V.P.M's Polytechnic, Thane
First Year Diploma Admission Enquiry Form.
Email address *
Mobile Number *
Name of the student *
Residential address *
Domicile of Maharashtra? *
Place and the State of Birth *
Date of Birth *
MM
/
DD
/
YYYY
Board *
Name and Place of School *
Parents Annual Income *
Religion *
Caste : *
Category *
Select your Preference for the Diploma Programme *
Computer Engineering
Information Technology
Industrial Electronics
Instrumentation
Electrical Power System
Preference 1
Preference 2
Preference 3
Preference 4
Preference 5
Interested in Online MSCIT? *
Percentage score in 10th exam *
A copy of your responses will be emailed to the address you provided.
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