Online application form for Degree Course in Engineering
1.
Name of the applicant in full (Block Letters) :
2.
a. Religion & Nationality :
  b. Caste :
  c. State whether you belong to scheduled caste, scheduled tribe, backward class, backward tribe or most backward class :
3.
a. Home town or Village :
b. Taluk :
c. District :
d. State :
4.
a. Date of Birth/in words :
b. Age on 1st July :
5.

Name & Address of parent/guardian with pin code, phone number & mobile number :
6.

Occupation & Permanent address of parent/guardian with pin code, phone number & mobile number :
7.
Annual Income of parent/guardian :
8.
a. Last College/School attended :
b. date of leaving the Institution :
c. Highest Examination Passed :
9.
a. Name of the University/Board last studied :
b. Date of entering the University/Board :
c. Date of leaving the University/Board :
10.
   
Name of examination
Year of passing
Optional subjects studied
Total marks secured
Marks in Physc, Chem & Maths
PU or 10+2
Intermediate exam in science
Diploma
B.Sc. (PCM)
Other (if any)
     
11.
Branch of Engineering which the applicant prefers to opt (state the order of preference)
a. Electronics & Communication
:
b. Computer Science & Engineering
:
  c. Mechanical Engineering
:
  d. Electrical & Electronics Engineering
:
12. M.B.A
:
(Power of alloting the branch is vested with the college)
   
13.
E-mail ID for further reference
:
     
        

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