guardian
Name
Educational qualification
Occupation / post held
Income/Month (Rs)
Department / Company
Place of Birth:
Residential Address :
   
Father's / Mother's Office Address :
Phone No. :
Resi
Office
Qualifying Examination
Register No :
Year of Passing:
No.of. attempts:
Name of the Institution:
Place:
Extra Curricular Activities
(hold 'ctrl' for multiple select)
Academic Profile
Subject Marks Out of
Maths 200
Physics 200
Chemistry 200

Vocational Profile
Subject Marks Out of

DIPLOMA
PRE-FINAL SEMESTER
Subject Marks %
1
2
3
4
5
6

FINAL SEMESTER
Subject Marks %
1
2
3
4
5
6
   
Name of the University/Board:
Number of Appearances:
Appearances Reg.No Month Year
(a) First Appearances
(b) Second appearances
(c) Third appearances
   
CHOICE OF BRANCH Choose your order of preference
(a) B.Tech.Information Technology
(b) B.E.Computer Science & Engineering
(c) B.E.Electronics & Communication Engineering
(d) B.E.Electrical & Electronics Engineering
(e) B.E.Mechanical Engineering
Hostel Accomodation required
Details of Registration Fee :
DD Date :  
Bank Name : DD / Challan No :
 
 
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