1. First name * 2. Last Name * 3. Email Address * 4. Contact Number * 5. Unique ID Card * Voter ID Card Pan Card Aadhar Card 6. Unique ID Number * 7. Date of Birth * 8. Gender * Female Male Other 9. 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 B.E/ B.Tech EEE B.E/ B.Tech Instrumentation Others(specify in text field) If any other please specify 10. College Name * — Select — VSM Degree College College of Engineering Perumon College of Engineering Trivandrum 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 Khushal Nagar 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 RGUKT University Srikakulam Andhra Pradesh Rashtriya Raksha University (RRU) - Lavad College of Engineering, Pathanapuram Govt. College of Engineering, Patan JNTU Pulivendula University College of Engineering Government Engineering College, Raichur College of Engineering, Aranmula Government College of Engineering, Tirunelveli Dr. B.R.Ambedkar University, Srikakulam Government College of Engineering, Kannur Bhagini Nivedita College Delhi Government Engineering College Wayanad Maharaja Ranjit Singh Punjab Technical University, BATHINDA Khwaja Moinuddin Chishti Language University, Lucknow, Uttar Pradesh Mata Sundri College for Women, Delhi Government Engineering College, Mosalehosahalli Goel Institute of Technology and Management, Lucknow Government Engineering College, Talakal Government MCA College Maninagar, Gujarat Azad group of Institutions, Lucknow Government Sri Krishna Rajendra Silver Jubilee Technological Institute, Bengaluru Chaitanya Deemed To Be University, Telangana Annamacharya Institute of Technology and Sciences University BDT College of Engineering (UBDTCE), Davanagere Ashoka Institute of Technology and Management, Varanasi Government College of Engineering, Krishnagiri, Bargur RGUKT Nuzvid Rayalaseema University College of Engineering JNTUA College of Engineering, Pulivendula Mahatma Gandhi University Khammam Institute of Technology & Sciences Mina Institute of Engineering & Technology for Women Shadan Women's College of Engineering & Technology Avanthi Institute of Engineering & Technology Avanthi's Scientific Technological & Research Academy Vaagdevi College of Engineering Vaagdevi Engineering College Government Engineering, Chamarajanagar - Karnataka Government Engineering College, Idukki - Kerala Sree Chaitanya Institute of Technological Science, Telangana GEC Yavatmal Megha Institute of Engineering & Technology for Women, Telangana Government Engineering College Barton Hill- Kerala Megha Women's Degree & PG College Omega Women's Degree & PG College Omega Degree College Accurate Group of Institute Gautam Buddha University Sam Higginbottom University of Agriculture, Technology and Sciences, Prayagraj IFTM University, Moradabad (UP) Jyothishmathi Institute of Technology & Sciences, Telangana Government Engineering College, Gangavathi Government Engineering College, Bellary University of Visvesvaraya College of Engineering (UVCE), Bangalore JNTUK University College of Engineering, Vizianagaram Government Engineering College KR Pete, Karnataka RGUKT Basar BVRIT Hyderabad College of Engineering for Women Ambalika Institute of Management & Technology, Lucknow Sanskriti University Dronacharya Group of Institution I.K. Gujral Punjab Technical University KIET Women's College Kakinada Atal Bihari Vajpayee Govt. Institute of Engineering and Technology, HP Rajiv Gandhi Government Engineering College, Kangra, Himachal Pradesh TMU Moradabad Govt New Science College, Rewa Sri Venkateswara College Alagappa Chettiar College 11. UG Percentage (Till last semester) * 12. 12th/ Intermediate Percentage * 13. PG Percentage (Till last semester) 14. Address * 15. District * 16. Pincode * 17. State * Andhra Pradesh Gujarat Himachal Pradesh Madhya Pradesh Maharashtra Delhi Punjab Tamil Nadu Telangana Karnataka Kerala Uttar Pradesh 18. Guardian First Name * 19. Guardian Last Name 20. Guardian Contact Number * 21. Relationship with the guardian * Parent Sibling Relative Grandparents Other 22. Category * General OBC SC ST Others 23. 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 24. Income Certificate Available? * Yes No Eligible, Will submit when required. 25. Number of Family Members * 26. The profession of Chief Wage Owner * Government Private Self-Employed Others 27. Please specify * 28. Who is Highest educated in family? * 29. Highest Educated Qualification in Family * 30. Semester * Second Year Pre-Final Final 31. Please choose the track you are interested in * Artificial Intelligence Full Stack Web Development Cloud Computing Foundation Course 32. Do you have access to laptop/desktop * Yes NO 33. Do you have Internet access * Yes No 34. All the information above is true to my knowledge. * Yes 35. 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 35. I will adhere to guidelines and complete the program. * Yes