Address NH-58, Partapur Bypass Meerut - 250103 Phone No: 0121 - 2440460, 2440472 Fax: 0121-2440310. Mobile Number: 708824616194560556449634429377 Email us at: email@example.com Beacon Institute of Technology, Meerut Application Form Date of Registration Candidate Full Name : Mr / Ms. (In Block Letters) Date of Birth Nationality Name of Father Name of Mother Aadhar No. Category Tel. No Mobile No Date of Birth Permanent Address Academic Details Exam Passed Year of Passing Board/ University Stream/Subjects Max.Marks Marks Obtained % / Grade Highschool Intermediate/10+2 Graduation DECLARATION I declare that the information furnished above is true to the best of my knowledge and belief. If any information furnished is found incorrect, the admission may be canceled forthwith.