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INSTRUCTIONS FOR FILLING THE APPLICATION FORM :
 
  1. Fill in the application form in capital letters. The form should be complete in all respects.
  2. Check (√) in the correct box properly.
1. WBJEE JEE(MAIN) Others
First Preference Stream : CE ME EE ECE CSE
Second Preference Stream : CE ME EE ECE CSE
  RANK : (Required for WBJEE/JEE(MAIN))
 
2. Name :
 
3. Date of Birth : (DD/MM/YYYY)
 
4. Father's Name / Guardian Name :
 
5. Mailing Address :
 
  Street Name:
  City:
  State:
  Pin:
  Phone (landline):
  Mobile:
  E-mail:
 
6. Please choose an option :
 
  SC* ST* OBC* KASHMIRI MIGRANT* GENERAL (* Relevant certificate to be produced at the time of ADMISSION)
 
7. Academic Qualification :
 
EXAMINATION STREAM YEAR NAME OF SCHOOL / COLLEGE / INSTITUTION BOARD / UNIVERSITY PERCENTAGE OF AGGREGATE MARKS PERCENTAGE IN PHY+ CHEM+ MATH (PCM) PERCENTAGE IN ENGLISH
Std. X
Std. XII
Other
    

Note :

1. Eligibility criteria for Physics, Chemistry and Math (PCM) for General caste is minimum 50 % marks (all together) 2. Eligibility criteria for of Physics, Chemistry and Math (PCM) for SC, ST, other caste is minimum 45 % marks (all together) 3. Minimum 30% marks required in English.
 
Declaration
I have read the information brochure and agree to follow all the terms and conditions given therein. All entries made in this application form are true to the best of my knowledge and belief. I will produce original certificates at the time of ADMISSION. My candidature can be cancelled at any stage, if any information given is found to be untrue.

I accept the above Declaration.

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