Malla Reddy College of Engineering for Women-MAISAMMAGUDA

B. Tech ADMISSION APPLICATION FORM for the A.Y. 2023-2024

Course :

Branch : *

Name of the Student(as per SSC): *

Father Name : *

Mother Name : *

Date Of Birth : *

Contact No 1 : * Invalid Phone Number

Contact No 2 : Invalid Phone Number

E-Mail ID : * Not Valid

H.No./Area : *

Village/Town :

Mandal : *

District : *

PinCode : * Invalid Pin Code

State : *

Caste : *

Relegion:

Sub-Caste :

Mother Tongue:

SSC Hall Ticket No. : *

SSC School Name : *

SSC Year of PASS :*

SSC Result %: *

Intermediate Hall Ticket No. :*

Intermediate College Name :*

Intermediate Year of PASS :*

Inetrmediate Result % :*