JIMS Engineering Management Technical Campus
Registration Form
* mandatory fields
*
Programme :
B.Tech-Computer Science and Engineering(CSE)
B.Tech-Electronics and Communication Engineering(ECE)
B.Tech-Mechanical Engineering (ME)
B.Tech-Electrical Engineering(EE)
B.Tech-Civil Engineering (CVE)
B.Ed.
B.A. LLB
BBA LLB
BBA
BCA
Enrollment number:
*
Scheme
:
Regular
Lateral Entry
*
Category:
General
SC
ST
OBC
*
Campus Location:
*
Full Name:
(The name should be as in the certificate of last examination passed.)
*
Gender:
Male
Female
*
Date of Birth:
[dd/mm/yyyy]
*
Marital Status:
Single
Married
*
Nationality:
*
Address of Communication:
*
Telephone Number:
Mobile:
*
E-mail Id:
*
Academic Qualifications
Exam passed
Board/Univ.
Subjects
Year
Aggregate Marks
Percentage
X
XII
Any other Quatification
Previous Employment:
Presently Working With:
Any Other Inofrmation:
Date (mm/dd/yyyy)
*
Place
*
Note :: Kindly ensure that all the fields are filled in correctly.