Online Application Form

Online Application Form for the Session 2024-2025

  Applied On: Friday, 01:57am on 29.March.2024 at   Dumkal Institute of Engineering & Technology

* Data once inserted cannot be modified. Please be careful enough while entering the information and make sure that all data has been entered.    

   Personal Details
Degree  (*) Stream  (*)
Semester  (*) Date of Birth  (*)
Name  (*)
Address  (*)
State  (*)
Pin  (*)
Phone
Email ID  (*)
Mobile No:  (*)
Cast        (*)
Gender:  (*)
PH  (*)
Religion:  (*)
Marital Status  (*)
Registration No:  (*)
Nationality At Birth  (*)
Same? Nationality At Present  (*)
Blood Group  (*)
I-Card Name:
AADHAR NO:  (*)
   Rank/Score Details
Examination Enrollment No Rank
WBJEE
JEE Main
JELET (For Lateral)
GATE (For M.Tech) if any
(10+2)th Physics+Chemistry+Mathematics Marks
Physics (Theory) (Practical)
Chemistry (Theory) (Practical)
Mathematics       % Marks in (P+C+M)
   Academic Details
10th Level
Institute  (*)
Year of Passing  (*)
Board/Council  (*)
Marks Obtained  (*)   Out Of?  (*)
Percentage(%)  (*)
Division  (*)
12th Level                   Click to Add 12th Details
Institute
Year of Passing
Board/Council
Marks Obtained   Out Of?
Percentage(%)
Division
Diploma Level             Click to Add Diploma Details
Institute
Year of Passing
Board/Council
Marks Obtained   Out Of?
Percentage(%)
Division
Graduation Level              Click to Add Graduation Details
Institute
Year of Passing
University
Stream
CGPA(%)
 
   Family Details
Father/Husband Name  (*)
Mother's Name:  (*)
Father/Husband Age  (*)
Mother's Age:  (*)
Father/Husband Address  (*)  (*)
Mother's Address:
Same Address?
 (*)  (*)
Family Income Per Annum  (*)
   Reference Details (Any Two)
1. Reference 2. Reference
Name:  (*)
Name:  (*)
Address:  (*)
Address:
Same Address?
 (*)
Phone:  (*)
Phone:  (*)
   Transfer/Migration
I confirm that_________
01. I have not taken admission in any other Institution for B.Tech/M.Tech/equivalent studies.
02. I have joined . Institute for pursuing Course during the session under University. I would submit my migration certificate within days.
   Declaration
 (*)
 
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