Registration Form 2013 for Mathura Campus
Name
:
Course
B Tech (Mechanical)
B Tech (Civil)
B Tech (Computer Science)
B Tech (Electronics & Comm)
B Arch
Master of Applied Management
MBA
Correspondence Address :
E-mail :
Tel. No.(with std code) :
Mobile No. :
Academic
Highschool
Board
Year
Percentage
Intermediate
Board
Year
Marks Aggregate
Percentage
Math.
Phy.
--Select--
Chemistry
Biology
Biotechnology
Computer Science
Engg Drawing
Obtained Marks
out of
Diploma
Specialization
Board
Year
Percentage
Graduation
Degree
University
Year
Percentage
Post Graduate
Degree
University
Year
Percentage
Exam Name
Score
Percentile
Rank
Month & year
I solemnly declare that all the information given above is true to the best of my knowledge. If anything is found to be wrong then I will be responsible for it.
