Infant Jesus College of Engineering

Name of the student * :

Date of Birth * :

Place of Birth * :

Nationality * :

Phone No. :

Mobile No. * :

Alternative Mobile No. :

E-mail * :

Religion * :

Caste * :

Community * :

Hostel Accommodation required (Optional) :

College Bus Facility * :

Name and Address of the Institution in which last studied * :

Name of the Father * :

Father's Occupation * :

Qualification Exam/Degree	Board / University	Registration Number	Year of Passing	Percentage
HSC
Diploma

Permanent Address * :

Temporary Address * :

UG Application Form