MGCUB B.TECH. PROGRAMME 2019
APPLICATION FORM
Roll Number of JEE-2019 (Main) Exam *
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Name of Applicant *
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Mother’s Name *
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Father’s Name *
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Mobile No *
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E-mail ID *
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Date of Birth *
MM
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DD
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YYYY
Category *
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Sex *
Disability *
Percentage in 10 th (up to 2 decimal point) *
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Percentage in 12 th (up to 2 decimal point) *
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