MITS Online Registration Form

Course Preference :

(Press Ctrl Key for Multiple Selection)

Name of the Applicant :

Title	First Name	Last Name

Father’s Name:

Occupation of Father:

Date of Birth :

Sex :

Nationality :

Caste :

General

OBC

Others

Correspondence Address :

Landline :

Mobile :

Permanent Address :

Landline :

Mobile :

E-mail ID :

Do you need hostel accommodation?

Academic information from HSC or Equivalent:

Examination	Board/ University	Year	% age of Marks	Subjects

How did you find Us ?

Have you any Comments or Query :

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To Complete registration follow these steps:

Print the completely filled online form after submitted.
Make a DD of Rs.200 in Favour of MITS Payble at Rayagada.
(DD of Rs.500/- if applying for M.Tech Computer Science or EIS).
Post the printed online form and the DD to the below address.

Majhighariani Institute of Technology & Science
Sriram Vihar, Rayagada - 765017
Phone: 06856-233146,233098, 224929, 224779
Fax : 06856 -224930,Mobile : 094370 36665, 9437130857
Web : www.mitscollege.ac.in, email: admission@mitscollege.ac.in

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Majhighariani Institue of Technology & Science

MITS Online Registration Form