Application Form
All fields are mandatory
Personal Details
Name
:
Date of Birth
:
Age
:
Sex
:
Male
Female
Nationality
:
---------- Select Nationality ----------
Afghanistan
American
Argentinean
Armenian
Australian
Austrian
Bangladeshi
Belgian
Brazilian
British
Canadian
Chinese
Croatian
Danish
Dutch
Finnish
French
German
Greek
Hungarian
Indian
Irish
Italian
Japanese
Korean
Mexican
Nepalese
New Zealander
Palestinian
Polish
Portuguese
Singaporean
Spanish
Sri Lankan
Swedish
Uruguayian
Religion
:
---------- Select Religion -----------
Hindu
Muslim
Christian
Sikh
Jain
Inter-Religion
Others
No Religious Belief
Caste
:
Name of Parent/Guardian
:
Occupation
Annual Income
---------- Select Annual Income----------
Less than 50000
50000-100000
100000-150000
150000-200000
Above 200000
Contact Information
Address to Which Communication
is to be sent
:
Phone Number with STD Code
:
Contact Mobile Number
:
E-mail
:
Applying for
Select Application
:
---Select Stream----
B.Tech
MBA
MCA
M.Tech
Qualifying Examination Passed
Sl.No
Subject
Marks Obtained
Max Marks
% of Marks
1
2
3
4
5
6
Total
Entrance Examination Details
Roll No
:
Marks Details
Subject
Marks Obtained
Paper 1
Paper 2
Total
Entrance Rank
Entrance Examination Details
Examination Passed
:
Percentage Obtained
:
Entrance Exam Appeared
:
Entrance Exam - Roll No
:
Entrance Exam - Rank
:
Your Information
At KMCT you’re in control of how your personal information is used. We will never share your data without your prior expressed permission.