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B.Tech Lateral Entry Application Form
B.Tech Lateral Entry Application Form
Fax
: 0484 2463828
DL
a) Sex
b) Nationality, Religion & Caste
c)
Place of Birth
(Village/Town, District, State)
1st Year
2nd Year
3rd Year
Name of Institution studied
for Diploma Course
Do you require Hostel
9
accommodation
Details of all extra
10 curricular activities, prizes
won etc.
8
Declaration :
I hereby declare that the particulars given in this form are true,
complete and correct to the best of my knowledge and belief.
Place :
Date :
of the Applicant
Signature of Guardian
Signature
AMOUNT
250.00
95000.00
5000.00
10000.00
950.00
1000.00
PTA
ASAP & Add on Course
Grand Total
1000.00
10000.00
1,23,200.0
0
Payment Details
Managing Trustee,
Kalady/Angamaly.
PAYMENT
CASH
300.00
3000.00
3000.00
1200.00
7500.00