M.Tech Application Form

Name of the Applicant*

Date of Birth*

Gender*

MaleFemale

Nationality*

Religion*

Community*

Mother Tongue*

Name of Parent/Guardian*

Relationship with Guardian*

Address for Communication*

Pin Code*

Telephone

UG Qualification & Discipline

SGPA / % of mark obtained

CGPA / % of Marks obtained

PG Course Preferred

Machine DesignStructural Engineering & Construction ManagementECE – Embedded SystemsBiotechnology and Biochemical EngineeringComputer Science & EngineeringME – Computer Integrated ManufacturingCE – Structural EngineeringEEE– Electrical Machines

Hold Valid GATE Score*

YesNo

Year of Appearance*

Gate Score*

DTE Register No*

DTE Rank*

Admission sought under*

MeritManagement

Passport size photo.

Declaration: I hereby declare, I shall abide by the rules and regulations of the College and the information furnished above are true to the best of my knowledge.

Signature of Applicant*

Code : SBC

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