COURSE APPLIED FOR: B.TECH

• Choice-I *
  CSEECEENMECIVIL

• Choice-II *
  CSEECEENMECIVIL

• Choice-III *
  CSEECEENMECIVIL

• JEE/CUET Appeared *
  YesNo

• JEE/CUET Roll No. *
  

• JEE/CUET Rank(All India) *
  

CANDIDATE PERSONAL DETAILS

• Name *
  

• Father's Name *
  

• Mother's Name *
  

• Date of Birth *
  

• Mobile No *
  

• E-Mail *
  

• Aadhar No *
  

• Category *
  GENSCSTOBC

• Gender *
  FemaleMale

EDUCATIONAL QUALIFICATION

• 10th/High School Passing Year *
  

• Board/University *
  

• School/College *
  

• % of Marks *
  

• Subjects *
  

• 12th/Intermediate Passing Year*
  

• Board/University *
  

• School/College *
  

• % of Marks *
  

• Subjects *
  

• Address *
  

• City *
  

• State / Province / Region *
  

• Postal / Zip Code *
  

Please take a printout of the pdf and send it along with a Demand Draft of Rs. 20,000.00 payable in favour of "C. B. S. College of Engineering & Management" payable at Agra