Name of the Candidate*

Date of Birth*

Gender*
Gender*MaleFemale

Aadhaar No.*

Mobile No.*

Email*

Religion*
Select*HinduChristianMuslimOthers

Community*
Select*FCBCMBCSCSTOthers

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

City*

Address For Communication*

Pincode*

Parent's Name*

Parent's Occupation*

Parent's Mobile Number*

Admission For *
B.E (4 years) Eligibility: Minimum 45% for OC, 40% for othersLateral Entry B.E (3 years) Eligibility: Diploma in EngineeringM.E (2 years) Eligibility: BE/B.Tech Degree in corresponding branch

PCM AverageDiploma percentageBE percentage

Programme opted*
Select*UGPG

Choice of Branch
Select*Civil Engineering (UG)Computer Science Engineering (UG)Electrical & Electronics Engineering (UG)Electronics & Communication Engineering (UG)B.Tech - Fashion Technology (UG)Communication System (PG)Computer Science Engineering (PG)

Admission category*
ManagementGovernment quota

Scholarship if any*
YesNo

If yes type of scholarship*
RIT MeritFirst graduateSC/STMinorityOthers

Hostel required*
YesNo

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.

I Agree to the terms and conditions*
Yes, I Agree