PIETech Online Admission Form(2021-22)
Name *
Course Applying for *
Date of Birth *
MM
/
DD
/
YYYY
E-mail ID *
Name of the Parent / Guardian *
Address *
Contact Number of the Parent *
Contact Number of the Student *
Gender *
Community *
Nationality *
Religion *
Mother Tongue *
Parents Occupation *
Annual Income *
SSLC Mark
H.Sc Mark
Name and address of the School Studied(HSC)
Hostel Facility *
Bus Facility *
Any other information like Sports,Extra-Curricular Activities etc
Would like to pay Application Fee *
Application Fee - Mode of Payment
If Yes, Pay Rs.100/- (Application Fee) through online. Bank Account details - Account Holder Name: POLLACHI INSTITUTE OF ENGINEERING AND TECHNOLOGY, Bank Name: Union Bank of India, Account Number:510321000020882, IFSC Code : UBIN0903817, Branch: Poosaripatti.
Would You like to pay Seat Booking Amount (Rs.5000) *
Seat Booking Fee - Mode of Payment
If Yes, Pay Rs.5000/- (Booking Amount) through online. Bank Account details - Account Holder Name: POLLACHI INSTITUTE OF ENGINEERING AND TECHNOLOGY, Bank Name: Union Bank of India, Account Number:510321000020882, IFSC Code : UBIN0903817, Branch: Poosaripatti
I am aware of PIETech or Anna University admission eligibility condition and also I agree to receive information regarding admission and follow it from time o time *
Required
For more enquiries Contact: 9688245777. Seat booking amount will be reduced from the actual fee to be paid after the result.
Referred by *
Send UTR or Transaction ID to the College email id (pollachitechology@pietech.edu.in)along with your Name, Course Applied and Date of payment.
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