Application Form For B-Tech Course - Lourdes Matha College of Science and Technology Trivandrum : Lourdes Matha College of Science and Technology Trivandrum

Inviting Application For B-Tech Course

Click here to read the instructions on how to fill the application form.


Management Quota NRI Quota GOVT Quota	Entrance Rank :	Allotment Code :	Quota :
*1. Name of the applicant :	As Entered in 10th certificate	*Choose your passport size photo	*Upload your Signature
*2. Date of Birth		*3. Gender	Male Female
*4. Aadhaar Number		*5. Blood Group
*6. Religion		*6.a Caste
*7. Community	General RCSC SC OBC OEC ST Other X'ians
*8a. Permanent Address	Address	District	State
	Pin code
*8b. Communication Address Same as Permanent address	Address	District	State

	Pin code
*9.Student Phone Number	Land phone number.	*Mobile number
*10.Student E-mail id

*11. Parents Details	FATHER	MOTHER
Name of Parent
Occupation
Email ID
Mobile No

12. Nationality		13. Annual Family Income
*14. Scheme of study for 10th standard	SSLC,CBSE,ICSE etc.	Year of passing

15. KEAM DETAILS (IF APPLICABLE)
#	Appln Number	Roll Number	Paper I	Paper II	Total	Rank

*16. Details of Qualification Examination	State CBSE ISC Others
Name of Institution		Year of Passing

TOTAL MARKS			PERCENTAGE OF MARKS

SCHEME OF STUDY	Maths		Physics		Chemistry/Equivalent
SCHEME OF STUDY	Marks obtained	Max marks	Marks obtained	Max marks	Marks obtained	Max marks
CBSE / ISC / OTHERS
1st year ( STATE )
2nd year ( STATE )
TOTAL ( STATE )

CBSE/ISC/OTHERS	Maths		Physics		Chemistry/Equivalent
	Marks obtained	Max marks	Marks obtained	Max marks	Marks obtained	Max marks

17. Preferred Branch(CE, CSE, EEE, ECE, ME, CSE with AI)
First Option
Second Option
Third Option
Fourth Option
Fifth Option
Sixth Option

18. Anti Ragging undertaking reference number (www.antiragging.in)

19.DETAILS OF TRUE COPIES TO BE ATTACHED ALONG WITH THE APPLICATION FORM (Each file size up to 250Kb) Please choose a JPG, JPEG, PNG file.
Admit card and Data Sheet issued by CEE
Certificate to prove Date of Birth
Orginal Mark List to prove academic eligibility(Plus Two)
Transfer certificate and Conduct certificate
Pass certificate (if obtained)

DECLARATION BY THE APPLICANT

I hereby solemnly declare that the details furnished are true. I also undertake that any wrong information furnished by me will forfeit my claim for admission. i will obey the rules and regulations of the institution, if admitted. I shall submit all certificates and documents in original at at the time of admission, failing which my admission will be liable for cancellation.

I shall not resort to ragging in any form at any place and shal abide by the rules /laws prescribed by Courts,Governments, affiliating University and College authorities for the purpose from time to time.

I accept the Terms and Conditions