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B.Tech
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Application Form For M.Tech.

Application Form For M.Tech. Admission - Management Quota

( Fill in the blanks in BLOCK letters or put tick () wherever applicable

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1. Name of the candidate as in qualifying certificate
2. Permanent Address
Pin
Telephone (with STD)
Mob
3.Address For Communication
Pin
Telephone (with STD)
4. Email
5. Date of Birth
6. Gender
7. Place of Birth
8. Nationality
9. Religion
10. Community
11. Category
12. Mother Tongue
13(a). Father's Name
13(b). Occupation
13(c). Ph.No. with STD code
Mobile No
14(a).Mother's Name
14(b) Occupation
14(c) Ph.No. with STD code
Mobile No
15. Annual Family Income
16. M.Tech Programme applying for

(1) Communication Engineering

(2) Computer Science & Engineering


17. Have you appeared for GATE examination ?
If yes, Roll No.
Mark
Score
Year
18. Name and address of the school/institution last studied
Pin
Telephone (with STD)
19. Details of qualifying examinations
Degree Institution University / Board Percentage / CGPA Period of study Month and Year of passing
20. Exra-curricular activities:
21. Additional Information, If any
22. How do you come to know about the college
23. Reference Details (If any)
Name of Reference Person
24. Any relatives studying/ studied in MBC
If yes Name and details
25. DD No
Amount
Date
Bank
Branch
* List of documents enclosed

1). Copy of 10th Standard mark list / Certificates

2). Copy of 12th Standard Mark list

3). Copy of B.Tech Degree Mark list

4). Copy of B.Tech provisional /Degree certificate

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