GOVT. COLLEGE OF ENGINEERING & TEXTILE
TECHNOLOGY HOSTEL,BERHAMPORE(Formerly known as CTT(B))
 

Student Registration Form     

Personal Information
First Name *
Last Name *
Date Of Birth * (Type dd-mm-yyyy or
                              Click On Month,Year->Year)
Blood Group *
Marital Status *
Sex *
Religion *
Caste
Mother Tongue *
Parent Details
Father's Name *
Mother's Name *
Name of the Guardian
( If applicable )
Relationship with
the Candidate
Parent's/Guardian's
Occupation *
Annual Income*
Mobile No. of the Parent/Guardian *
Land No. of the
Parent/Guardian
Communication Address
Postal Address * State *
District * Pin *
Personal Phone No. * Email Address *
Education Details
Course Lateral Entry
Session *   Rank Number *
Year Stream
University Reg. No. University Roll No.
Secondary Marks(%) * HS Marks(%) *
Diploma Marks(%) * (If not applicable then 0) B-TECH Marks(Average) * (If not applicable then 0)
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