Professional Documents
Culture Documents
Application
Application
PIN TELE
4. PRESENT ADDRESS WITH PIN CODE AND TELE NO, IF ANY: (FOR CORRESPONDENCE)
PIN TELE
5. Choice Of EKT Centre 1:__________________________________ Centre 2:__________________________________
6. DATE OF BIRTH (DD/MM/YYYY) (As per Matriculation Certificate):__________________________________________
7. VISIBLE IDENTIFICATION MARK:____________________________________________________________________
8. MARITAL STATUS: SINGLE/MARRIED/WIDOWER/WIDOW/DIVORCEE_____________________________________
9. GENDER: MALE/FEMALE__________________________________________________________________________
10. E-Mail:_________________________________________________________________________________________
11. Choice of stream: Aeronautical Engg (Electronics) / Aeronautical Engg (Mechanical) (Strike out which is not applicable)
12. Technical Qualification (BE/B.Tech etc.)_________________________________________________
(a) Engineering Discipline_______________________________________________________________
(b) Subjects in Graduation (Write subject codes):{For AE(L) refer Para 4 (a) and For AE (M) refer Para 4 (b)}
1.___________2.__________3._________4______________5.___________6.____________7.___________8._________
(c) Name of College & Place____________________________________________________________________________
(d) Name of University_________________________________________________________________________________
(e) Likely date of Final Results in DD/MM/YYYY(For appearing students)_________________________________________
(f) Semester / Year wise marks:-
Place: __________________________
Date: ___________________________
LEFT THUMB IMPRESSION FOR MEN / SIGNATURE OF APPLICANT
RIGHT THUMB IMPRESSION FOR WOMEN