MEASI INSTITUTE OF INFORMATION TECHNOLOGY

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This the Pre-Admission Application form for the Admission into MCA Program of our college. The Interested Candidates can fill-in this form and submit. For more information visit our website www.measiit.com.
For Any Clarifications Please Contact
1.Dr.G.Savithiri Director / MIIT - 9840973777
2.Mr.Y.S.Mohamed Ajwadh Asst.Prof/MIIT - 9840361602
3.Mr.A.K.Mohamed Ghouse Asst.Prof/MIIT - 9790706556

Name *

Mobile Number (Preferably Whatsapp number) *

Email id *

Gender *

Date of Birth *

YYYY

Age *

Religion *

Community *

UG College Name & District *

Degree Completed / Pursuing *

If chosen others (Mention Degree Completed/Pursuing)

Percentage of Marks in UG Degree (Upto 5th Semester) *

Number of Arrear papers in UG (if any)

Percentage of Marks in HSC *

Percentage of Marks in SSLC *

Home Address (Permanent Address) *

District/City *

Pincode *

Address For Communication (if any)

Father / Guardian Name *

Father / Guardian's Mobile Number *

Father's / Guardian Occupation *

Annual Income of Father/ Guardian

I here by declare that the information given by me in this application is correct *

I Agree

Required

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