Heera College of Engineering & Technology

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ONLINE REGISTRATION FORM FOR B.TECH 2011 ADMISSION

	Name
	Address
	Street Address
	Address Line 2
	City
	State / Province / Regian
	Postal / Zip Code
	Country
	Branch
	Aggregate Prercentage of Marks in the 12th Standard (if result available)
	Maths	Physics	Chemistry
	Aggregate Percentage of Marks in the 10th Standard for all Subjects

	Scheme of Study for 10th Standard
	Scheme of Study for 12th Standard
	Quota under which admission is sought
	Entrance Score
	Name of the Parent
	Educational Qualification of Parent
	Community of the Candidate
	Phone
	Mobile
	Email