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Tulsiramji Gaikwad-Patil College of Engineering and Technology, Nagpur
Provisional Admission form of Polytechnic
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Full Name of the student
*
Your answer
Admission in
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First Year (Polytechnic)
Direct Second Year (Polytechnic)
Select Branch ( You can give Multiple choices)
*
Computer Science and Engineering
Electrical engineering
Mechanical Engineering
Civil Engineering
Information Technology
Electronics and Communication Engineering
Required
Currently Studies in (Studied)
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10th
12th
ITI
Other:
Name of School/College Studies (Studied)
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Your answer
10th/12th Roll Number
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Your answer
Date of Birth
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MM
/
DD
/
YYYY
Mother's Name
*
Your answer
Aadhar Number (UIDA Number)
*
Your answer
Contact Numbers
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Your answer
Contact Number Whatsapp
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Your answer
Email ID
*
Your answer
Residential Address( With Pin Code)
*
Your answer
Reference (if any)
Your answer
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