mail@mgmcet.ac.in 0485 - 2274455 Login Code: MGE
MGM College of Engineering and Technology

Application Form For B.Tech Lateral Entry

APPLICATION FOR ADMISSION TO B TECH DEGREE COURSE 2020-21

( Fill in the blanks in BLOCK letters or put tick () wherever applicable

image size [150Wx200H]
1. Name of the Candidate (In block letters)
2. Date of Birth
3. Age as on 01-01-2020
4. Gender
5. Nationality
6. Religion
7. Caste
8. Category
9. Blood Group
10.Aadhar number
11. Email
12. Permanent Address
Pin
Phone Number


13.Address For Communication
Pin
Phone Number
14(a). Father's Name
14(b). Occupation
14(c). Mobile No
15(a).Mother's Name
15(b) Occupation
15(c) Mobile No
16. Annual Income
17(a).Guardian's Name
17(b) Relation
17(c) Mobile No
18. Select the order of preference of branches offered

19. Name of the Institution last studied(Diploma)
19 a). Register No
19 b). Month & Year of passing
19 c).Diploma mark
19 d) . Diploma Percentage
20). Plus2 Percentage
21). SSLC Percentage

Declaration

  • The above information is true to the best of my knowledge and belief and I understand that the admission shall be subject to satisfying eligibility conditions as per AICTE, APJ Abdul Kalam Technological University and Govt. of Kerala.
Upload your Signature
image size [140Wx60H]
Upload Parent's Signature
image size [140Wx60H]

Place

MGM College of Engineering & Technology
Pampakuda, Muvattupuzha
Ernakulam Dist.,
Kerala - 686667

Phone no

0485 - 2274455

Email

mail@mgmcet.ac.in
Online Grievance Redressal System

© 2019 All Right Reserved. MGM College of Engineering & Technology    Designed By: Tedsys