Admission Registration Form

Name

Father's Name

Gender
—Please choose an option—MaleFemaleOther
Date of Birth

E-Mail Id

Mobile Number

WhatsApp Number

Highest Qualification
—Please choose an option—DiplomaB.ABScM.AITIB.TechM.TechMBAMCABTCB.edPhdBCABBAHighschoolIntermediate
Branch
—Please choose an option—Mechanical EnggCSEEEElectricianFitterArt SubjectScience SubjectMarketing/HR
Percentage

Final Result
—Please choose an option—PassFailEligible For BackPramotedPursuing
College Name

Address

University/College Neme where you need Admission

Course in Which you want Admission

Acceptance
I accept the filled information is correct.

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