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an ISO 9001:2008 Certified
Approved by AICTE
NBA Accredited





MTech Admission Online Application Form



Personal Details

Name*
Email*
DOB*
Phone*
Gender*MaleFemaleOther
Place of Birth*
State*
Nationality *
Country *
Passport* and Validity details
Valid from
Expiry Date
Visa* and Validity details
Valid from
Expiry Date
Religion*
Caste*
Subcaste
Category*
Blood Group*
Annual Income *
Mother Tongue*
Select Department *


Father Name*
Father Occupation*
Father Mobile *
Mother Name*
Mother Occupation*
Mother Mobile *
Permanent Address *
Communication Address *
Pin code *
Telephone (STD/ISD)
Student Mobile
Student Email


Academic Details

Examination Passed Date & Month & Year % of Marks Board / University
SSLC / X std
II PU / XII std


Engineering Details

Engineering in
Month and Year of Passing
Board / University



Engineering Details
Year / Sem Marks Obtained Total Marks Aggregate
1st year / sem
2nd year / sem
3rd year / sem
4th sem
5th sem
6th sem
7th sem
8th sem
Total

PG CET Details

GATE Details

Any National level Entrance Test

If handicapped, any special attention required ? YesNo

Aadhar Card / Voter Id*
Student Bank Account No
Name as specified in Bank Account
Name of the Bank
Name of the Branch
IFSC Code
NEFT Code


Declaration

I
Son / Daughter of
of Sri

Seeking for Admission to I Year BE Engineering at Cambridge Institute of Technology, K.R Puram, Bangalore do hereby declare that I Will abide by the Rules and Regulations as well as the following

terms and conditions