APPLICATION FORM FOR ADMISSION TO
ALL PROGRAMMES (Except B.Tech.) - 2012

(NRI / FOREIGN CANDIDATES ONLY)
Please read the Steps to be followed carefully before filling the Application form.
Enter the required details below  and then click on the 'Submit & Proceed to Printing' button on the bottom of the page.

Fields Marked with an asterisk * are mandatory.
Personal Details  
1. Full Name *
(As in 12th Standard examination
 mark sheet)
2. Date of Birth *
 
Date Month Year
3. Gender *  Male      Female
4. Religion *

Mother Tongue
5. Nationality *

If Foreign, Country Name
6. Community *
7. Campus *
8. Blood Group *
9. Address for correspondence  *
*


Country   
 Postal Code.*      

 Phone No. with Country Code

 Mobile No. *                                                      Land Line No.    

Email-ID (Student) *                              

Re-type your Email-ID (Student) *    

10.Passport No. ( Student ) If available                Valid Date :   ( DD / MM / YYYY )
11. Father Name  *
12. Mother Name *
13.  Relationship of person at S.NO. 10
       with the Candidate *
14. Parent's / Guardian's occupation *
15. Official Address



16. Parent Email  *
17.Passport No. (Sponsor's)                Valid Date :   ( DD / MM / YYYY )
Qualifying Examination Details
18. Details of the Qualifying Examination Passed
(Candidates must furnish this information, otherwise application will be rejected)

Academic Records

Examination Passed

 Degree & Branch Reg. No. /
Roll No. / Seat No.		 Board / University /
College / Institution		 Percentage of Marks Month & Year of Passing
Secondary / High School
 		  
Senior Secondary / Intermediate
 		  
Bachelor's Degree/Equivalent
 Degree


Branch







Master's Degree/Equivalent Degree


Branch





19. Mode of Study *
(Candidates who have studied in regular, full time and formal education are alone eligible to apply)
20. Medium of Instruction *
21. Whether Hostel Accommodation required ?  *
22. Programme Applied *
23. Sponsor Details *
24. Details of  Local Contact Person in India


25. Where did you see our Admission Advertisement  ?

Please specify name of the news paper/website etc.,  *

Please check the content carefully before "Submit & Proceed  to Printing" the application form.
 

Please click on "Submit & Proceed to Printing" button below.