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

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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