etlab | B.TECH Student Online Application for Academic Year 2023

Personal Details

Candidate Name *

(as per SSLC Book)

Gender *

Date of Birth *

Age *

Mother Tongue *

Nationality *

Candidates mobile no *

Candidates email id *

Parents mobile no *

Admission Details

Admission for *

Academic Year *

Course Preference

Priority 1 *

Priority 2 *

Priority 3 *

Admission Quota *

10th Exam Details

Board *

Reg.no *

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)

Physics Mark

Chemistry Mark

Maths Mark

Maths & Physics & Chemistry(%)

Overall (%)

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

Exam Name

Application No

Entrance Rank

Contact Details

Present Address

House Name *

Permanent Address [ same as present address ]

House Name *

Street *

Post office *

Pin *

District *

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