Name

IITK Email

IITK Roll No.

Expected Graduation Year

Department

Program

Secondary Department

Secondary Program

Specialisation

Preference

Gender

Personal Email

DOB

Contact Number

Alternate Contact Number

Whatsapp Number

Current CPI

UG CPI(only for PG Students)

10th Board

10th Board Year

10th Marks (CGPA / Percentage)

12th Board

12th Board Year

12th Marks (CGPA / Percentage)

Entrance Exam

Entrance Exam Rank

Current Address

Permanent Address

Friends Name

Friends Contact Details

Disability