Admission Form First Name Father's Name Surname Date of Birth Email Student's Mobile Number Parent Mobile No Total Annual income of Father Total Annual income of Mother Permanent Address City State Select State Andhra Pradesh Arunachal Pradesh Assam Bihar Chhattisgarh Dadra and Nagar Haveli Daman and Diu Delhi Goa Gujarat Haryana Himachal Pradesh Jammu and Kashmir Jharkhand Karnataka Kerala Madhya Pradesh Maharashtra Manipur Meghalaya Mizoram Nagaland Orissa Puducherry Punjab Rajasthan Sikkim Tamil Nadu Telangana Tripura Uttar Pradesh Uttarakhand West Bengal Nationality Branch Opted --select branch-- Computer Engineering Mechanical Engineering Electronics & Telecommunication Engineering Preference --select Preference-- 1st 2nd 3rd None Branch Opted --select branch-- Computer Engineering Mechanical Engineering Electronics & Telecommunication Engineering Preference --select preference-- 1st 2nd 3rd None Branch Opted --select branch-- Computer Engineering Mechanical Engineering Electronics & Telecommunication Engineering Preference --select preference-- 1st 2nd 3rd None Board Exams Total Marks Total % Group Total PCM/PCB/PCVoc 10th 12th Diploma Final Year MHT-CET Marks JEE Marks Select Category SC SC-PWD ST ST-PWD OBC-NCL OBC-NCL-PWD GEN-EWS GEN-EWS-PWD GEN GEN-PWD Caste/Subcaste Upload Photo Hostel Accommodation Needed: Yes No
