B.Tech Admission
Personal Profile
Full Name
Date of Birth
Gender
Male
Female
Religion
--Select--
Hindu
Christian
Muslim
Others
Caste
Annual Income
Category
---Select---
Gen
OBC
OEC
SC
ST
Others
Name of Father
Name of Mother
Name of Guardian
Permanent Address
Address Line 1
Address Line 2
City
Post Office
District
State
Pin Code
Address For Communication
Same as above
Address Line 1
Address Line 2
City
Post Office
District
State
Pin Code
Mobile
Telephone Number
Email
Upload Photo and Signature
Photograph
Photos should be in jpg format . Dimensions (in pixel) :-
Photograph - 110 x 140
Signature - 158 x 74
Signature