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Computer Engineering

Surname Father Name First Name
Email ID    
Mother Name  
Date Of Birth  
Nationality State    
Cast-Subcaste  
Blood Group  
Students Mobile No    
Last College Attended  
Passport Size Photo (Note: Email the Photo to Email: sshastri.ccoew@gmail.com)  
Details of Exams Passed
Board Exams Exam Seat No Month & Year Total Marks Total % Marks PCM Total PCM Totals
            PHY CHEM MATHS  
10th
12th
Diploma Vth Sem
The marks should be calculated out of 100
MHT-CET Roll No MHT-CET Marks CET-Maths Marks CET-Phy Marks AIEEE Roll No AIEEE Marks AIEEE National Rank
Category: Hostel Accommodation needed
Name and Address with Pin Code of parent  (Telephone No. along with STD code & Mobile No.)
House/Flat No Society/Area    
Street Name District City
Pin Code   Tel. No. with STD Mobile No  
Name and Address with Pin Code of Local Guardian (Telephone No. along with STD code & Mobile No.)
Local Guardian's Name :  
House/Flat No Society/Area    
Street Name District City
Pin Code   Tel. No. with STD Mobile No  
Details about the Organization where parents are working
Name of the Organization      
Telephone No. Mobile No    
Total Annual Income of Father Total Annual Income of Mother