REGISTRATION DETAILS
The symbol (*) indicates mandatory fields.

Personal Details
Name* Enter your Full Name.
Gender * Select the appropriate option.
Date of Birth * Select your date of birth from the date picker.
Blood Group Select your blood group from the drop down.
Category * Select your caste from the drop down.
Nationality * Select your nationality from the drop down.
Program * Select your program from the drop down.
B.Tech Preferences
Preference1 * Select your First Preference for B.Tech Program.
Preference2 * Select your Second Preference for for B.Tech Program. You are not allowed to select the same option as selected in Preference 1.
Preference3 Select your Third Preference for B.Tech Program. You are not allowed to select the same option as selected in Preference 1 and Preference 2.
Upload Photo(Only .jpg or .jpeg or .gif formats, Upto 100 KB)
Upload Photo Upload your recent photograph.
Present Address
Address Line 1 * Enter your door number, apartment number in the address line 1 field.
Address Line 2 Enter your street address.
Address Line 3 Enter your locality name.
City * Enter the city where you are located at present.
State * Select the state where you are located at present.
Country * Enter the country name.
Pincode * Enter your area pincode (Note: Fill only numeric characters only (0-9). Do not leave spaces in between).
Phone Number (With STD Code) * Enter the STD code and phone number of your city (For e.g. 0444234522).
Mobile Number * Enter your mobile number.
Fax If you have any Fax number please fill it in this column.
Primary Email * Please enter the email address.For e.g. [email protected] Do not use anyone else’s email address.
Retype Primary Email * Please retype the Primary Email ID.
Alternate Email Please enter the alternate email address.
Retype Alternate Email Please retype the Alternate Email ID.
Is Permanent address same as Present Address If the answer is YES, please indicate. If the answer is NO, you will have to fill in your permanent address in the fields that appear.
Family Details
Father Name * Specify the name of your Father.
Mother's Name * Specify the name of your Mother.
Qualification Mention the Qualification of your Father.
Mother's Qualification Mention the Qualification of your Mother.
Occupation Mention the occupation of your Father.
Mother's Occupation Mention the occupation of your Mother.
Organization Mention the organization of your Father.
Mother's Organization Mention the organization of your Mother.
Address* Mention the Address.
Parents Email ID Specify the email id of your Parent.
Mobile Number Specify the mobile number of your Parent.
Telephone-Residence(With STD Code) * Specify the residence telephone number of your Parent.
Telephone-Office(With STD Code) Specify the office telephone of your Parent.
Educational Details
X
School Name * Enter the name of the school you studied in.
Board / University Name * Specify the Board / University.
State * Enter the state.
Year of Passing * Select the year of passing from the drop down.
Percentage Scored * Enter your overall percentage.
XII
School Name Enter the name of the school you studied in.
Board / University Name Specify the Board / University.
State Enter the state.
Year of Passing * Mention the year in which you passed.
Percentage Scored Enter your overall percentage.
Main Subjects * Enter your major subjects.
UG Degree
Examination type * Select the relevant option.
Name of degree * Enter your degree.
College Name * Enter the college you studied in.
Board / University * Enter the Board or University.
State * Enter the state.
Year of Passing * Mention the year in which you passed.
Major Subject / Discipline * Enter your major subjects.
Mode of Study * Select the mode of study from the drop down provided.
Total Aggregate % * Enter your overall percentage.
If the examination type is Semester wise, fill in the following details
1 Year/Sem 1 (%/CGPA)* Enter your 1st year 1st semester percentage.
1 Year/Sem 2 (%/CGPA)* Enter your 1st year 2nd semester percentage.
2 Year/Sem 3 (%/CGPA)* Enter your 2nd year 3rd semester percentage.
2 Year/Sem 4 (%/CGPA)* Enter your 2nd year 4th semester percentage.
3 Year/Sem 5 (%/CGPA) Enter your 3rd year 5th semester percentage.
3 Year/Sem 6 (%/CGPA) Enter your 3rd year 6th semester percentage.
4 Year/Sem 7 (%/CGPA) Enter your 4th year 7th semester percentage.
4 Year/Sem 8 (%/CGPA) Enter your 4th year 8th semester percentage.
If the examination type is Year wise, fill in the following details
1 Year (%/CGPA)* Enter your 1st year percentage.
2nd Year (%/CGPA)* Enter your 2nd year percentage.
3rd Year (%/CGPA) Enter your 3rd year percentage.
4th year (%/CGPA) Enter your 4th year percentage.
Employment History
Do you have Work Experience * Select the relevant option from the dropdown.
Name of the Employer * Enter the name of organisation.
Address of Employer Enter the organisation address.
From Date * Select the date when you joined the organisation.
To Date * Select the date till you worked in the organisation.
Total experience in months * Specify your total experience in months.
Nature of work Specify the Nature of work.
Designation Mention your designation in the organisation.
Other Details
Hostel Accomadation
Do you need hostel Accomadation * Select the relevant option from the dropdown.
Merit Examination Scores (if any) (JEE (Main)/JEE (Advanced)/Karnataka CET/COMED-K/AUEET/Other State Entrances(please specify)
Exam Name1 Enter name of exam if any.
Date1 Enter the date of Exam1 here.
Registration Number1 (if any) Enter the Registration Number in Exam1.
Rank/Score Obtained1(if any(Attach copy of Rank Certificate)) Enter your Rank/Score Obtained in Exam1.
Exam Name2 Enter name of exam if any.
Date2 Enter the date of Exam2 here.
Registration Number2 (if any) Enter the Registration Number in Exam2.
Rank/Score Obtained2(if any(Attach copy of Rank Certificate)) Enter your Rank/Score Obtained in Exam2.
Exam Name3 Enter name of exam if any.
Date3 Enter the date of Exam3 here.
Registration Number3 (if any) Enter the Registration Number in Exam3.
Rank/Score Obtained3(if any(Attach copy of Rank Certificate)) Enter your Rank/Score Obtained in Exam3.
Exam Name4 Enter name of exam if any.
Date4 Enter the date of Exam4 here.
Registration Number4 (if any) Enter the Registration Number in Exam4.
Rank/Score Obtained4(if any(Attach copy of Rank Certificate)) Enter your Rank/Score Obtained in Exam4.