Icfai University | B.Tech Program Admission Test | B.Tech.Program| Top Engineering College




   Please read instructions before filling this Online Application Form.

1. Name of the Applicant

Upload your Passport Photo

Please upload your recent color Photograph (JPG / GIF format only)
(size 3.5 cm X 4.5 cm)

Max. Size 25 Kb

2. Parent's/Guardian's Name
3. Test Option
4. Test Center Code (Please Specify)
5. Gender
6. Citizenship
   (Are you an Indian Citizen)
(If  " No" please specify your Native Country) 

Yes  No               
7. Date of Birth
8. Admission Test appearing for    JEE(Main)/Others Engg Entrance Tests
9. Academic Record
        Aggregate(%)                Year of Passing
9a. Class X      
9b. Class XI      
9c. Class XII       (For Students who completed Class XII)
10. Branch/University Preferences
(Indicate Your Five Preferences)
Ist Preference 2nd Preference 3rd Preference
4th Preference 5th Preference

Note: To reselect the preferences,

11a. Mailing Address1  
11b. Address2 
11c. Address3 
11d. City/Town
12. State
13. Pincode
14. Telephone Number
15. Mobile Number
16. Email ID
17. Name & Address of the College/School (10+2/ Intermediate)
17a. Address Maximum 100 characters 
17b. City
17c. State
17d. Pincode
18. Name of the Board
      (10 + 2 / Intermediate)
19. Syllabus( In class XII ) CBSE    ICSE    State    Others   
20. JEE (Main) 2016/State Level Engineering Entrance Tests - Application No.

        Entrance Test Name                    Application No.                              Test Score

(Please send separately the photocopy of respective Score Card on or before May 30, 2016. )
21. SOURCE OF CONTACT (Please select or mention how you came to know about ICFAI)
Search Engine (Google/Yahoo/Bing/Others)      Website      Social Media ( Facebook/Twitter/Other)   

New Paper Article         Newspaper/Magazine advertisements       Electronic Media (FM/TV)      Education Fairs    
Friends          Events       Alumni/Students          Teachers   
22. MODE
Payment Mode
23. Declaration

I declare that I have read and clearly understood the rules governing and the eligibility criteria for admission into the B.Tech. Program. I hereby agree to abide by the same. I certify that I satisfy the eligibility requirements of the B.Tech. Program as stated in the Prospectus and Application guidelines of B.Tech program and have furnished correct information.

I Agree