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MGCUB B.TECH. PROGRAMME 2019
APPLICATION FORM
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* Indicates required question
Roll Number of JEE-2019 (Main) Exam
*
Your answer
Name of Applicant
*
Your answer
Mother’s Name
*
Your answer
Father’s Name
*
Your answer
Mobile No
*
Your answer
E-mail ID
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Category
*
Your answer
Sex
*
Choose
Male
Female
Other
Disability
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Choose
Yes
No
Percentage in 10 th (up to 2 decimal point)
*
Your answer
Percentage in 12 th (up to 2 decimal point)
*
Your answer
Marks Scored in JEE Main–2019
*
Your answer
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