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Admission   Form
Academic Session 2010 - 11

Kindly ensure that firstly all the entries are filled-in properly & correctly.
Then click on SUBMIT button to submit the form successfully.

Admission Fee can be directly transferred to our following Bank accounts from any CBS
(Core Banking Solutions) Branch  :
 
  State   Bank of India   Account  No.        :       10124051020 
 Central  Bank of India   Account  No.      :       1326053693 
 Union Bank of India   Account No     -      517001010017013 


The submission of the form is considered as  online enquiry.    The admission will be confirmed after complete process & counseling.


Mention Course Preferences
(1)    
(2)    
(3)
(For  B.E. Aspirants ) Mention MPPET   (All India Ranking)  :     
(For  M.B.A. Aspirants ) Mention MPMET Marks     :      
(For  M.C.A. Aspirants ) Mention Pre-MCA Marks :      
 
 
Scholar's  Name :
Father's    Name :
Father's   Occupation :
Mother's   Name :
Permanent Address :
Present Address :
Contact   Nos. :
Address   (Local Guardian)  :  :
E-mail   ID :
Age :
Date of Birth  (DD/MM/YYYY) :
Category
SC ST
OBC Handicapped
General    
Medium : Hindi English
Mother Tongue :
Nationality :
 

Educational   Qualification

 
Exam Passed Year Name of School / College Board / Univ. Subject Percentage
10th / Matric
 10+2 / Intermediate
Graduation
Post Graduation
Any Other

DECLARATION  :
I   promise   to   abide   by   the   Rules,   Regulation   and   Orders   of   the   college   issued   time   to   time.    I   also   hereby     declare     that   the    details   furnished   above   are   correct    to   best   of   my   knowledge.

Date :
Place :
 
 
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