Online Application

INSTITUTE OF ENGINEERING

APPLICATION FOR ADMISSION YEAR 2022 - 23

 1. Name of Course:
 2. Image:

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 3. Name of Applicant ( Block Letters )
 4. Father's Name
 5. Mother's Name
 6. Permanent Address with Pincode
 7. Date of Birth
 8. Gender Male Female Others
 9. Category
 10. Details of Qualifying Examination
 11. Mobile No.
 12. Email.
 13. Adhar No.
 DECLARATION
 I assure that the particulars furnished above are true to be best of my knowledge and that I shall abide by the rules and regulations of the institution and I shall pay the dues on the dates specified. Also I do not claim or demand any refund of the amount paid to the institution in connection with my admission even though I withdraw my candidature.