Student Name * Date of Birth Mobile Number * E-Mail Parent Name Parent Occupation Address for Communication Address Line 1 * Address Line 2 City/Town * Pincode Community (OC/BC/BCM/MBC/SC/SCA/ST) Caste Educational Information SSLC Mark (10th Mark) HSE Mark (+2 Mark) Physics Mark Chemistry Mark Maths Mark Preferred Branch B.E - Computer Science & Engineering (CSE) B.E - Mechnical Engineering (MECH) B.E - Electronics & Communications Engineering (ECE) B.E - Civil Engineering (CIVIL) B.E - Electrical & Electronics Engineering (EEE) Additional Information (Optional) * Required Field
