Examination Centre:
SelectVisakhapatnamVijayawadaAnakapalleMSMETC-pudimadaka

Course Title:
SelectDiploma in Advanced Mechatronics & Industrial Automation (3Yrs)Diploma in Advanced Die & Mould Making (3Yrs)

Name:*

Father's Name:*

Mobile No:*

Email ID:*

Correspondence Address:*

Pincode:*

Permanent Address:*

Pincode:*

Std Code:

Phone No:*

Alternative Mobile no:

Email Id:*

Date Of Birth:*

Gender:*
—Please choose an option—MaleFemaleOther

Nationality:*
IndianForeignNationals

UID(Aadhar No):*

Caste/Category:*
SCSTOBCGeneral

Minority:*
YesNo

if Yes():*
MuslimChristianBuddhistParsiJainNone

Any Physical Disability:*
YesNo

If Yes Specify: