Online Admission Form for First Year Engineering (BE Course)

Welcome to Online Admission form filling process. Please fill in form below to submit your request for admission to first year engineering course. In case if you have any difficulties, download and print offline form PDF-73KB by clicking here.

To be filled up by Student
1) Name:
Surname
First Name
Middle Name
Father's Name
2) Correspondence Address:

City/Town/Village: District:
State: Taluka:
Pin Code: (Optional)
3) E-mail Address:
(Optional)(required for faster communication)
4) Telephone Numbers (With STD Code):
(required for faster communication)
Resi:
Off:
Mobile:
5) Select your First Year Degree Course Admission preference:
1)
(-- Select your additional Priority --)
2) 3)
4) 5)
6) 7)
6) Select Your Admission Category:
7) Date of Birth (DD/MM/YYYY)
8) Gender: Male Female
9) Occupation of the Earning member(s) of the family
10) Annual Income of Family: (Indian Rs.)
11) CET Type attended:
12) CET Information:
Exam Seat No: Score obtained: Rank/ Merit No:
12) Details of Qualifying Examination (Std. XII) passed
Month & Year of Passing Name & Adddress of Institution Name & Address of Board/ University Passed from Maharashtra? Yes/ No
Yes
No
Subject
Marks Obtained
Other Information
Remarks/ Result
Outof
Theory
Practical
1) Physics Total Marks obtained:
2) Chemistry Out of Total Marks:
3) Maths PCM:
4) Biology PCB:
13) Details of SSC (Std. X) Examination Passed:
1) Maths: Out of:
2) Science: Out of:
3) SSC Aggregate: Out of:
Total Marks obtained: Out of Total Marks:
Year: Month:

Place:


Please do not make multiple Submission. Only One Application form per person will be accepted. Please review your form carefully before submitting. You may also keep a Printed Copy of this Form by Clicking here.This form is being treated as your intent for admission.
By submitting this form you also agree that you will submit the necessary required documents to prove the authenticity of data submitted hereinabove.



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