Admission Form
ADMISSION APPLICATION FORM - 2021-22- DIPLOMA IN ENGINEERING
Date : Form No. Enrollment No. Armiet Pin :
Full Name *Application Id (as per Cap Letter) *:
Form Id : Gender: Nationality * :
Marital Status : Religion : CAP *:  Caste *: Sub-Caste *:
Date of Birth : Permanent Address *: Address for Correspondence *:
Mother Tongue *: Place of Birth *: Mobile No. *: Email ID *:
Domicile (State):Hostel Required? *: Physical Disability?: Applying Category :
PARENTS DETAILS
TOTAL FAMILY INCOME : TOTAL FAMILY MEMBERS :
FATHERS DETAILS
Name : Mobile No. Email Id: Occupation :
MOTHERS DETAILS
Name : Mobile No. Email Id: Occupation :
EDUCATIONAL DETAILS
SSC or 10th Equivalent Details
Grading System :

CGPA : Percentage : 		Seat No : Marks/CGPA
Out of : Percentage : Board / University :
Month & Year of Passing :
PROGRAM APPLIED FOR
SSC or 10th Equivalent Details
Grading System :
CGPA : Percentage : 		Seat No : Marks / CGPA :
Out of : Percentage : Board / University :
Month & Year of Passing :

Hsc / I.T.I Or Equivalent Details

H.sc : I.T.I :
Grading System :
CGPA : Percentage : 		Marks/CGPA : Out of :
Percentage : Board / University : Month & Year of Passing :
PROGRAM APPLIED FOR
UPLOAD DOCUMENTS
SSC or Equivalent Statement of Marks
Upload Scanned copy of original document only *
SSC or equivalent Certificate
Upload Scanned copy of original document only
HSC or Equivalent Statement of Marks
Upload Scanned copy of original document only
HSC or equivalent Certificate
Upload Scanned copy of original document only
ITI or Equivalent Statement of Marks
Upload Scanned copy of original document only
ITI or equivalent Certificate
Upload Scanned copy of original document only
School Leaving Certificate / Transfer Certificate
Upload Scanned copy of original document only
Caste Validity (For Reservation
Upload Scanned copy of original document only
Caste Certificate (If Applicable)
Upload Scanned copy of original document only
Migration Certificate
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Domicile Certificate
Upload Scanned copy of original document only
Income Certificate
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Lingusitic Affidavit
Upload Scanned copy of original document only
Aadhar Card
Upload Scanned copy of original document only *
Address Proof
Upload Scanned copy of original document only
Bank Details of Student linked with Aadhar card (If Available)
Bank Name :
Account Number : Branch : IFSC : MICR :
 
DECLARATION
I hereby declare and confirm that the above information is true and accurate. I am completely aware that, If at anytime the information is found to be false or incorrect, my admission will be canceled, fees forfeited and I will be expelled from the institute.
Date: 10/5/2024
Payment Method