New Registration Number

Full Name

Father Name

Mother Name

Admit Type Select Regular Lateral Entry

Aadhar Number

Gender Select Male Female Others

Date of Birth

Mole 1

Mole 2

Religion -- select -- Hindu Christian Muslim Buddh Jain Sikh Others

Caste -- select -- Open BC-A BC-B BC-C BC-D BC-E SC ST

Physical handicap (YES/NO) Select Yes No

Foreign Student (YES/NO) Select Yes No

Door Number

City

State

District

Pincode

Country

Mobile

E-Mail

Join Through -- select -- APPGCET APPGECET APEAPCET EDCET GATE ICET ECET NATA LAWCET AUCET AUEET EAMCET OTHERS

Allotment No

10th Board Name -- select -- SSC CBSE ICSE OTHERS

10th Percentage

10th Paasing Year

Inter/Diploma Group -- select -- MPC BiPC CEC HEC MEC DIPLOMA OTHERS

Inter/Diploma Percentage

Inter/Diploma Passing Year

Degree Percentage

Degree Passing Year

Joining Category Select Regular Self-Finance Sponsered Special-Fee

Scholarship Eligibility Select Yes No

Student Pass Photo

Student Signature