PSR ENGINEERING COLLEGE
Applicant Name (As in X Mark Sheet)*
Father/ Mother/Guardian*
Date of Birth*
—Please choose an option—01020304050607080910111213141516171819202122232425262728293031
—Please choose an option—JANFEBMARAPRMAYJUNJULAUGSEPOCTNOVDEC
—Please choose an option—198019811982198319841985198619871988198919901991199219931994199519961997199819992000200120022003200420052006200720082009201020112012201320142015
Age of the Applicant*
Address
District
Phone Number1*
Phone Number2* (Preferably whatsapp)
Email id*
College Preference* —Please choose an option—PSR Engineering CollegePSRR Engineering CollegePSR Arts
Select Degree* —Please choose an option—UGPG
Select Course —Please choose an option—
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