CSIR-Central Electrochemical Research Institute
Admission to B.Tech. Programme 2017-18
Other State Quota
Online Application Submission
1. Once the application is submitted, it cannot be edited. Hence, kindly verify the contents before submitting the application.
2. Please wait after you click the Submit Button.  Don't Press any key or Refresh the Page till the Application gets uploaded and the next screen appears.
3. Don't enter any special characters or punctuation (single quote or double quote) marks.

Online Application Form
 Candidate's Name: 
 Father's/Guardian's Name: 
 Re-type Email-id:   
 Category:    Sex:   Mobile No   
 Date of Birth (dd/mm/yyyy):  select date  Age (as on 01.06.2017) : 
 JEE(Main) 2017 All India Rank:  
 Overall Rank:   Category Rank:   Roll No: 

 DD No.     DD Date:    select date   Amount:     Bank:

 Address for Communication with state:  
Exam Passed
  VIII Std IX Std  X Std  +2 or Pre-Degree
 Reg/ Roll No.with month & year of last appearance: 
 Month & Year of Passing: 
 Name of School
 Address of School: with state 
 Name of the Board: 

Marks in Qualifying Examination: HSc (Academic) or Equivalent

 Subject Maximum Marks Marks Obtained % of Marks
Upload  your passport size photo (in jpg format only and less than 100 KB):