Online Application

Name of the Applicant

DOB

Native Place

Nationality

Religion

Caste

Address

District

Address for Communication

District

Name of Parent/Guardian

Occupation of Parent/Guardian

Email Id

Name of Local Guardian

Email Id

Annual Income of Parent/ Guardian

Permanent Address of Parent/ Guardian

District

Pin code

Mobile

Telephone with STD Code

Permanent Address of Parent/ Guardian

District

Pin code

Mobile

Telephone with STD Code

Branch to which Admission is sought

Mechanical Engineering(ME)
Electrical and Electronics Engineering(EEE)
Electronics and Communication Engineering(ECE)
Computer Science and Engineering(CSE)
Civil Engineering(CE)

Choice	Branch
First
Second
Third
Fourth
Fifth

Educational Qualification

Examination Passed	Board/University	Month & Year Of Passing	Registration Number	Percentage Of Marks	School/College Where Last Studied
SSLC/Equivalent
+2/Equivalent

NRI Resident (Yes/No)

No (If you want to change please toggle this menu)

Details Of Entrance Examination Performance

By Govt. of Kerala / Any Other Body(Specify)	Year	Roll No.	Rank Secured	Mark Scored

Qualifying Examination Passed CBSE VHSE ICSE HSE

Entrance Examination Performance

Subject	Mark Obtained	Max Marks	Percentage Of Marks
Maths		100/200
Physics		100/200
Chemistry		100/200
Total		300/600
English		100/200

Achievements in Extra Curriculum Activities

Level(National/ State)	Item	Year	Grade/ Position

Additional Information

Declaration

I hereby declare that the facts mentioned are true and complete to the best of my knowledge and I shall produce the originals of the certificate at the time of interview.