Admission Form – Church of South India Institute of Technology ( CSIIT )

1. Name of the Applicant: (Block Letters as per SSC)

2. Upload Passport Size Photo:

3. Application seeking admission to “B” Category seats (i.e. Management Seats) in :

4. Date of Birth (dd/mm/yyyy) (As per SSC):

5. Gender:

6. Age:

7. Father’s Name:

8. Mother’s Name:

9. Address for Correspondence (With Pin code):

10. Telephone (With STD Code):

11. Cell Phone 1:

Cell Phone 2:

12. E-mail:

13. Category/Caste:

14. Rank

SAR – RANK (NATA):

JEE RANK:

PGECET RANK:

15. Candidate ID

NATA Candidate ID:

JEE Candidate ID:

PGECET Candidate ID:

16. Registration No

NATA Registration No:

JEE Registration No:

PGECET Registration No:

17. Scores

NATA Score:

JEE Score:

PGECET Score:

18. Marks

Intermediate - Marks Obtained :

Out Of :

Percentage (%):

Diploma - Marks Obtained :

Out Of :

Percentage (%):

Degree - Marks Obtained :

Out Of :

Percentage (%):

19. Inter Marks - MPC (Optional)

Maths - Marks Obtained :

Percentage (%):

Physics - Marks Obtained :

Percentage (%):

Chemistry - Marks Obtained :

Percentage (%):

20. Upload Signatures

Signature of the Applicant:

Signature of the Father / Mother / Guardian

DECLARATION

We declare that all the foregoing statements made in this application as true. We accept that any statement made in this application, if found incorrect on scrutiny, will render the application liable for rejection. Admission if granted on the basis of such incorrect information will stand cancelled.

Enclosures:

SSC/Inter/Dip./Degree or its equivalent certificate (photocopy) for ascertaining date of birth
Marks sheet of Intermediate (10+2)/Dip/UG or its equivalent (Photocopies)
NATA/JEE/PGECET-2024 Hall Ticket (Photocopy) & SAR/JEE/PGECET -2024 Rank Card
Registration fee of Rs. 1000/- in the form of crossed bank demand draft drawn in favour of “CSIIT, Secunderabad” payable at Secunderabad.

Note:

Please bring two copies of the application (photocopy). With enclosures to the college and obtain acknowledgement on the photocopy with registration number.

CSIIT Admission Form

14. Rank

15. Candidate ID

16. Registration No

17. Scores

18. Marks

19. Inter Marks - MPC (Optional)

20. Upload Signatures

DECLARATION

Enclosures:

Note:

CSIIT, Secunderabd

Quick Links

Contact Nos

Follow Us On