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APPLY ONLINE - DIPLOMA
Please read carefully and fill the application accordingly.
Course Details
First Choice
--Select--
Mechanical Engineering
Civil Engineering
Electrical and Electronics Engineering
Second Choice
--Select--
Mechanical Engineering
Civil Engineering
Electrical and Electronics Engineering
Third Choice
--Select--
Mechanical Engineering
Civil Engineering
Electrical and Electronics Engineering
Personal Details
Name of the Applicant
Date of Birth
Gender
--Select--
Male
Female
Religion
--Select--
Hindu
Muslim
Christian
Sikh
Jain
Parsi
Buddhist
Caste
Caste Category
--Select--
General
SC
ST
OEC
OBC
Aadhar Number
Permanent Address
Address Line 1
Address Line 2
City
State
--Select--
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chhattisgarh
Goa
Gujarat
Haryana
Himachal Pradesh
Jharkhand
Karnataka
Kerala
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttarakhand
Uttar Pradesh
West Bengal
Andaman and Nicobar Islands
Chandigarh
Dadra and Nagar Haveli
Daman and Diu
Delhi
Jammu and Kashmir
Ladakh
Lakshadweep
Puducherry
Country
--Select--
India
PIN
Communication Address
Address Line 1
Address Line 2
City
State
--Select--
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chhattisgarh
Goa
Gujarat
Haryana
Himachal Pradesh
Jharkhand
Karnataka
Kerala
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttarakhand
Uttar Pradesh
West Bengal
Andaman and Nicobar Islands
Chandigarh
Dadra and Nagar Haveli
Daman and Diu
Delhi
Jammu and Kashmir
Ladakh
Lakshadweep
Puducherry
Country
--Select--
India
PIN
Contact Details
Mobile Number
E-mail
Parent / Guardian
Name of the Parent / Guardian
Annual Income (INR)
Mobile Number
Home / Alternate Phone
E-mail
Accademic Details - Class 10
th
Board
School / College
Year of Passing
Mathematics (Mark Scored)
Mathematics (% of Mark Scored)
Physics (Mark Scored)
Physics (% of Mark Scored)
Chemistry (Mark Scored)
Chemistry (% of Mark Scored)
Total Mark / Grade
% of Total Mark / Grade
Accademic Details - Class 12
th
(If Applicable)
Board
School / College
Year of Passing
Total (Mark Scored)
Total (% of Mark Scored)
Entrance Details (If Applicable)
Name of Entrance Test
Mark in Entrance
Rank in Entrance
Other Details
Whether on Merit Quota?
--Select--
Yes
No
Whether on NRI Quota?
--Select--
Yes
No
Whether on Management Quota?
--Select--
Yes
No
Extra Curricular Activities (if any)
Upload Details
Photgraph of Candidate
Maximum Size: 50Kb
Image Dimension: 150 Pixels Width × 200 Pixels Height
Image Type: JPG
Signature of Candidate
Maximum Size: 50Kb
Image Dimension: 150 Pixels Width × 100 Pixels Height
Image Type: JPG
Signature of Parent / Guardian
Maximum Size: 50Kb
Image Dimension: 150 Pixels Width × 100 Pixels Height
Image Type: JPG
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