ME(Computer) Admission Form - MMCOE
Application for admission to AY 2018-2019 for ME First Year.
Email address *
Class: *
Admission Round: *
DTE Application ID: *
Region: *
Personal Details:
Photo: *
Full Name of the student: *
As per SSC marksheet
Title: *
First Name: *
Middle Name: *
Last Name: *
Mother's Name: *
Father's Name: *
Husband's Name: *
Write NA if not applicable
Address for Correspondence: *
Complete Address
Pin code:
Residence Number: *
Write NA if not available
Student Mobile Number: *
Only 10 digits
Student E-mail id: *
Enter a valid email address to which this form should be sent as PDF
Date of Birth: *
Write in format: mm/dd/yyyy Ex: 09/27/1998
Date of Birth (in words): *
Ex: September Twenty Seven Nineteen Ninty Eight
Place of Birth: *
District of Birth: *
State of Birth: *
Nationality: *
Mother Tongue: *
Marital Status: *
Gender: *
Blood Group: *
Hostel Accommodation Required? *
CPRN Number: *
As on your College ID-Card
Religion: *
If other pls specify you religion:
Write NA if not applicable
Caste: *
Category: *
Physically Disabled? *
If Yes, Attach proof while submitting the hard-copy of form
Student's Aadhar Card No: *
Student's PAN Number: *
Academic Record
Please Enter your marks correctly, Put NA wherever not applicable
Year of passing (10th) *
Name of 10th Board *
Marks Obtained /Maximum marks
10th Percentage
Year of Passing 12th/ Diploma *
Name of 12th / Diploma - Board
Marks Obtained /Maximum Marks for 12th/ Diploma *
Example 520/650
12th / Diploma Percentage *
UG Details:
UG Stream: *
Name of University: *
Name of the College: *
Month & Year of Passing: *
Percentage/CGPA Obtained: *
Is there a gap after UG:
Whether Appeared for GATE: *
GATE Seat No:
If GATE Appeared, Enter your score: *
Write NA if not applicable
If Sponsored, write name of your organisation: *
Write NA if not applicable
Other Details
Write NA wherever not applicable
Full Name of Father / Guardian: *
Occupation of Father: *
Father's Mobile Number: *
Write only 10 digit number
Full Name of Mother: *
Occupation of Mother: *
Mother's Mobile Number:
Write only 10 digit number
Permanent Residential Address: *
Write Full Address
Pin Code : *
If Guardian, Relation with applicant:
Occupation of the parent/Guardian: *
Annual Income of parent from all the sources: *
Student Bank Details
Give details of account linked with your Aadhar card only
Name of the Bank: *
Branch Name & Address: *
IFSC Code: *
5th Character of IFSC code is 0 (Zero). Please type IFSC code properly
Account Number: *
Please fill account number very carefully, if the first digit of account number is Zero, please enter 0 as well, do not skip
Account Type: *
Amount of Education Loan Required / to be taken (if any):
Write NA if not applicable
Name of Bank:
Name & Address of branch:
Contact Number of Branch:
Anti-Ragging Affidavit filled?
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