Yeshwantrao Chavan College of Engineering

M.TECH STUDENT REGISTRATION FORM

General Info

Note : * Marked fields are mandatory

*Admission Mode :

*DTE Application ID :

*Mr/Ms :

*First Name :

*Father's Name :

*Last Name :

Student Full Name : (As Per Last Qualify Exam)

*Mother's Name :

*Date of Birth :

Date of Birth in word :

Gender : Male Female

Marital Status : Single Married

*Student Mobile :

*Student EmailID :

Aadhar No. :

Nationality :

Religion :

Caste :

*Category :

*Admission Category :

Admission Details

*Date of Admission :

*Qualifing Exam :

*Degree :

*Shift Type :

*Year :

*Admission Batch :

*Branch :

*Seat Type :

*Semester :

*State of Eligibility :

*Admission Type :

*Scheme Type :

*Programme Type :

Entrance Exam Scores

Note : Kindly Enter Only Integer Value in the Following Marks Text Boxes. (Example - 50,100,500,etc.)

Exam Name	Year	Registration no. / Seat no.	State Rank	All India Rank	Max Marks	Mark Obtained	Qualifying Marks	Score Valid /Invalid
GATE

Academic Details

Note : Kindly Enter Only Integer Value in the Following Marks Text Boxes. (Example - 50,100,500,etc.)

Name of Examination	Name of Board/University	Name of School/College	Year of Passing	Examination Seat no.(Last)	Degree/Passing Certificate No.	Total Marks Obtained	Out of	Percentage
*Std 10th
*Std 12th

Qualifying Exam Marks

Branch	*Passing Year	*Degree Obtained	*University	*College Name	*Marks Obtained	*Out Of	*Percentage

*Grade:		e.g. A/B/C/D/E/F
*Percentile:

Living Certificate Details

Name of Last College attended :

University enrollment no. :

Address and Contact Details

Local Address

*Local Address :

*City :

*District :

*State :

*PIN :

*Landline Number :

Permanent Address

Copy Local Address :

*Permanent Address :

*City :

*District :

*State :

*PIN :

Landline Number :

Guardian's Address

*Copy Permanent Address :

Guardian Address :

Guardian Occupation :

Guardian Phone :

Father, Mother And Guardian Details

Father's Designation :

Father's Occupation :

Father's Job Detail :

Mother's Designation :

Mother's Occupation :

Mother's Job Detail :

Father's annual income :

Mother's annual income :

Total annual income :

*Father's Mobile :

Father's Office No. :

*Father EmailID :

Mother's Mobile No. :

Mother's Office No. :

Mother EmailID :

Guardian Name :

Relation With Guardian :

Personal Details

*Birth Place :

*Mother Tongue :

Other Language :

Height :

Weight :

Urban/Rural : Urban Rural

Blood Group :

Identity Mark :

Country Domicile :

Account Bank Name :

Branch :

Account No. :