Vedavyasa Institute of Technology

First Name *

Last Name *

Gender *

Date of Birth *

Academic Year *

Program*

Course Name*

Admission Quota *

Adhaar no *

Contact *

Mobile *

Nationality*

Email id*

Religion *

Reservation Category *

Name of Father *

Name of Mother*

Father's Mobile No*

Mother's Mobile No*

Communication Details

Permanent Address

Communication Address (Same as Permanent)

Address1*

Address2*

Street*

City*

PIN Code*

City*

PIN Code*

Nationality*

State*

Educational Details

SSLC

Board / University*

Institution Name*

Year of passing*

Mark/Grade Obtained*

Max Mark*

Percentage*

Higher Secondary

Course

Board / University*

Malayalam/Hindi*

Max Marks*

Marks Obtained*

English*

Max Marks*

Marks Obtained*

Maths*

Max Marks*

Marks Obtained*

Chemistry*

Max Marks*

Marks Obtained*

Physics*

Max Marks*

Marks Obtained*

Computer Science/ Biology*

Max Marks*

Marks Obtained*

Total mark*

Max Marks*

Marks Obtained*

Malayalam/Hindi*

Max Marks*

Marks Obtained*

English*

Max Marks*

Maths*

Max Marks*

Chemistry*

Max Marks*

Marks Obtained*

Physics*

Max Marks*

Marks Obtained*

Computer Science/ Biology*

Max Marks*

Marks Obtained*

Total mark*

Max Marks*

Marks Obtained*

Institution Name*

Year of passing*

KEAM DATA

B TECH

University*

Institution Name*

Year of passing*

Mark/Grade Obtained*

Max Mark*

Percentage*

UG/DEGREE

University*

Institution Name*

Year of passing*

Mark/Grade Obtained*

Max Mark*

Percentage*

Any other achievement - Academic or otherwise*

Course Preference ( )

Preference 1 *

Preference 2 *

Preference 3 *

Preference 4 *

Preference 5 *

10th file upload *Upload pdf Only,
*File must be less than 2MB

12th file upload *Upload pdf Only,
*File must be less than 2MB

Keam file upload *Upload pdf Only,
*File must be less than 2MB

Visa *Upload pdf Only,
*File must be less than 2MB

Passport *Upload pdf Only,
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Activities

AEECE

Communication Details

Educational Details

SSLC

Higher Secondary

KEAM DATA

B TECH

UG/DEGREE

Course Preference ( )