Name of the Candidate*

Date of Birth*

Email*

Mobile No.*

Gender*
Gender*MaleFemale

Aadhaar No.

Father's Name*

Father's Occupation*

Mobile No. of the Parent*

Religion*
Select*HinduChristianMuslimOthers

Community*
Select*FCBCMBCSCSTOthers

State*
Select*Andhra PradeshArunachal PradeshAssamBiharChhattisgarhGoaGujaratHaryanaHimachal PradeshJharkhandKarnatakaKeralaMadhya PradeshMaharashtraManipurMeghalayaMizoramNagalandOdishaPunjabRajasthanSikkimTamil NaduTelanganaTripuraUttar PradeshUttarakhandWest Bengal

City*

Address For Communication*

Pincode*

Admission For*
Select*First Year ( 10th pass )Direct Second Year ( +2 Pass with Maths, Science, Vocational Group or 2 yrs of ITI With NCVT Certificate)

Choice Of Branch*
Select*Civil EngineeringMechanical EngineeringElectrical and Electronics EngineeringElectronics & Communication EngineeringComputer Science EngineeringPetrochemical Engineering

Declaration of the Applicant
I hereby solemnly declare that the information furnished and the details given in the admission form and the enclosures are true, correct and complete to the best of my knowledge. I further declare that if found otherwise, I will be liable to forfeit my seat and / or removed from the rolls of the institution at whatever stage of study I may be, besides marking me liable for criminal prosecution.