0485 - 2274455 Login Code: MGE
MGM College of Engineering and Technology

Application Form For B.Tech.

Application for Admission to B tech Degree Course 2020-21

( Fill in the blanks in BLOCK letters or put tick () wherever applicable

Admission Quota
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1. Name of the Candidate (In block letters)
2. Date of Birth
3. Age as on 01-01-2020
4. Gender
5. Nationality
6. Religion
7. Caste
8. Category
9. Blood Group
10.Aadhar number
11. Email
12. Permanent Address
Phone Number

13.Address For Communication
Phone Number
14(a). Father's Name
14(b). Occupation
14(c). Mobile No
15(a).Mother's Name
15(b) Occupation
15(c) Mobile No
16. Annual Income
17(a).Guardian's Name
17(b) Relation
17(c) Mobile No
18. Select the order of preference of branches offered
19. Name of the Institution last studied
20. Board of study
21. Details of Marks secured in the plus two examination
21 a). Register No
21 b). Month & Year of passing
SubjectMark ObtainedMaximum MarksGrade
Grand Total
Total Percentage
Total PCM
PCM Percentage
22. Details of Entrance examination
Register No.
SubjectMark Scored
In FiguresIn Words
Paper I(Physics & Chemistry)
Paper II (Mathematics)
Total Marks
23. Details of NRI Sponsor (Only for NRI Quota)
23 a). Name of Sponsor
23 b). Occupation & Address


  • The above information is true to the best of my knowledge and belief and I understand that the admission shall be subject to satisfying eligibility conditions as per AICTE, APJ Abdul Kalam Technological University and Govt. of Kerala.
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MGM College of Engineering & Technology
Pampakuda, Muvattupuzha
Ernakulam Dist.,
Kerala - 686667

Phone no

0485 - 2274455

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