APPLICATION FORM: ADMISSION TO FIRST YEAR ENGINEERING 2021-22
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Email *
Kindly give your preference of branch, at least 1 and maximum 5 are allowed.
1st Choice *
2nd Choice (Select None if not interested in any other choice than Choice 1) *
3rd Choice (Select None if not interested in any other choice than Choice 1) *
4th Choice (Select None if not interested in any other choice than Choice 1) *
5th Choice (Select None if not interested in any other choice than Choice 1) *
Full Name of the Candidate (SURNAME FIRST_NAME MIDDLE_NAME) *
Contact Number (Preferably WhatsApp number) *
Application ID received on Successful Registration & document verification with competent authority, CET Cell (e.g. EN20222145) *
Verified by FC Centre or E-Scrutiny? *
Details of H.S.C. or Equivalent Examination. Mention marks obtained in following subjects
H.S.C. Seat Number *
Marks obtained in Physics *
Marks obtained in Chemistry *
Marks obtained in Maths *
Technical Vocational subject name (if applicable)
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Marks obtained in Technical Vocational subject  (if applicable) (marks obtained/ Total marks)
Name of H. S. C. Board *
Enter total marks in Entrance Exam (MHT-CET 2021). Mention 'NA' if not given. *
Enter obtained marks in Entrance Exam JEE Main. Mention 'NA' if not given. (JEE Main 2021) *
Enter marks obtained in S.S.C. or Equivalent Examination.
Science *
Maths *
English *
Name of S.S.C. Board *
Student Information
Gender *
Date of Birth *
MM
/
DD
/
YYYY
Religion *
Category *
Local Address *
Mobile Number 1 *
Email ID *
Father's Full Name *
Father's occupation *
Father's Designation. Put 'NA' if not applicable. *
Father's Office address *
Father's Mobile Number *
Mother's Full Name *
Mother's occupation *
Mother's Designation. Put 'NA' if not applicable. *
Mother's Office address. Put 'NA' if not applicable. *
Mother's Mobile Number *
Photocopy of documents to be attached at the time of submission of form.(i) MHT CET Score card (ii)Mark-sheet of JEE Main (if given) (iii) Mark-Sheet of H.S.C. (iv) Passing Certificate of H.S.C. (v) Marksheet of S.S.C. (vi) HSC Leaving Certificate / Transfer Certificate (vii) Migration Certificate (viii) Domicile Certificate (ix) Nationality Certificate / Proof (x) Passport size photo    
I hereby declare that the above mentioned information filled by me is correct. *
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