Model Application Form

STUDENT APPLICATION FORM FOR ADMISSION

Courses Offered B.Tech : CSE/ECE/EEE/MECH/CIVIL M.Tech : CSE/Computer Science/CAD-CAM/VLSI Embedded/VLSI/DE&CS /Electrical Power System/Power Electricals MBA Applying for : Select Course B.Tech:CSE B.Tech:ECE B.Tech:EEE B.Tech:MECH B.Tech:CIVIL M.Tech:CSE M.Tech:Computer Science M.Tech:CAD-CAM M.Tech:VLSI Embedded M.Tech:VLSI M.Tech:DE&CS M.Tech:Electrical Power System M.Tech:Power Electrcals MBA

* 1.Full Name of the Candidate as in SSC/10th
*2.Father Name/Guardian Name
*3.Mother Name
*4.Date of Birth(DD-MM-YYYY)	DD 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 MM Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec yyyy 1980 1981 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000
*5.Permanent Address
*6.Present Address
*7.Contact Number	Mobile : Residence :
*8.E-Mail
9.Permanent Identification Marks	1. 2.
*10.EAMCET/ICET/PGECET/ECET Rank
*11.Qualification