Name of the Student (required)
Gender (required) MaleFemale Contact Phone Number (required)
E-Mail
Father's Name (required)
Annual Income of the Parent / Guardian (required) Less than 2 Lakhs2 - 5 LakhsAbove 5 Lakhs
Address for Communication (required)
Pincode (required)
Name of the School / Institution (required)
Location of the School / Institution (required)
SSLC Mark Details
Class Studied (required) XIIDiploma
Board of Study (required) StateCBSEOthers HSC / CBSE Group (required) Bio-MathsComp-MathsOthers HSC / CBSE Mark Details (if applicable)
Cut Off (if applicable) (Mathematics-50%, Physics-25%, Chemistry-25%) Medium of Study (required) TamilEnglishOthers
Diploma Group (required) CivilCSEECEEEEMechanical Diploma Percentage (if applicable)
Community (required) OCBCMBCDNCSCST
First Graduate (required) YesNo
PREFERRED BRANCH (Kindly give 3 preferences)
Preference 1 (required) AI&DSCivilCSECSE - Cyber SecurityECEEEEITMechanical
Preference 2 (required) AI&DSCivilCSECSE - Cyber SecurityECEEEEITMechanical
Preference 3 (required) AI&DSCivilCSECSE - Cyber SecurityECEEEEITMechanical
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