Application Form for Admission 2022-23 in B.Tech. / LEET Courses
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Programs in Which you want admission *
DO YOU HAVE JEE ROLL NO. AND RANK (FOR B.TECH. APPLICANTS ONLY)
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IF YES, MENTION YOUR JEE ROLL NO.
MENTION YOUR JEE RANK (IF AVAILABLE)
Preferred Courses / Branch *
Computer Engineering
Electronics and Communication Engineering
Mechanical Engineering
Civil Engineering
Choice 1
Choice 2
Choice 3
Choice 4
Name of Candidate *
Father Name *
Mother Name *
Date of Birth of Candidate *
MM
/
DD
/
YYYY
Email Address *
Complete Corresponding Address
Whats up Mobile Number *
Metric Roll Number of Student *
10+2 Class / Diploma Roll Number *
10+2 Class/ Diploma Marks Obtained
%age of marks in 10+2 / Diploma
Year of Passing 10+2 / Diploma
Subjects in 10+2
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