Sha-Shib Group

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SHA-SHIB COLLEGE OF ENGINEERING
APPROVED BY (A.I.C.T.E) NEW DELHI FOR ENGINEERING COURSES & AFFILIATED TO VISVESVARAYA TECHNOLOGICAL UNIVERSITY, BELGAUM.

Application Form For Admission

Name of Student *

Gender

Date of Birth

Father's Name

Father's Occupation

Mother's Name

Mother's Occupation

Annual Income

PermanentAddress:

Present Address

Caste

Domicile

Blood Group

Religion

Nationality

Telephone No.

Mobile No *

E.Mail ID *

Educational Profile :

Class	Name of Board	MarksObtained	Percentage
10th
12th

Admission Type :

KEA Order No. Date	KEA Rank	KEA No.	Alloted Category
COMED-K Order No. Date	COMED-K Rank	COMED-K No.	Alloted Category

Declaration by Candidate

* Mandatory Fields

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