ADMISSIONS-2021
Thank you for choosing Coimbatore Institute of Engineering and Technology.
Kindly spend few minutes to fill this form, for us to understand your interest.
Applicant Name *
Parent's Name *
Gender *
Mobile No (Self) *
Parent Mobile No *
e-mail address *
Residential address *
District *
State *
Name of the School *
Board of School Studies *
12th Group *
+2 Registration Number *
Mathematics marks out of 100 *
Physics marks out of 100 *
Chemistry marks out of 100 *
Are you the first graduate in your family? *
Date of Birth *
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DD
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10th Total Mark (out of 500) *
Community *
Course Preferred *
Referred By *
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