B.Tech ADMISSION FORM 2023-24
College of Engineering , Cherthala
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Personal Details
Name *
Students Name in Block Letters
Date of Birth *
Date of Birth in (DD/MM/YYYY) format
Gender *
Religion *
Caste *
Category

*
(Categories :- General / SC / ST / OBC/OEC/SEBC )
State of Residence
*
Nationality *
Aadhaar Number *
Name of Father *
Name of Mother *
Name of Guardian
Relationship with student
 Student E-Mail *
Both student and parent Mail id's are mandatory for KTU registration.
Parent E-Mail *
Both student and parent Mail id's are mandatory for KTU registration.
E-mail id of Guardian
Both student and parent Mail id's are mandatory for KTU registration.
Permanent  Address
*
Contact  Address
*
Address of local guardian
Phone Numbers
Phone numbers of student and parent (father or mother) are required. Otherwise the local guardian phone number is required.
Student phone number *
Father phone number *
Mother phone number *
Local Guardian phone number
Annual family income
Mother tongue *
Blood Group

Name of the Institution last studied *
T.C No. *
T.C date *
KEAM Roll No.
*
KEAM Rank
*
Educational Details
HSE/CBSE/ICSE etc
Name of Qualifying Examination
*
Register Number
*
Marks of qualifying examination
Marks obtained in final year alone
Physics
*
Chemistry
*
Maths
*
Total
*
Percentage
*

Bank Details of the Student


Bank Details are mandatory for KTU registration.
Account No. *
Name of Bank *
IFSC Code *
Branch name *
Admission Details
Allotted Branch *
Date of admission (DD-MM-YY)
Admission Type
Clear selection
Admission Quota


*
(Admission Quota s :- Merit (Regulated Fee)/ Merit(full fee)t / NRI / TFW - Merit/ EWS - Merit / Others)
Eligible for Fee Concession
Clear selection
Entrance Total Score
Submit
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