SSREC ADMISSIONS 2023-2024                                 ONLINE APPLICATION FORM
Email *
Name *
Father's Name / Mother's Name *
Parents Mobile Number *
Parent or Student WhatsApp Number
Email ID
Gender *
Date of Birth *
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Place *
District *
State *
Community *
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Address for Communication *
Nature of HSC Course
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Name of the School/Polytechnic College last studied *
Applying for *
Total Marks or Percentage Obtained *
Cut Off Marks for HSC students
Courses Offered in Engineering *
Referred by (If there is no reference, Indicate as Direct or Self) *
Declaration
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