CMS College of Engineering and Technology

Coimbatore - 641032.

Admission 2020 - 21

Online Application Form - UG Course Regular

1. Name of the Applicant :
2. Select Course Applied :
3. Gender :
4. Date of Birth :
5. Blood Group :
6. Nationality :
7. Religion & Caste :
8. Community :
9. Father's Name / Guardian's Name :
10. Father's Occupation :
11. Mother's Name :
12. Mother's Occupation :
13. Family Income Per Annum :
14. Mother Tongue :
15. Languages Known :
16. Student Phone Number :
17. Father Phone Number :
18. Mother Phone Number :
19. Physically Challenged. If Yes, Please specify :
20. Are yon son/daughter of ex-service man?
21. Is Hostel Accommodation required :
22. Transportation :
23. Permanent Address :
Pincode :
24. Address for Communication :
Pincode :
25. Address and Phone Number of the Local Guardian, if any :
26. Student Aadhaar Number :
27. Student Email ID :
28. School Name (XII) :
29. School Medium:
30. Reference by whom:
31. XII School Board:
32. XII School Register Number:
33. First Graduate:
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