SKYLINE GROUP OF INSTITUTIONSGreater Noida

Application Form

Counselled By: ______________________________ Date: ___________________

PERSONAL DETAILS

Name :_______________________________________________________________________

Mobile No :_________________________ E-mail ID :__________________________________

Date of Birth :_______________________ Nationality :_________________________________

Category : (General/SC/ST/OBC)__________________ Gender : M F

State of Domicile :______________________________

Address :______________________________________________________________________________________________

FAMILY DETAILS

Father's Name :___________________________________________________ Occupation :___________________________

Mobile No :__________________________________ E-mail ID:__________________________________________________

Income (Monthly/Yearly)________________________________

Mother's Name :__________________________________________________ Occupation :____________________________

Mobile No :__________________________________ E-mail ID:__________________________________________________

ACADEMIC QUALIFICATION DETAILS

Examination School / College Board/University Year of % of Phy. Maths Chem./ EnglishPassed Passing Marks Other

IIT / JEE Roll No.:________________

CAT / MAT Score:________________

CAT / MAT Roll No.:______________

Reference (If Any):_______________

BRANCH PREFERENCE

(1) Undergraduate Programme

(B.Tech)

1. Computer Science & Engg.

2. Electronics & Communication Engg. (IT)

3. Mechanical Engg.

4. Electrical & Electronics Engg.

5. Civil Engineering

(2) Polytechnic Programme

(Diploma in Engineering)

CSE IT ME-Protuction

EE Civil

(3) Post Graduate Programme

MBA MCA

(4) Pharmacy Programme

B. Pharma D. Pharma

(5) Professional Programme

BBA B. Com

I declare that the aforesaid information provided by me is true and best of my knowledge and in case of any false information my admission is

liable to be cancelled. I further agree to abide by the rules and regulations of Skyline Institute of Engineering & Technology.

Student's Signature

Passport size photo