Your Name*

Father's Name

12th / Diploma Reg. No

D.O.B

Community

Course Selected

Civil EngineeringComputer Science and EngineeringElectrical and Electronics EngineeringElectronics and Communication EngineeringMechanical EngineeringB.Tech-information TechnologyB.Tech- Al and Data Science

Marks obtained in 12th Standard

Mathematics

Physics

Chemistry

Marks obtained in Diploma

Percentage of Marks obtained in Diploma

Your Email

Mobile 1 *

Mobile 2

Address for Communication