1. Enrollment Date * 2. Voter ID Card * Voter ID Card Pan Card Aadhar Card 3. Unique ID Number * 4. First name * 5. Last Name * 6. Date of Birth * 7. Educational Qualification * BCA BSc Computer Science Bsc IT MSc Computer Science Msc IT Btech IT Btech Electronics and Communication Diploma MSc Electronics Btech Computer Science MCA Others(specify in text field) 8. If any other please specify 9. College Name * — Select — VSM Degree College CMS Government Girls Polytechnic Raksha Shakti University(SITAICS) Government Women's Polytechnic College, Bhopal Government College For Women, Guntur Viswakarma Govt Engineering College Government Engineering College, Bhavnagar Lukhdhirji Engineering College Lala Kishan Chand Government PG College Government College Of Bhuj APJ Abdul Kalam University Institute of Technology, Jabhua Government college of Engineering, Karad Awadhesh Pratap Singh University Rewa, Madhya Pradesh Gujarat Technological University Ahmedabad Gujarat Government Engineering College, Sector - 28, Gandhinagarn 16 Government Engineering College, Bharuch Government Engineering College, Bhuj Government Engineering College, Modasa Vishwakarma Government Engineering College, Chandkheda Government Engineering College, Dahod Government Engineering College, Valsad Government Engineering College, Rajkot Government Engineering College,at. Katpur, Patan Government Engineering College, Surat L. D. College Of Engineering, Ahmedabad Government Engineering College, Godhara Government Engineering College, Palanpur Shantilal Shah Engineering College, Bhavnagar Dr. Baba Saheb Ambedkar Technological University Ujjain Engineering College Ujjain Govt. College of Engineering Avasari Khurd Pune Samrat Ashok Technological Institute Vidisha Madhya Pradesh Gujarat Power Engineering and Research Institute, Mehsana, Gujarat Sri Krishnadevaraya University AP G.B. Pant Engineering College New Delhi Govt college of Engineering Nagpur Maharashtra Av Parekh Technical Isntitute Rajkot Government Engineering College, Ramnagar Government College of Engineering, Aurangabad Govt. MS. Golwalkar College Satna Govt. Girls PG College Satna Madhya Pradesh Govt. PG College Satna Madhya Pradesh Govt. Girls PG College Shahdol Madhya Pradesh Government College Of Engineering, bargur Krishnagiri Tamil Nadu YSR College of Engineering (Yogi Vemana University) Sri Krishnadevaraya University Anantapur Andhra Pradesh Govt. College of Engineering Chandrapur Maharashtra Govt. College of Engineering Rewa Govt Degree college Ramachandrapuram Rewa Engineering College Rewa Madhya Pradesh Shantilal Shah College of Engineering Bhavnagar Gujarat Guru Nanak Institute of Management and Technology Delhi Shyama Prasad Mukherjee New Delhi Aryabhatta College Delhi Govt. College of Engineering Thanjavur Tamil Nadu Shyama Prasad Mukherjee College for women New Delhi Shivraj College Indira Gandhi Engineering College (IGEC ) Sagar Madhya Pradesh Deen Dayal Upadhyaya College Delhi JNTU Anantapur Andhra pradesh GEC Khushalnagar Bhai Parmanand DSEU Shakarpur Campus II Govt. College of Engineering Dharmapuri Govt. Engineering College Karwar Karnataka SIIT Paniv Solapur Maharashtra Govt. College of Engineering Rajkot Jabalpur Engineering College Jabalpur GEC Rajkot Gujarat GEC Hassan Thanthai Periyar Institute of Technology IGDTUW Delhi RGUKT, RK Valley PDA College GEC Jabalpur RGUKT Ongole JNTU Kalikiri Government College of Engineering, Srirangam RGUKT SKLM 10. Gender * Female Male Other 11. Address * 12. District * 13. State * Andhra Pradesh Gujarat Madhya Pradesh Maharashtra Delhi Tamil Nadu Karnataka 14. Pincode * 15. Contact Number * 16. Email Address * 17. Guardian First Name * 18. Guardian Last Name 19. Guardian Contact Number * 20. Relationship with the guardian * Parent Sibling Relative Grandparents Other 21. Category * General OBC SC ST Others 22. Annual Family Income (Per Annum) * Below 5,00,000 5,00,000-6,50,000 6,50,000-8,00,000 8,00,000-10,00,000 Above 10,00,000 23. Number of Family Members * 24. The profession of Chief Wage Owner * Government Private Self-Employed Others 25. Please specify * 26. Who is Highest educated in family? * 27. Highest Educated Qualification in Family * 28. Semester * Pre-Final Final 29. Please choose the track you are interested in * Artificial Intelligence Web Designing and Digital Marketing Cloud Computing 30. Do you have access to laptop/desktop * Yes NO 31. All the information above is true to my knowledge. * Yes No 32. I disclose the information willingly for it to be used by the authorities for the purpose of the program. Also, the authorities have the right to use the pictures, videos and above mentioned details for media surveys. * Yes No