Vignana Bharathi Institute of Technology
Vidya Nagar, Proddatur, Y.S.R.(Dt), A.P.
STUDENT'S  REGISTRATION  FORM
For B.Tech Courses
1. Name of The Candidate   (Block Letters)
  Surname
2 Date Of Birth
3 Father's /Guardian's Name
  Mother's Name
4 Occupation of  Father/Guardian
5 Annual Income of Father/ Guardian Rs :
6 Place of Bitrth
  Mother Tongue
  Sex
  Marital  Status
  Religion
7 Category
   
  Caste
Present Address
H.No:
STREET  
Village/Town
Dist:
State
Pin code No:     
9 Permanent Address
H.No:  
STREET
Village/Town
Dist:
State
Pin code No:  
10 Name & Place of the Institution in which the candidate last studied :
11 Medium of Instruction of the Qualifying Examination
12 Qualified Examination
  Percentage of Marks
13 Hall Ticket No. of the EAMCET / ECET / ICET / CEEP / PGCET   
 
14 Rank at EAMCET / ECET / ICET / CEEP / PGCET  
  Student Mobile No
  Father Mobile No