Name of Student*: Date of Birth (DD-MM-YYYY): Gender: MaleFemale Name of Parent /Guardian: Occupation: Religion: Caste: SC/STOBCNA DD No: Address: Pin: Tel: Mobile*: Email*: Details of Marks obtained in Plus 2 Scheme/Syllabus whichever is applicable: SelectKeralaCBSEICSE Name of School: Marks obtained in Physics: Marks obtained in Chemistry: Marks obtained in Maths: Total PCM marks: Total PCM %: Common Entrance Exam Rollno: Rank: Branch to which the student wishes to join Mechanical Engineering Civil Engineering Computer Science Electronics and Communication Electrical and Electronics 1st Choice: SelectMechanical EngineeringCivil EngineeringComputer ScienceElectronics and CommunicationElectrical and Electronics 2nd Choice: SelectMechanical EngineeringCivil EngineeringComputer ScienceElectronics and CommunicationElectrical and Electronics 3rd Choice: SelectMechanical EngineeringCivil EngineeringComputer ScienceElectronics and CommunicationElectrical and Electronics DECLARATION   I,   declare that the above said information are correct to the best of my knowledge.