Name of Student

Student Contact Number

Father's name

Father's Contact Number

Mother's Name

Mother's Contact Number

Category

Address

10th Result/Matriculation Result

12th/Sr. Sec./Diploma Result

JEE Mains SCORE (if any)

JEE Mains RANK (if any)

Graduation Result

Choice of Branch/ Program Choice of Branch/ ProgramB. Tech. (Computer Sc. & Engg.) (NBA Accredited)B.Tech. (Electrical Engg.) (NBA Accredited)B.Tech. (Mechanical Engg.)B.Tech. (Artificial Intelligence)B.Tech. (LEET) Direct Admission in 2nd Year for Diploma StudentsB.C.A.Β.Β.Α.M. Tech. (Computer Sc. & Engg.)Μ.Β.Α.

Remarks