BE Admission Form

Personal Information* All fields are mandatory

Name of the Candidate*

(As in the Qualifying Examination Certificate)

Date of Birth*

Gender*

Email ID*

Mobile Number*

Mother Tongue*

Religion*

Category*

Nationality*

Region*

Urban
Rural

Permanent Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Local Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Father's Name

Father's Mobile

Mother's Name

Mother's Mobile

Guardian's Name

(if parents are not alive)

Guardian's Mobile

Annual Income of Parent/Guardian

Occupation of Parent/Guardian

Special Category Status

Quota Applied*

Details of Qualifying Examination Passed

Name of the Exam*

Name of the Board*

Reg. No

State*

Month & Year of Passing*

a) Marks Obtained in subjects

Physics

Mathematics

Chemistry

Total Marks in 3 Subjects

Percentage (%)

b) Marks Obtained in DIPLOMA

I/II Sem

III/IV Sem

V/VI Sem

Total of V/VI

Percentage (%)

DECLARATION BY THE CANDIDATE*

I declare that the above said statement / particulars are true and correct to the best of my knowledge and belief. In case the above said statement / particulars are found to be incorrect, this application for the seat is liable to be rejected and fee forfeited
I undertake that as long as I am a student of this college, I will do nothing unworthy of a student of the college either inside or outside or any thing that will interfere with its orderly working and discipline
I am aware that the management has full authority to expel me for not showing interest in studies, misbehaviour or continuous failures
Original certificates should be produced for verification at any time required by the College and the University
I will not join any other Courses without taking permission from the Principal
I will not indulge in or abet ragging. I am fully aware of the consequences of ragging

Personal Information* All fields are mandatory

Details of Qualifying Examination Passed

a) Marks Obtained in subjects

b) Marks Obtained in DIPLOMA

Search

University of Education