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  प्रिंट करने के लिए क्लिक करें
SRMS PROUD 100 REGISTRATION FORM
For Admission in B.Tech. 1st Year
SRMS Engineering Institutions, Bareilly - Lucknow against Management Quota
Candidate Basic Detail Candidate Image
Registration No ---
Course Applied For ---
Branch ---
Addhar No: ---
Registration Under: ---
Name ---
Date of Birth / Sex ---
Native State --- Accomodation Required ---
Father/Guardian Name ---
Relationship --- Occupation ---
Date of Exam --- City of Exam ---
Candidate Contact Detail
House No./Street --- Area Name ---
Town/City --- District ---
State --- Pincode ---
Email ID ---
Mobile No. ---
Candidate Educational Detail
Medium of Instruction --- Mode of Study ---
Status --- Board ---
School Name --- Roll No. ---
Score of SRMSEET-1 --- Score of SRMSEET-2 ---
Branch Preferences
Branch Preference ---
Branch Preference for College-1 ---
2ndCollege Preference ---
Branch Preference for College-2 ---
3rdCollege Preference ---
Branch Preference for College-3 ---
Payment Detail
Fee Description Amount Payment ID Transaction Date
Declaration
I hereby declare that the entries in the application form are true to the best of my knowledge and belief. If any of the entry is found incorrect, I will not have any objection if my candidature for admission would be cancelled. I have carefully read all the instructions given in the prospectus and college manual. I hereby undertake to abide by them. I further declare that no criminal proceedings are under process against me in any court of law of the country or abroad.

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