etlab | Student Online Application for Academic Year

Personal Details

Full Name *

(as per SSLC Book)

Gender *

Date of Birth *

Age *

Mother Tongue *

Nationality *

Phone No *

Email *

Father's \ Guardian's Mobile No *

Admission Details

Admission for *

Academic Year *

Course Preference

Priority 1 *

Priority 2 *

Priority 3 *

Admission Quota

10th Exam Details

Board *

10th Score *

Higher Secondary School Details

School Name *

Board *

Year of passing *

Higher Secondary Percentage Obtained (Enter the details once the results are published. Otherwise, please skip these fields)

Subject 1 - Physics *

Physics Percentage *

Max Mark:

Subject 2 - Chemistry *

Chemistry Percentage *

Max Mark:

Subject 3 - Maths *

Maths Percentage *

Max Mark:

Science Sub Percentage *

Overall Max Mark

Overall Marks Obtained

Overall Percentage

Entrance Details (Enter the details once the results are published. Otherwise, please skip these fields)

Entrance Type *

Entrance Application No

Entrance Score

Entrance Rank

Entrance RollNo

Contact Details

Present Address

House Name *

Street *

Post / Street 2 *

District *

Pincode *

State *

Country *

Permanent Address [ same as present address ]

House Name *

Street *

Post / Street 2 *

District *

Pincode *

State *

Country *

Enter the code as shown in the image below

Verify Code *

Declaration

I agree ,The above mentioned facts are true and correct to the best of my knowledge and belief.

B.TECH Student Online Application 2024