Online Admission
To,
  The Principal,  
                     I request you to kindly consider my candidature for admission to First  
  year of Post SSC Diploma Course in Engineering in your Polytechnic. I am furnishing all  
  necessary details prescribed format.  
  I have passed my SSC examination from   District  
     
  A. Preference of course: Please select choice of branch;  
  1  
  2  
  3  
  4  
     
  B. Details of Candidate:  
  Full Name of the Candidate  
  Full Name of the father       
     
  Sex    Date of Birth  / /  
     
  Name of the Caste    Name of the Religion   
     
     
  C. Address:  
                    Pin:  
  Taluka:  Dist:     State:  
  Phone:             Mobile:    
  Email:     
     
  D. SSC Examination:  
  Marks obtained:  
 
Subject Marks Obtained Out of
English
Maths
Science
Grand Total
 
     
  Whether passed SSC examination with technical subjects:     
     
  E. Whether passed HSC examination with technical subjects:  
  F. Whether passed HSC examination with MCVC:                   
  G. Do you claim seat reserved for:  
      Reserved category:       If yes,  
      Physically handicapped:  
      Female candidate:       
      Technical candidate:    
     
 

 

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