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Engineering Admissions

Name

Age

Gender

Male Female Prefer Not to say

Community

DOB

Mobile No

Email Id

Passport size Photo

Blood group

Father /Guardian Name

Father / Guardian Occupation(per annum)

Mother Name

Mother Occupation

Mother Income (per annum)

Father / Mother Phone number 1

Father / Mother Phone number 2

Current House Address for communication

Own House

Yes No

If No, rent paid per month

10th School Name

10th School Address

10th School (Pvt / Govt)

12th Marks

Specialization in Class XII

12th School Name

12th School (Pvt / Govt)

12th School Address

Name of Headmaster/Headmistress

Headmaster/Headmistress Phone No

Engg Cut off (out of 200)

First Generation Graduate

Yes No

Applied for Anna University Counseling

Yes No

10th Marksheet

12th Marksheet

School Recommendation Letter

Income Certificate

Community Certificate

Sibling1 Name

Sibling1 Education

Sibling1 Occupation

Sibling2 Name

Sibling2 Education

Sibling2 Occupation

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