Professional Documents
Culture Documents
Keep this form filled-in by hand for error-free Data entry during ONLINE Registration
1) Personal Details
• Gender : ______________________
• Community : ______________________
• Sub-Caste code : ______________________
• Address : ______________________
• Pincode : ______________________
• Nationality : ______________________
• Religion : ______________________
• City : ______________________
• State :_______________________
• Srilankan Tamil refugee :__ YES/NO ________
• Annual income of Parent / Guardian : ________
• Disability(if any) :__ YES/NO _______________
• Eligible for Postmatric Scholarship :____YES/NO____
2) Educational Details
SSLC / Xth
• SSLC Registration Number : ______________________
• SSLC year of passing : _______________________
• Name of the Institution (SSLC) : ____________________
• District : __________________
• State : _____________________
HSC / DIPLOMA
• HSC/Diploma Registration No : ______________________
• HSC year of passing : ______________________
• Name of the Institution (HSC) : ________________________
• District : __________________
• State : _____________________
QUALIFYING DEGREE
• Qualifying Degree Registration No : _____________________
• Qualifying Degree year of passing : _____________________
• Name of the Institution (Degree) : ________________________
• District : __________________
• State : _____________________
• Qualifying Degree : ______________________
• Specialization : ______________________
• University Name : ______________________
• Final / Pre-Final Sem Marks (%) : ___________
3) Examination Details
• Center : ______________________
• Choice for Subject : ______________________
(applicable only for M.E / M.Tech / M.Arch / M.Plan)
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CEETA-PG
Counselling Fee: Counselling Fee:
M.E./M.Tech./M.Arch./ M.Plan.
Rs.250/- + 18 % GST Rs.500/- + 18 % GST
Inclusive of Counselling Charges for admission: Total = Rs.795/- Total = Rs.1590/-
Note:
Once the application is submitted, there is no scope for change of any data.
Your details are verified only after the payment of examination fees.
Keep the printout of your application for any reference in future
SAMPLE OF APPROVED PHOTOS