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APPLICATION FORM FOR ENGINEERING COURSE	Download Form
Please complete the following required information and submit by clicking submit application button below.

Note: Fields Marked with an asterisk (*) are Required Fields.

RPET Rank No.
RPET Roll No
AIEEE Rank No.
AIEEE Roll No.
Branches Preferred (Please choose any 3 according to priority)
I^st Priority
II^nd Priority
III^rdPriority

Personal Information

Applicant's Name *
Date of Birth
Sex	Male Female
Nationality
Category	General SC ST OBC Ex-Service Others

Contact Information

Parent/Guardian Information

Father/Guardian's Name
Address

Educational Qualification

Secondary
Name of Institute
Marks Obtained (%)
Sr. Secondary
Name of Institute
Marks Obtained (%)
Diploma
Name of Institute
Marks Obtained (%)
Transport Facility Required	Yes No
Hostel Facility Required	Yes No