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APPLICATION FORM

(Please Tick in the box)

Course
B- Tech
M- Tech
MBA
BBA
BCA
B-Pharma
Branch for B. Tech.
(Write by Choice)
CS
ECE
Elect.
IT
Auto
Civil
AE
Competitive Exam
Appeared
RPET
AIEEE
RMAT
MAT
RPPT
Other


(Please fill the Details)

Name
Father's Name
Contact Address
Phone No.
Mobile
Residence
Email
Qualification
% of 10th Exam
  % of 12th Exam   % of Graduation
AIEEE Roll No.
 
AIEEE Rank
RPET Roll No
RPETRank
 
RMAT Roll No
RMAT Rank
RPPTRank
Mat Percentile

 

 
Contact For Admission:  
Tel: 0141-4032432, 4032434, 4034655
 
Delhi office: Mr. Subhodh - 093120-72769

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