Fri, 26 Apr 2024
Style:
BTECH Student Online Application 2023
Personal Details
Full Name
*
as per SSLC Book
Gender
*
Male
Female
Other
Date of Birth
*
Nationality
Admission Details
Admission for
*
Academic Year
*
2023-24
Course Preference
Option 1
*
Select Course
Electronics and Communication Engineering
Civil Engineering
Electrical and Electronics Engineering
Mechanical Engineering
Computer Science and Engineering
Option 2
Select Course
Electronics and Communication Engineering
Civil Engineering
Electrical and Electronics Engineering
Mechanical Engineering
Computer Science and Engineering
Option 3
Select Course
Electronics and Communication Engineering
Civil Engineering
Electrical and Electronics Engineering
Mechanical Engineering
Computer Science and Engineering
Type
*
NRI
Management Quota
Category
*
General
OBC
OEC
SC/ST
Higher Secondary School Details
Board
HSE KERALA
CBSE
ICSE
Tamil Nadu Board
Calicut University
Year
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
Higher Secondary Percentage Obtained
Physics Mark
Chemistry Mark
Maths Mark
Maths & Physics & Chemistry(%)
Overall (%)
Entrance Details
Entrance Rollno
Entrance Rank
Contact Details
Present Address
House Name
*
Permanent Address [
same as present address ]
House Name
*
Street
*
Street
*
Landmark
*
Landmark
*
Pin
*
Pin
*
District
*
District
*
State
*
State
*
Phone No
*
Email
*
Parent/Guardian Details
Father's Name
Mother's Name
Father's Occupation
Mother's Occupation
Father's \ Guardian's Mobile No
Mother's Mobile No
Parent Email
Select Guardian
Father
Mother
Other
Annual Income
Name of Guardian
Relationship with the student
Address of Guardian
Guardian's Phone No
Enter the code as shown in the image below
Verify Code
Declaration
I agree ,The above mentioned facts are true and correct to the best of my knowledge and belief.
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