Joginpally B.R.Engineering College

J.B GROUP OF EDUCATIONAL INSTITUTIONS
Yenkapally, Moinabad Mandal, R.R District – 500 075
Phone No.: 08413 235755, 235753
ONLINE STUDENT ENQUIRY FORM

ONLINE STUDENT ENQUIRY FORM (All Fields are Mandatory)

I. STUDENT INFORMATION:
Name:*
Educational Qualifications*
Marks Obtained:*
EAMCET Rank: *
Year Passed (Intermediate):*	DD/MM/YYYY
Student ContactNo/ Cell No.: *
Student Email Id: *
Branch Required in B.Tech:*

II.PARENT’S INFORMATION:
Name:*
Occupation:*
Address – Office
Address – Residence:*
Outstation candidates to indicate:*
Local address/Phone/Mobile:*
Category (SC/ST/BC/OC):*

* Fields are Mandatory