JIET Application Form - 2019
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Personal Detail
Qualification Detail
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Personal Information
Title
*
-----Select-------
Mr.
Ms.
Kumari
Candidate Name
*
Father Name
*
Mother Name
*
Date of Birth
*
Course
*
-----Select-------
B.Tech.
M.Tech.
MBA
Design
Ph.D
Nursing
Hotel Management
Email-Id
*
Mobile No.
*
Father Mobile No.
*
Upload Photo
*
Addhar Card
*
Category
*
General
OBC
SC
ST
SBC
Pincode
*
Father Occupation
*
Government
Private
Self Employed
Father Department
*
Family Income
*
Physical Handicaped
*
Yes
No
Religion
*
Hindu
Muslim
Other
Address
Address
*
State
*
City
*
Pincode
*
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Token Number
*
Mail Id
*
Date of Birth
*
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