REGISTRATION FORM
(Mark the appropriate choice)
PERSONAL DETAILS
1.
Name (In English Block Letters)
:
*
2.
Date of Birth
:
*
3.
Gender
:
*
Male
Female
4.
Father's Name
:
*
Occupation
Mobile
:
*
Email
5.
Mother's Name
:
*
Mother's
Occupation
:
CONTACT DETAILS
6.
Permanent Address
:
*
Email ID
:
*
Phone
:
(O)
(R)
(M)
7.
Correspondence Address
:
*
OTHER DETAILS
8.
Course
:
Select Course
M.TECH
B.TECH
POLYTECHNIC
9.
Branch
:
Select Branch
Computer Science Engineering
9.
Branch
:
Select Branch
Computer Science Engineering
Electrical & Electronics Engineering
Electronics & Communication Engineering
Mechanical Engineering
Civil Engineering
9.
Branch
:
Select Branch
Diploma in Mechanical Engineering
Diploma in Civil Engineering
Diploma in Automobile Engineering
Diploma in Electrical Engineering
10. JEE Main Rank / Jeep
All India Rank
:
*
Overall
Category
State Rank
:
*
Overall
Category
11.
Roll No. in Qualifying Exam
:
*
12.
Other Details
Class X%
Class XII %
PCM%
Graduation%
Applied For Bank Loan
Select
Yes
No
13.
Admission Category
:
Through Counseling
Management Counseling
14.
Seat Category
:
General
SC
ST
OBC
Others (Specify)
15.
Hostel
Required
Not Required
16.
Transportation
Required
Not Required
17.
Source of Information about Doon Group of Institute.
Hoardings
Dainik Jagran
Times of India
Internet
Kiosks
Amar Ujala
Others
18.
Bank Name
:
*
Bank Draft No.
*
Registration Fees for B.Tech & M.Tech Rs. 5000/- Polytechnic Rs. 4000/- Draft In favor of DIET and Payble at Raiwala
For Online Payment our Bank Details is Below
UPLOAD RECORDS
19.
Please upload your recent photograph
:
*
20.
Signature of Candidate
:
*
21.
Signature of Parent/Guardian
:
*
Name
:
Date
:
29-Nov-2023
Enter the Code as shown in Image
:
*
BANK DETAILS
Bank Name :
PUNJAB NATIONAL BANK
Account No :
0922002100100823
IFSC Code :
PUNB0092200