APPLICATION FORM FOR ADMISSION TO M.TECH COURSES
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Application Fee Details
Applicant Full Name
Full Name
Address of Communication
House Name / No / TC
Street Address
Area Name
Village/Town/City/Taluk
Pin Code
District
State / Province / Region
Country
Permanent Address
Same as communication address
House Name / No / TC
Street Address
Area Name
Village/Town/City/Taluk
Pin Code
District
State / Province / Region
Country
Gender
Male
Female
Date Of Birth
Age
Blood Group
Religion and Community
Mother Tongue
Nationality
Aadhaar Number
Student's Mobile Number
Email Address
Name of Parent/Local Guardian
Full Name
Address of Parent/Local Guardian
Same as communication address
House Name / No / TC
Street Address
Area Name
Village/Town/City/Taluk
Pin Code
District
State / Province / Region
Country
Occupation of Parent/Guardian
Annual income of Parent / Guardian (Rs.)
Guardian's Mobile Number
Courses Preferred (Also indicate the order of preference)
Geotechnical Engineering (Civil)
Structural Engineering (Civil)
Details of Qualifying Examination - BTECH / BE
Name of Degree
Branch and Discipline
Percentage of Marks
Class
Name of Institution Last Studied
Address of Institution Last Studied
Street Address
Area
City
Pin Code
State / Province / Region
Country
Reg. Number
Year of passing
University / Board
Number of Appearances
Marks in Qualifying Examination ( BE / BTECH )
SEM / YEAR
Sem 1 & Sem 2
Maximum
Marks
Scored
Marks
Percentage
Marks
No. of
Attempts
Sem 3
Sem 4
Sem 5
Sem 6
Sem 7
Sem 8
Total
Details of GATE Exam
Gate Roll
Number
Year
Score
Rank in DTE List
Referred by
Declaration
I do hereby declare that the particulars furnished above are true to the best of my knowledge and belief.
S U B M I T
