Admission Form
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     Admission Form

(Approved by AICTE, New Delhi & D.T.E., Govt. of Maharashtra.
Affiliated to Shivaji University, Kolhapur, Courses Accredited by NBA)

Application form for Admission to first Year Degree Courses in Engineering in "MANAGEMENT QUOTA"
or
"Seats likely to be Vacant after CAP" for the year 2008-2009

Exam    
Name :
  (Surname) ( First Name) (Middle Name)
Name of Father : Age :
Name of Mother : Age :
Address :
 
 
Tel no. / Mobile no. :
E-mail ID
Date of Birth : Place of Birth :
Cast :
Sex :
Last School / Colleges Attended :
Choice of Courses : (In order of Preference )
2.
3.
4.
5.
6.
7.
 
Details of Marks scored :
Sr. No. Exam Passed Month & Year of Passing
Marks Scored
/ out of
Name of University or Board
01
S.S.C.(10th)
02
H.S.C.(12th)
03
04
Marks obtained in PCM at H.S.C. /I.S.C., MHT-CET-2008/AIEEE-2008
Subject Marks Scored out of 100 Total Out of 300
Physics  
Chemistry  
Maths  
MH-CET 2008-200 Seat No. :
AIEEE 2008/200 Seat No. :