[] 1 Step 1 Online Application Form Nameyour full name Father's Nameyour father's full name Mother's Nameyour Mother's full name Date of Birtheg. 11/02/1983 Genderpick one!Select GenderFemaleMaleOthers Ageyour full age Adaar Card No.Your adhaar Card Number DomicileSelect An OptionChhattisgarhOther State NationalityAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua And BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia And HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (keeling) IslandsColombiaComorosCongoCongo, The Democratic Republic Of TheCook IslandsCosta RicaCote D'ivoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-bissauGuyanaHaitiHeard Island And Mcdonald IslandsHoly See (vatican City State)HondurasHong KongHungaryIcelandIndiaIndonesiaIran, Islamic Republic OfIraqIrelandIsraelItalyJamaicaJapanJordanKazakstanKenyaKiribatiKorea, Democratic People's Republic OfKorea, Republic OfKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyan Arab JamahiriyaLiechtensteinLithuaniaLuxembourgMacauMacedonia, The Former Yugoslav Republic OfMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia, Federated States OfMoldova, Republic OfMonacoMongoliaMontserratMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinian Territory, OccupiedPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussian FederationRwandaSaint HelenaSaint Kitts And NevisSaint LuciaSaint Pierre And MiquelonSaint Vincent And The GrenadinesSamoaSan MarinoSao Tome And PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia And The South Sandwich IslandsSpainSri LankaSudanSurinameSvalbard And Jan MayenSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwan, Province Of ChinaTajikistanTanzania, United Republic OfThailandTogoTokelauTongaTrinidad And TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.s.Wallis And FutunaWestern SaharaYemenZambiaZimbabwe State CasteEg. GEN, SC, ST, SC. ReligionEg. Christian, Hindu. Mobile No.a valid mobile no. Emaila valid email Present Address0 / Permanent Address0 / Annual Income Father/Mother Occupation Please provide academic details of class 12th & 10th Secured minimum 45% marks in PCM in +2 for General CategorySecured minimum 40% marks in PCM in +2 for SC/ST/OBC Category Board/Universityfor class 12th Statefor class 12th Marks Obtainedfor class 12th Board/Universityfor class 10th Statefor class 10th Marks Obtainedfor class 10th Qualify JEE (Obtained positive marks)Qualify CGPET for CG Domicile (Obtained minimum 10% marks) i.e. 15 marks Entrance Exam Passedpick one!Select An OptionJEE MainsCGPET Marks ObtainedJEE/CGPET Marks 1st Branch Preferenceeg. Mechanical, electricalSelect An OptionCOMPUTER SCIENCEELECTRICALMECHANICALELECTRONICS & TELE. 2nd Branch Preferenceeg. Mechanical, electricalSelect An OptionCOMPUTER SCIENCEELECTRICALMECHANICALELECTRONICS & TELE. 3rd Branch Preferenceeg. Mechanical, electricalSelect An OptionCOMPUTER SCIENCEELECTRICALMECHANICALELECTRONICS & TELE. 4th Branch Preferenceeg. Mechanical, electricalSelect An OptionCOMPUTER SCIENCEELECTRICALMECHANICALELECTRONICS & TELE. Fileupload all your marksheet and passport size photographUpload Submit Form Previous Next
