Apply @ LIET - Laxmi Devi Institute of Engineering & Technology

Application No. For B.Tech.

Application No. For M.Tech.

Application No. For MBA

Application No. For Polytechnic

Select Course Category*

Select branch for B. Tech.*

Select branch for M. Tech.*

Select branch for MBA*

Select branch for Polytechnic*

First Name*

Middle Name

Last Name

Email*

Mobile No.*

Date of Birth*

Nationality*

Gender*

Male
Female

Father's Name*

Mother's Name*

Father's Occupation*

Father's Designation

Father's Office Address

Street Address Address Line 2 City State Postal Code Country

Father's Email Address

Father's Mobile Number*

Address for Correspondence*

Street Address Address Line 2 City State Postal Code Country

Permanent Address*

Same as Address for Correspondence?

Street Address Address Line 2 City State Postal Code Country

Category*

Physical Disability?*

Yes
No

Type of Disability*

Education Details

10th Board

Year of Passing 10th Board*

Name of Board*

Enter Your Board Name*

Total Marks*

Marks Obtained*

Percentage %*

12th Board / Polytechnic Diploma

Year of Passing 12th / Polytechnic*

Name of Board*

Enter Your Board Name*

Total Marks*

Marks Obtained*

Percentage %*

Graduation

Year of Passing Graduation*

Enter Your University Name*

Total Marks*

Marks Obtained*

Percentage %*

Other Qualification

Year of Passing Other Qualification

Name of Board/University

Enter Your University Name

Total Marks

Marks Obtained

Percentage %

Upload Your Documents

Upload Your Image*

Accepted file types: jpg, jpeg, png, Max. file size: 1 MB.

Upload Your Scanned Signature*

Accepted file types: jpg, jpeg, png, Max. file size: 1 MB.

Upload Marksheet/Certificate of 10th Board*