MAULANA ABUL KALAM AZAD UNIVERSITY OF TECHNOLOGY, WEST BENGAL
(FORMERLY KNOWN AS WEST BENGAL UNIVERSITY OF TECHNOLOGY)
REGISTRATION APPLICATION FORM
STUDENT'S ADMISSION INFORMATION (
)
Ref. No.:
Session:
College Code:
College Name:
Course Under By:
Admission Type:
Entrance Test/Scholarship:
Course:
Stream:
Admission Category:
Entrance Roll No:
Entrance Rank:
Mobile:
Email:
Student's Residential Status:
Student Name:
Aadhaar No:
Passport Valid Upto:
Country:
Nationality:
STUDENT'S ADDITIONAL INFORMATION
*
Student Name:
*
Father's Name:
*
Mother's Name:
*
Date Of Birth:
*
Category:
*
Sex:
Select Sex
Male
Female
Others
*
Blood Group:
Select Blood Group
A+
A-
B+
B-
O+
O-
AB+
AB-
NOT-KNOWN
*
Religion:
Select Religion
Hinduism
Islam
Christianity
Sikhism
Buddhism
Jainism
Zoroastrianism
Others
GURDIAN'S DETAILS
*
Name:
*
Address:
*
Concact No:
*
Relation With Student:
STUDENT'S CONTACT DETAILS
*
Address:
*
Alternative Mobile:
*
Domicile Type:
Select Domicile Type
Domicile Of Origin
Domicile Of Choice Or Necessary Domicile
Domicile By Operation Of Law
Others
*
State:
*
District:
*
Pin:
*
Visa No:
*
Visa Type:
Select Visa Type
Tourist
Student
*
Visa From Date:
*
Visa To Date:
EDUCATIONAL DETAILS
*
Examination Type:
*
Examination Name:
*
Passing Year (YYYY):
Select Passing Year (YYYY)
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
*
Registration No:
*
Board/Council:
*
Marks Obtained:
*
Class/Division:
*
DGPA/CGPA:
*
Upload Certificate/Final Mark Sheet:
** Only
.pdf
format with
200KB
is allowed
Action
SlNo
Examination Type
Examination Name
Passing Year
Registration No
Board
Marks
Class Or Division
DGPA
View (Uploaded Doc.)
Action
1
DOCUMENTS UPLOAD
*
Photo Of Student:
** Only
.jpeg/.jpg
format with
200KB
is allowed.
*
Signature Of Student:
** Only
.jpeg/.jpg
format with
200KB
is allowed.
*
DOB Proof:
** Only
.pdf
format with
200KB
is allowed.
*
Anti Ragging Declaration:
** Only
.pdf
format with
200KB
is allowed.
## Forms to be downloaded from
antiragging.in
*
Allotment/Rank Card:
** Only
.pdf
format with
200KB
is allowed.
*
Domicile Document:
** Only
.pdf
format with
200KB
is allowed.
*
** Only
.pdf
format with
200KB
is allowed.
*
Caste Certificate Proof:
** Only
.pdf
format with
200KB
is allowed.
Marks Entry Of 12th
×
*
Language-I/Other's
*
Language-II/Other's
Mathematics/Other's
Physics/Other's
Chemistry/Other's
Biology/Other's
Com. Sc./IT Related/Other's
Total
Details Of Certificate/Marksheet
×
Acknowledgement Print
×