MAHAGURU INSTITUTE OF TECHNOLOGY

Online Application Form

1. Name of Candidate (In Block Letters) *

2. Date of birth (in Christian era) *

3. Permanent Address *

4. Nationality *

5. Religion *

6. Caste *

7. Mother Tongue *

8. Name of Father/Guardian *

a). Occupation *

b). Contact Number *

9. Name of Mother *

a). Occupation *

b). Contact Number *

10. Name of the institution last attended *

11. Qualifying exam passed[+2 /Diploma] *

12. Register No. & Year of Pass *

13. No of Chances *

14. Total Marks/ Grade obtained in the SSLC / Equivalent exam *

Mark / Grade Obtained *

Maximum Marks *

percentage of marks / Grade *

15. Marks in P/C/M for +2 / Equivalent examination I, II & III Year Marks for diploma examination

Subject *

Physics / I Year Diploma

Mark Obtained *

Maximum Marks *

Subject *

Chemistry / II Year Diploma

Mark Obtained *

Maximum Marks *

Subject *

Mathematics / III Year Diploma

Mark Obtained *

Maximum Marks *

16. Kerala State Entrance Exam / LET

Rank

17. Admission sought under *

18. Choice of Branch of study in the order of preference *

19. Passport Size Photo

20. Signature of Candidate

Amount To Pay (Minimum 25000)

Place

DECLARATION
This is to certify that the informations furnished above are true. It is further declared that I shall abide by the rules and regulations of the college.

AGREE DISAGREE

B Tech Admission

Online Application Form