Application Form

SREE BUDDHA COLLEGE OF ENGINEERING, PATTOOR

B.Tech Online Application

Application No:

Name of the Applicant:

Date of Birth:

Gender:

Nationality:

Religion:

Community:

Mother Tongue:

Name of Parent/Guardian:

Relationship:

Address for Communication:

Pin Code:

Telephone: -

Mobile:

Email:

Details of Mark / Grade Obtained in the Qualifying Exam

10th: , , — / (%)

12th: , , — / (%)

Diploma: , , — /

Marks Secured for Mathematics, Physics & Chemistry

Total Mark Secured: /

Entrance Examination (Not applicable for NRI/OCI applicants)

Name of the Examination:

Register No:

Rank:

Branch Preferred:

Admission Sought Under:

I hereby declare, I shall abide by the rules and regulations of the College and the information furnished above are true to the best of my knowledge.