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STUDENT INFORMATION
First Name
Middile Name
Last Name
DOB
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Select
Male
Female
Mother Tougue
Nationality
Religion
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Aadhar Number
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Passport Size Photo
CHOOSE COURSE
Rate your preference for the courses from
Mechanical Engineering
Select
1
2
3
4
5
Civil Engineering
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1
2
3
4
5
Computer Science Engineering
Select
1
2
3
4
5
PARENT INFORMATION
Name
Relation
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Father
Mother
Guardian
Other
Occupation
Annual Income
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Mobile Number
SEAT CATEGORY
Keam
Management
NRI
Lateral Entry
RESERVED CATEGORY
Does the Applicant belong to reserved category ?
Yes
No
ACADEMIC INFORMATION
+2 Result (Higher Secondary Certificate Exam)
Total PCM
Total of all subjects
Name of Institution
Name of Board
Month/ Year of Passing
Register No.
Physics
Mark Obtained
Max Mark
Percentage (%)
Chemistry
Mark Obtained
Max Mark
Percentage (%)
Mathematics
Mark Obtained
Max Mark
Percentage (%)
SSLC Result (Secondary School Exam)
Total PCM
Total of all subjects
Name of Institution
Name of Board
Month/ Year of Passing
Register No.
Physics
Mark Obtained
Max Mark
Percentage (%)
Chemistry
Mark Obtained
Max Mark
Percentage (%)
Mathematics
Mark Obtained
Max Mark
Percentage (%)
Submit Your Application
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