Admission Form

[Please note that this form is NOT for the SITM Entrance Examination]
Important:

Please download the copy of your application after submission. You will be required to produce a printed copy of the application form along with a fee of Rs. 500.00
(Rupees Five Hundreds Only) to avail the prospectus and complete the application process at the SITM premises.

Personal Details Name of the Student :

Date of Birth: Gender:

Blood Group: [A+]   [B+]   [AB+]   [O+]   [A-]   [B-]   [AB-]   [O-]

Nationality: Religion: Community: Category:
Photo [JPG Format]
Preference of Branch of Engineering
Branch Preference
1 2 3 4 5
Computer Science & Engineering (CSE)
Electrical & Electronics Engineering (EEE)
Electronics & Comm. Engineering (ECE)
Mechanical Engineering (ME)
Civil Engineering (CE)
Academic Details
HSSLC or Equivalent
Board:
Name of the Institution:
Marks Obtained:
% of Marks obtained
Eng. Che. Phy. Maths
HSLC or Equivalent
Board:
Name of the Institution:
% of Marks obtained
Eng. Science Maths
Diploma
Board:
Name of the Institution:

% of Marks obtained:
% of Marks obtained
Eng. Che. Phy. Maths
 

Qualifying Entrance Exams
  Roll. No. Rank
JEE
Assam - CEE
SITM - EE
Family Details Father Name:


Occupation: Tel.:
Mother Name:


Occupation: Tel.:

Permanent address:


State: PIN: Tel. (with STD code):

Address for communication:


State: PIN: Tel. (with STD code):
Email ID:
Declaration

I agree to abide by all the rules and regulations of SITM and Gauhati University, if admitted.
I also hereby declare that the information above are correct to the best of my knowledge & belief.

Check List

i) Attested copy of proof of date of birth.
ii) Attested copies of mark sheet and certificates of Examination starting from HSLC.
iii) A copy of score card of JEE / Assam-CEE
iv) Attested copy of certificate for SC / ST / OBC / Physically handicapped / others.

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