M Y F O R M
Note:
Use Capital Letters Only
Personal Details
FIRST NAME :
LAST NAME :
REGISTER NO :
DOB :
AGE :
GENDER :
-- select your Gender --
MALE
FEMALE
OTHERS
FATHER'S NAME :
MOTHER'S NAME :
ADDRESS :
PINCODE :
EMAIL :
MOBILE NO :
LANGUAGE KNOWN :
EDUCATION LEVEL COMPLETED:
-- select an option --
UNIVERSITY
COLLEGE
HIGH SCHOOL
NONE
COLLEGE NAME :
YEAR OF PASSING :
ENGINEERING QUALIFICATION :
-- select an option --
B.E.
B.TECH.
M.E.
M.TECH.
M.B.A.
M.C.A.
ENGINEERING DEPARTMENT :
-- select an option --
COMPUTER SCIENCE AND ENGINEERING
INFORMATION TECHNOLOGY
ELECTRICAL AND ELECTRONICS ENGINEERING
ELECTRICAL AND COMMUNICATION ENGINEERING
AERONAUTICAL ENGINEERING
CHEMICAL ENGINEERING
MECHANICAL ENGINEERING
AUTOMOBILE ENGINEERING
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