Online Submission Online Submission

Online Application Form

* Name Mr./Ms. * Father's Name
* Date of Birth: * Father's Mobile No.
* Postal Address * Mobile No.
Phone No.
* Campus * E-mail
* Courses Applied

Educational Qualification

Name of Examination
Year of Passing
% Marks Obtained
Main Subjects
High School
Diploma (For B. Tech 2nd yr. candidates) Diploma (For B.Pharma 2nd yr. candidates)
Any Other (Pls. Specify)
PCM % (for B.Tech candidates only)
PCM= Physics + Chemistry + Math’s
PCB / PCM % (for B.Pharm candidates only)
PCB= Physics + Chemistry + Biology / Math’s
Roll No General Ranks Category Rank
JEE Mains
Roll No All India Ranks State Ranks
Roll No Score Ranks
Roll No Composite Score Percentile
Roll No Percentile  
Other Pls. Specify  
Roll No Score Ranks
 I hereby declare that the information given by me in this form is correct to the best of my knowledge and belief. I have not concealed any fact or material information and I duly possess the minimum prescribed qualification. I understand that in case anything is found contradictory or false, my admission shall be cancelled. I shall abide by all terms, conditions, rules and regulations of the college/University/Government with regards to admissions.
I have understood that my application will be considered only if any seat is available as per University/U.P. Govt. guidelines, otherwise this application will automatically be cancelled. The registration fee is not refundable in any case.