Student Name
Student Phone Number
Parent/Guardian Phone Number
Student Email (Optional)
Preferred Degree Program —Please choose an option—Computer Science & Engineering (CSE)Computer Science & AIML (CSM)Computer Science & Engineering - Data Science (CSD)Computer Science & Engineering - IoT (CSO)Information Technology (IT)Electronics & Communication Engineering (ECE)Civil Engineering (CE)Mechanical Engineering (ME)Electrical & Electronics Engineering (EEE)
State —Please choose an option—Andhra PradeshArunachal PradeshAssamBiharChhattisgarhGoaGujaratHaryanaHimachal PradeshJharkhandKarnatakaKeralaMadhya PradeshMaharashtraManipurMeghalayaMizoramNagalandOdishaPunjabRajasthanSikkimTamil NaduTelanganaTripuraUttar PradeshUttarakhandWest BengalAndaman and Nicobar IslandsChandigarhDadra and Nagar Haveli and Daman and DiuLakshadweepDelhiPuducherryLadakhJammu and Kashmir
GPA/Letter Grade/Percentage in Intermediate/12th Grade
EAPCET Rank (Optional)