RJIT - B. Tech. Admission Form 2023 (BSF/CAPF Ward)

Centre Code*

School Code*

12th Exam Roll No.*

Name of Board*

Year of Passing/Appearing*

JEE Main Exam Application No.*

JEE Mains 2023 CRL

Aadhar No. *

Name in full *

Father's Name *

Mother's Name *

Photograph *

Mobile No. *

WhatsApp No.

E-Mail ID (Candidate)*

E-Mail ID (Parents)

Identificatioin Mark of Candidate

Date of Birth (As per 10/12 Marksheet) *

Gender*

Male Female Other

Organization*

BSF CAPFs

Unit, if BSF*

Rank (only BSF wards)*

Officers SOs ORs Widow

Nationality*

Indian NRI

Domicile*

M.P. Non-M.P.

If yes, then attach Domicile Certificate (if not available, attach self-declaration format)
Click Here to download self-declaration format *

Economically Weaker Section*

Yes No

If yes, then attach EWS certificate issued by the competent authority *

Tuition Fee Waiver*

Yes No

If yes, then attach Income Certificate issued by the M.P. Government *

Category*

Gen SC ST OBC

If Physically Handicapped*

Yes No

If yes, then attach appropriate certificate issued by the competent authority *

Are you a resident of J & K ?*

Yes No

If yes, then attach appropriate certificate issued by the competent authority *

Academic Qualification *

High School

School Name

Board

Subjects

Year of Passing

Marks Obtained

Max. Marks

Percentage

Higher Secondary

School Name

Board

Core Subject Group
Select Subject Group to Enter Detail

Physics, Chemistry, Maths Others

Physics Marks

Out of

Chemistry Marks

Out of

Mathematics Marks

Out of

Core Subject-1 Name

Core Subject-1 Marks

Out of

Core Subject-2 Name

Core Subject-2 Marks

Out of

Core Subject-3 Name

Core Subject-3 Marks

Out of

Year of Passing

Marks Obtained

Max. Marks

Percentage

Other Qualifications

Name of Examination

School Name

Board

Subjects

Year of Passing

Marks Obtained

Max. Marks

Percentage

Correspondance Address*

Address where Parent is serving*

Mobile No.

Document Attachments*

10th Marksheet*
12th Marksheet/Admit Card (only if result is awaited)*
JEE Main 2023 Marksheet/Admit Card (only if result is awaited)*
Father's Service Certificate or Any Other Service Proof *

APPLICATION FORM FOR ADMISSION IN B. TECH. COURSES IN RJIT - 2023 (JEE Candidates)

(FOR BSF/CAPFS WARDS ONLY)
To be filled by candidate

APPLICATION FORM FOR ADMISSION IN B. TECH. COURSES IN RJIT - 2023 (JEE Candidates)

(FOR BSF/CAPFS WARDS ONLY)To be filled by candidate

(FOR BSF/CAPFS WARDS ONLY)
To be filled by candidate