MODY INSTITUTE OF TECHNOLOGY & SCIENCE
(Deemed University under section 3 of U.G.C. Act, 1956)
FACULTY OF ENGINEERING & TECHNOLOGY
(Exclusively For Women)
*
Application Category
GEN
NRI
[GEN - General Candidate, NRI - Foreign/NRI/NRI Sponsored]
Select
B.Tech/Integrated MBA Tech/Integrated M.Tech
M. Tech
MCA/Integrated M. Tech in Nuclear Science
*
Courses Applied For
Please Select Any type Of Course
*
Please enter your preference for B. Tech.
**
1
2
3
4
5
6
7
8
9
10
11
12
JEE (Main) Roll No.
General Rank
Appeared in any State Entrace Test?
For MCA Applicants
**
1
2
3
State Level Entrance Test Details
*
Please enter your preference for M. Tech.
**
1
2
3
4
5
GATE Roll No.
General Rank
*
Please enter your preference for B. Tech. With M.B.A
**
1
2
AIEEE Roll No.
General Rank
For Ph.D
Interested in MEET - 2013 Centers
Agra
Ahmedabad
Alwar
Bhopal
Chandigarh
Delhi
Dhanbad
Gauwhati
Gurgaon
Hissar
Indore
Jaipur
Jamshedpur
Jodhpur
Kolkata
Kota
Lakshmangarh
Lucknow
Mumbai
Muzzafarpur
Noida
Patna
Raipur
Ranchi
Siliguri
Surat
Udaipur
Preferred Exam Date
26th April 2013
27th April 2013
28th April 2013
*
Student's Name
*
Father's Name
*
Date of Birth
(
dd/mm/yyyy
)
*
Present Address
*
City
*
District
*
State
Andaman and Nicobar
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chattisgarh
Dadra & Nagar Haveli
Daman and Deu
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkhand
Karnataka
Kerala
Lakshadweep
Madhya Pradesh
Maharastra
Manipur
Meghalaya
Mizoram
Nagaland
Orissa
Other
Pondicherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Tripura
Uttarakhand
Uttar Pradesh
West Bengal
*
Pincode
Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, The Democratic Republic of the
Cook Islands
Costa Rica
Cote D'Ivoire
Croatia (local name: Hrvatska)
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
France Metropolitan
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and Mc Donald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic of)
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macau
The former Yugoslav Republic of Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montserrat
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia (Slovak Republic)
Slovenia
Solomon Islands
Somalia
South Africa
South Korea
Spain
Sri Lanka
St. Helena
St. Pierre and Miquelon
Sudan
Suriname
Svalbard and Jan Mayen Islands
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Vatican City State (Holy See)
Venezuela
Vietnam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis And Futuna Islands
Western Sahara
Yemen
Yugoslavia
Zambia
Zimbabwe
Telephone No. (Residence)
Country Code - STD Code - Phone Number
*
Mobile No. 1
Country Code - Mobile Number
Mobile No. 2
Country Code - Mobile Number
*
Email Address
(By entering your mobile number you agree that MODY INSTITUTE OF TECHNOLOGY & SCIENCE can contact
you through SMS/Phone in the matters related to admission in MODY INSTITUTE OF TECHNOLOGY & SCIENCE )
*
Category
GN - General
OBC - Other Backward Cast
SC - Scheduled Cast
ST - Scheduled Tribe
PH - Physically Handicap
Others
How did you hear about MITS
--Select One--
News Paper
Google
Relative
Other
*
Fee
Convenience Charge for making online payments are: Net Banking / Credit / Debit Cards: 3 % of the transaction amount + taxes
* Leave the marks field blank in case the result is not declared.
Examination Passed
Board/University Name
Year of Passing
Roll No.
Max. Marks
Marks Obt.
Aggregate %
*
Secondary/
High School
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
1918
1917
1916
*
Senior Sec./
Intermediate
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
1918
1917
1916
Subject
Out of
Marks Obtained
Percentage
Physics
Mathematics
Chemistry/Computer Science/Biotechnology/Biology
Total
Name of
University
Bachelor's Degree/
Equivalent
Degree
--
B.A.
B.Com.
B.Sc.
BFA
BPA
B.Tech. or BE
BCA
BBA
B.H.Sc.
M.C.A
M.Sc.
Any Other
College Name
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
1918
1917
1916
Name of
University
Master's
Degree/
Equivalent
Degree Code
I Year
--
M.A.
M.Com.
M.Sc.
MFA
MPA
M.H.Sc.
M.Tech. or ME
MCA
M.Sc.(IT)
MBA
M.Phil
M.Phil
M.Phil
M.Phil
M.Phil
Ph.D
Any Other
II Year
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
1918
1917
1916
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
1918
1917
1916
I
, declare that all the information given in this application form is true to the best of my knowledge.I assure that I shall abide by all the rules and regulations of the Institute,which are in vogue now as well as those,which come into force from time-to-time.I further assure that I shall do nothing inside or outside the Institute that goes against the discipline and orderly working of the Institute.I understand that if
1.any information herein is found to be incorrect,or
2.I am found indulging in any act of indiscipline,or
3.I fail to pay the dues in time,I shall be liable to any punishment as awarded by the Institute,which may even include striking off my name from the rolls of the Institute.
Please type the Security Code in the text box: