IERT

Basic Details
First Name ^*
Middle Name
Last Name
Father Name ^*
Mother Name ^*
Your Contact No. ^*
Your Email Id ^*
Gender ^*
Category ^*
EWS
Sub Category ^*
Religion^*
Parents employed^*
If Parents employed in Central Govt. Posted In. ^*
Parents Income^*
Domicile^*
Caste ^*
Nationality ^*

Permanent Address Details
Address Line 1^*
Address Line 2
Address Line 3
State^*
City^*
Pincode^*
Postal Address Details
Same as Permanant address
Address Line 1^*
Address Line 2
Address Line 3
State^*
City^*
Pincode^*

Educational Qualifications
High School / Other Equivalent Examination	Passed/Appearing	Board/University	State of Qualifying Exam

	Stream	College	Year of Passing

	Subjects	Maximum Marks	Obtained Marks


Intermediate / (10+2) Equivalent	Passed/Appearing	Board/University	State of Qualifying Exam

	Stream	College	Year of Passing

	Subject	Maximum Marks	Obtained Marks


Diploma in any branch of Engg./Tech.	Passed/Appearing	Stream	State of Qualifying Exam

	Board/ University	College	Subjects

	Year of Passing	Maximum Marks	Obtained Marks


Graduate in any discipline with Physics and Maths Subjects at Intermediate (10+2) or its equivalent.	Passed/Appearing	Stream	State of Qualifying Exam

	Board/University	College	Subjects

	Year of Passing	Maximum Marks	Obtained Marks

Upload Photograph and Signature
Photograph	View Uploaded Photograph
Signature	View uploaded Signature
Left Thumb Impression	View uploaded Thumb impression

Instruction for uploading Photograph,Signature and Thumb Impression

Instruction for uploading photograph
Instruction for uploading Signature
Instruction for uploading Thumb Impression

Preference	Selected City	Update
Select Examination City

Fee Payment
Application No
Amount	1350
Status
Pay Now

Transaction Details

#	Application No	Status	Reference No	Date

Note ^* : If you already paid and fee status is showing failure/aborted/Pending, kindly mail us your fee receipt and screenshot of successful transaction along with Application No. on helpdesk2026@iertentrance.in from your registered Email ID.

Status :

Application Number
Course
Candidate Name
Father's Name
Mother's Name
Date of Birth
Gender
Nationality
Domicile
Category
Sub Category
Religion
EWS
If Parents Employed in
Mobile No
Aadhar No.
Email Address
Examination Center City Name
Permanent address
Address		State
City		Pincode
Postal address
Address		State
City		Pincode
Fee Details
Fee Transaction No.
Fee Transaction Date and Time
Fee Submitted status
Qualification Details
High School
College	Passed/Appearing	Board	State of Qualifying Exam

Subjects	Year of Passing	Maximum Marks	Obtained Marks

Stream
Intermediate /(10+2) Equivalent
College	Passed/Appearing	Board	State of Qualifying

Subjects	Year of Passing	Maximum Marks	Obtained Marks

Stream
Diploma
College	Passed/Appearing	Stream	State of Qualifying

Subjects	Year of Passing	Maximum Marks	Obtained Marks

Graduation
College	Passed/Appearing	Stream	State of Qualifying

Subjects	Year of Passing	Maximum Marks	Obtained Marks

I certify that I have filled the form myself and I have made all the entries in this form. No request shall be made for any change what so ever.		(Signature)	(Thumb)

#	Step Name	Status
1	Basic Details
2	Address Details
3	Educational Details
4	Photograph
5	Signature
6	Thumb Impression
7	Center
8	Payment
9	Final Submit