Application Form for B. Tech (Working Professionals)

Note:
Before filling the online application form, a candidate must possess a scanned image of his/her photograph and other required certificates as per the specifications given below:

1. Photograph must be a recent passport size colour picture
(Only jpg/jpeg format, Size should be less then 500kb)

2. Qualification Certificates (Matriculation/12th/ITI/Diploma/Any Other)
(Only in separate pdf format, Size should be less then 1mb)

Personal Details

First Name*	Middle Name	Last Name

Select Gender*
MaleFemale

DOB*

Nationality*

Father's Name

Mother's Name

E-mail Address*

Phone Number*

Address*

City*

State*

PIN Code*

Aadhaar Number*

Qualification Details

Course	School/Institute	Board/University	Obtained Marks	Maximum Marks	Percentage	Upload Documents (Only pdf format, Size should be less then 1mb)*
Matriculation*
12th
ITI
Diploma*
Any other

Apply For: B.Tech Practice in *

Are you currently working?*
YesNo

Employer Details

S.No	Name of the Employer	From	To	Designation	Experience in Years
1*
2
3

Upload your photo (Only jpg format, Size should be less then 500kb)*

Upload NOC (Only pdf format, Size should be less then 1mb)

I hereby declare that all the above information given by me are true to the best of my knowledge and belief.