Online Registration Form for Admission 2017-18

(B.Tech/M.Tech/MBA/MCA)


Name  
Date Of Birth
(DD/MM/YYYY)
 
Gender  
Mobile No    
Email    
Nationality  
State Of Domicile  
Category  
Father Name  
Occupation  
Mobile No    
Address  
Address Line1  
Line 2  
City  
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Course Applied For
Academic Qualification
Examination Name Of Board Year PCM% % Of Marks
HighSchol/Secondary
Intermediate/10+2
Diploma/Graduate
Last College Name
UPSEE/AIEEE (Rank/Rollno)
Any Other Information