Admission Preregistration Form

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Email *

Name of the Candidate *

Name of the Parent / Guardian & Occupation *

Place *

Mobile Number *

Candidate's Email ID *

Gender *

Male

Female

Required

Plus 2 Examination Board *

Percentage of Marks in Plus 2 *

Marks in Physics *

Marks in Chemistry *

Marks in Mathematics *

KEAM Roll No. *

Score in KEAM Paper -I *

Score in KEAM Paper - II *

KEAM Rank *

Department Preferred First Option
*

Department Preferred Second Option

Department Preferred Third Option

Submit

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