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Full Name of the Student: (As per the SSLC Book) *
House Name *
Place *
Post *
Pin Code *
District *
Date of Birth *
Sex *
Male
Female
Religion
Email (Student ) *
Mobile (Parent) *
Mobile (Student) *
Phone (Land line if any)
WhatsApp No (If any)
Father/Guardian Name (As per the SSLC Certificate - Please Expand Initials) *
Mother’s Name (As per the SSLC Certificate - Please Expand Initials) *
Occupation of Father/Guardian *
Occupation of Mother *
Highest Qualification (Student) *
Name of the School (Presently Studying) *
Name of the School (10 th studied) *
Percentage of Marks (SSLC) *
Please select any four Courses which you would like to prefer
Desired Course 1 *
Select Course
I prefer any other available course
I do not prefer any course
Mechatronics
Aerospace Engineering
Aviation Management
Computer Engineering
Electrical & Electronic Engineering
Engineering Design with Business
Industrial & Operations Management
Supply Chain Management
Biomedical Engineering
Architectural Technology & Building Services
Sustainable Built Environment
Integrated Facility Management
Business Process & Systems Engineering
Common Engineering Programme
Information Technology
Infocomm Security Management
Cybersecurity & Digital Forensics
Data & Analytics
Financial Business Informatics
Game Design & Development
Applied Artificial Intelligence
Business Information Systems
Digital Design & Development
Common ICT Programme
Desired Course 2
Select Course
I prefer any other available course
I do not prefer any course
Mechatronics
Aerospace Engineering
Aviation Management
Computer Engineering
Electrical & Electronic Engineering
Engineering Design with Business
Industrial & Operations Management
Supply Chain Management
Biomedical Engineering
Architectural Technology & Building Services
Sustainable Built Environment
Integrated Facility Management
Business Process & Systems Engineering
Common Engineering Programme
Information Technology
Infocomm Security Management
Cybersecurity & Digital Forensics
Data & Analytics
Financial Business Informatics
Game Design & Development
Applied Artificial Intelligence
Business Information Systems
Digital Design & Development
Common ICT Programme
Desired Course 3
Select Course
I prefer any other available course
I do not prefer any course
Mechatronics
Aerospace Engineering
Aviation Management
Computer Engineering
Electrical & Electronic Engineering
Engineering Design with Business
Industrial & Operations Management
Supply Chain Management
Biomedical Engineering
Architectural Technology & Building Services
Sustainable Built Environment
Integrated Facility Management
Business Process & Systems Engineering
Common Engineering Programme
Information Technology
Infocomm Security Management
Cybersecurity & Digital Forensics
Data & Analytics
Financial Business Informatics
Game Design & Development
Applied Artificial Intelligence
Business Information Systems
Digital Design & Development
Common ICT Programme
Desired Course 4
Select Course
I prefer any other available course
I do not prefer any course
Mechatronics
Aerospace Engineering
Aviation Management
Computer Engineering
Electrical & Electronic Engineering
Engineering Design with Business
Industrial & Operations Management
Supply Chain Management
Biomedical Engineering
Architectural Technology & Building Services
Sustainable Built Environment
Integrated Facility Management
Business Process & Systems Engineering
Common Engineering Programme
Information Technology
Infocomm Security Management
Cybersecurity & Digital Forensics
Data & Analytics
Financial Business Informatics
Game Design & Development
Applied Artificial Intelligence
Business Information Systems
Digital Design & Development
Common ICT Programme
Please Select “Desired Course
No 4
” as "I prefer any other available course", if you are willing to accept any other available course offer from the college)
Please complete the given below personal details of the applicant
Do you hold passport?
YES
NO
Do you hold Pan Card?
YES
NO
Does Your Parent hold a Passport?
YES
NO
Please write a visible Identification Mark *
Your Police Station *
Height *
Weight *
No of Brothers *
0
1
2
3
4
No of Sisters *
0
1
2
3
4
Family Annual Income *
Below 1 Lakh
Above 1 Lakh
Above 2 Lakhs
Above 3 Lakhs
House Type *
Own
Rented
Inherited
How do you get to know about this programme? *
Uploads
Please Note:
File name should be in the format of "Type of certificate-Your Name".
For Example: "SSLC Certificate-John Paul, Passport-John Paul, Photo-John Paul" etc.
All certificates must be from the original and in PDF format only
Uploaded photo can be in Jpeg/Jpg/Png format
Each File size should be Below 2MB
Upload Photo (Jpeg/Png) *
SSLC Certificate (PDF format) *
Birthcertificate (PDF format) *
Identity proof of student-Aadhar (PDF format) *
IELTS Certificate-If Any (PDF format)
Plustwo Certificate-if Any (PDF format)
Passport of student-If Any (PDF format)
Identity proof of father-Aadhar (PDF format)
Identity proof of mother-Aadhar(PDF format)
If you have any other documents please upload
