Albertian Institute of Science and Technology (AISAT)

Application for Admission to B.Tech Degree Programme : 2019

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User Name*

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Password*

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Candidate Details

Quota*

Management Govt.

Name Of Candidate*

Expansion of initials, if any

Date Of Birth [DOB]*

Gender*

Religion*

Community*

Reservation Category*

Permanent Address *

Pincode

Taluk*

Student Contact No [Mob]*

Student Email*

Mother Tongue*

Name of Parent/Guardian*

Name of Mother*

Address of Parent/Guardian*
(if employed please specify the official address)

Pin code

Occupation*

Email*

Office Phone

Resident Phone

Parent Contact No [Mob]*

Annual Family Income of Parent*

(eg: 451250 without comma)

Kerala Entrance Test Results
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Year

Roll / Reg No

Physics+Chemistry Mark

Mathematics Mark

Total Mark

Name of School/Institution attended for SSLC/AISSE(10th)

10th Exam Details*

Exam	Reg No

Month	Year

Name of School/Institution attended for qualifying examination (+2)*

12th Exam Details*

Exam	Board	Reg No

Month	Year

Select Exam & Enter Marks(12th)
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Name of Branch Required - 1st Preference*

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Please remember:After registration now,you have to fill in Entrance and 12th marks when the result is out later for completeness of application.Please ignore if you already entered.

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