Admission Form

Applicant Name

Father's Name

Mother's Name

Date of Birth

Aadhar Number

Address

City/Town

State/Province

ZIP/Postal Code

Mobile Number

Email id

Gender

Category

Class 10th or Matric Percentage

Class 12th or Intermediate/ Diploma/Graduation Percentage

Course Applied for

3 Years Polytechnic (Regular)

2 Years Polytechnic (Lateral Entry)

Branch Applied for

Diploma in Civil Engineering

Diploma in Electrical Engineering

Diploma in Computer Science

Diploma in Mechanical Engineering

Diploma in Electronics Eng

Diploma in Artificial Intelligence

Declaration

I hereby declare that details furnished in the form are true to my knowledge.