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Name of the Candidate*

Name of Father/Guardian*

Address (House Number/Name)*
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Street*
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Place*
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District

Pin Code

State
Select Andaman and Nicobar Islands Andhra Pradesh Arunachal Pradesh Assam Bihar Chandigarh Chhattisgarh Dadra and Nagar Haveli Daman and Diu Delhi Goa Gujarat Haryana Himachal Pradesh Jammu and Kashmir Jharkhand Karnataka Kerala Lakshadweep Madhya Pradesh Maharashtra Manipur Meghalaya Mizoram Nagaland Orissa Pondicherry Punjab Rajasthan Sikkim Tamil Nadu Tripura Uttaranchal Uttar Pradesh West Bengal Other Country

Nationality*

Mobile Number*

Alternate Mobile Number

E-Mail ID*

Sex* Select Male Female

Date of birth

Community (Certificate has to be enclosed)
Select ST SC MBC/DNC BC(M) BC(O) Others

Caste*

Religion*

Course Applying For
Select B.E. Aerospace Engineering B.E. Automobile Engineering B.E. Biomedical Engineering B.E. Civil Engineering B.E. Computer Science and Engineering B.E. Electrical and Electronics Engineering B.E. Electronics and Communication Engineering B.E. Electronics and Instrumentation Engineering B.Tech. Information Technology B.E. Marine Engineering B.E. Mechanical Engineering M.E. Computer Science and Engineering M.E. Applied Electronics M.E. Communication Systems M.E. Control and Instrumentation Engineering M.Tech. Nanotechnology MBA Business Administration MCA Computer Applications M.E. Thermal Engineering B.Tech. Fire Technology and Safety Engineering M.E. Structural Engineering M.Sc. Software Engineering M.E. Aeronautical Engineering B.Tech. Nanotechnology M.Phil. Physics M.Phil. Chemistry M.Phil. English M.Phil. Mathematics M.Phil. Business Administration M.Phil. Computer Science M.A. English BBA Bachelor of Business Administration B.Sc. Aircraft Maintenance Engineering B.E. Aircraft Maintenance Engineering M.E. Cyber Security B.E. Aeronautical Engineering M.E. Computer Integrated Manufacturing M.Phil. Biotechnology M.Sc. Physics M.Sc. Chemistry M.Sc. Mathematics M.E. Automobile Engineering M.Sc. Computer Science B.Com B.Com M.Sc. Human Genetics and Molecular Biology M.Phil. Human Genetics and Molecular Biology B.Sc. Perfusion Technology B.Sc. Cardiac Care Technology B.Sc. Renal Dialysis Technology B.Sc. Human Genetics and Molecular Biology B.Sc. Forensic Science BASLP Audiology Speech and Language Pathology B.Sc. Computer Science B.E. Artificial Intelligence and Data Science B.E. Robotics and Automation Certificate Artificial Intelligence and Machine Learning Certificate Business Analytics and Data Science Certificate Information Security and Cyber Systems Certificate Robotics and Intelligent Systems Certificate IoT and Cyber Physical System B.Sc. Psychology BCA Computer Applications B.Sc. Cyber Forensics BBA Aviation Management

Qualification*

Discipline*

DECLARATION BY THE APPLICANT

I declare that all particulars mentioned in the application are true to the best of my knowledge. I declare that the copies of the original certificates and documents produced by me along with the application will be submitted to the University at the time of admission or at any time when required. I further declare that if anything in my application is found incorrect, I shall be liable to forfeit my seat and removed from the roll of the University, at whatever state my study may be, besides making me liable for criminal prosecution.

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