Application Form
Note Keep payment details ready, which may be Debit/Credit Card details or Scratch card purchased from AXIS BANK or College Counter.
Kindly use Internet Explorer or Mozilla Firefox to fill in the Application Form. Admission if granted on false information will be null and void. Fill in the details and click on Next to proceed. Use Mouse to move between fields for entry of data instead of using Tab Key. Fields marked with*are mandatory.
To View your GD/PI status click here
Please click here to view the BIMTECH Admission Instructions.
 
Personal Information
*Name of the applicant (As in Qualifying Examination)
(First Name) (Middle Name) (Enter the last name or put the DOT (.) in the box)
*Date of Birth *Gender Male Female
*Category *Nationality
*Is Physically Handicapped Yes No *Domicile State
*Is Economically Backward Yes No *Religion
*Blood Group
Address Details
 
*Address Line 1 Mobile No.
*Address Line 2 Telephone
Address Line 3 *Email Address
*Town/City *Confirm Email
*Country
Alternate Email
*State
Note Either of Mobile No. or Telephone with STD Code is mandatory
*Pincode
Parent Details
 
*Father's Name *Mother's Name
Father Occupation Mother Occupation
*Total Annual Income
Work Experience
In Months (as on 15.09.2011)
In Sectors
Upload Your Photo and Signature
 
*Do you want to upload your photo or signature now ?     Yes  No 
   
SSC Details
*SSC Board
*SSC Percentage
*Mode
HSC Details
*HSC Board
*HSC Discipline
*HSC Percentage
*Mode
Bachelors Degree Details
*Bachelors Degree Result
Announced
Yes No
*Bachelors Degree Discipline
*Mode
*Type Of University
*Institute/University State
*University Name
*Institute Name
Scholarship Admission 2012
*Do you wish to apply for BIMTECH Scholarship? Yes No Not Eligible
Note Please visit website at www.bimtech.ac.in/admission for Scholarship Eligibility details having CAT Percentile, SSC, HSC, Graduation percentage requirement and Parents per annum income criteria.
Professional Course Details
Inter Final
Professional Course Discipline
Percentage
Mode
Master Degree Details
Master Degree Discipline
   
*Campus Choice
Greater Noida
Test details
Note Please select an option for Campus Choice to view Test Details
   
Course Details
Note Please select value for Campus Choice in 'Test Details Tab' to view the Course details.
   
*Payment Procedure
Note Application Fee for Online Payment is 1850/-.
Application Fee for Cash Payment is 1800/-.
Cash payment
Online payment [Debit/Credit Card]
Cash payment at Axis Bank branches
Note The candidate has payed the fees at the Axis bank's branch, he/she will be provided with a scratch card and broucher.
Please enter the Scratch Card Number.
*Scratch Card PIN no.(16 digits)
   
   
Debit/Credit Card
TO PROCEED WITH PAYMENT PLEASE VERIFY THE DETAILS BELOW BEFORE GOING TO PAYMENT GATEWAY
*NAME
AMOUNT (RS)
   
Note Please quote your Transaction ID for any queries relating to this request.
Electronic Transfer From Bank to Bank
TO PROCEED WITH PAYMENT PLEASE VERIFY THE DETAILS BELOW BEFORE GOING TO PAYMENT GATEWAY
NAME*
AMOUNT (RS)
   
Note Please quote your Transaction ID for any queries relating to this request.
Cash payment at BIMTech
Note The candidate has payed the fees at the BIMTech, he/she will be provided with a scratch card and broucher.
Please enter the scratch card 16 digit pin number in the below given box.
Scratch Card PIN no.(16 digits)*
How did you come to know about BIMTECH?
1.News Paper advertisement       Yes  No      *If Yes,Please specify
2.Electronic banner on Online Portal       Yes  No      *If Yes,Please specify
3.CAT Coaching Institute       Yes  No      *If Yes,Please specify
4.Recommendation by existing Student       Yes  No      *If Yes,Please specify
5.Recommendation by Institute's Alumni       Yes  No      *If Yes,Please specify
6.Commercial on Television       Yes  No      *If Yes,Please specify
7.Read about BIMTECH in the magazine       Yes  No      *If Yes,Please specify
8.Any other source       Yes  No      *If Yes,Please specify
Declaration by Candidate
 

I Certify that I (a) satisfy the eligibility requirements of the programme(s) I have applied for and (b) have furnished complete and correct information.I also certify that photograph uploaded/pasted on this form is the latest and i also agree to abide by BIMTECH decisions on all matters regarding this application. In case of any discrepancy BIMTECH has full right to cancel my candidature.I undertake to produce the final graduation degree and mark sheets latest by 31st October 2012,failing which BIMTECH will be free to cancel my admission.

 
    I Agree.
Note You are advised to check your application record using User Id and Password received on your email after submitting online form to crosscheck if your application is successfully submitted with all details entered by you.
(Any errors may be immediately reported to Admission Counsellor over email .)


   
Version 8.00.01