ADMISSION ENQUIRY FORM
Applying For
--Select Course --
B.Tech [CS]
B.Tech [ME]
B.Tech [EE]
B.Tech [CE]
Polytechnic [ME]
Polytechnic [EE]
Polytechnic [CE]
MBA
Student Name
Father Name
Date of Birth
*Subject to Verification
Address
City
Pin Code
Contact Number
E-Mail
Academic Details 10
th
Board
Select
ICSE
CBSE
State
Other
School
% Marks
Year of Passing
Select
2013
2014
2015
2016
2017
2018
2019
Academic Details 12
th
Board
Select
ICSE
CBSE
State
Other
School
% Marks (PCM)
% Marks
Year of Passing
Select
2013
2014
2015
2016
2017
2018
2019
UPSEE Rank
Graduation %
*Terms & Conditions applicable.
Success
Thanks for contacting us, we will get back to you shortly.
Submit
