CANDIDATE NAME

FATHER'S NAME *

EMAIL-ID

CONTACT NO.

ADDRESS

-- Select Course -- B.TECH. 1st Year - CSE B.TECH. 1st Year - ECE B.TECH. 1st Year - ME B.TECH. 1st Year - CIVIL B.TECH. 2nd Year - CSE B.TECH. 2nd Year - ECE B.TECH. 2nd Year - ME B.TECH. 2nd Year - CIVIL M.TECH. - CSE M.TECH. - ECE M.TECH. - ME M.B.A. B.B.A. B.C.A. B. Pharmacy D. Pharmacy CHOOSE COURSE