Name:*

Email id:*

Mobile No.*

Select Branch*

Exam/Selection *

Year of Result*

GATE Rank or PSUs Name

Course Enrolled @Eii *

Batch/Course start-date *

Roll No.

Write your remarks/feedback *

Upload Result Copy*

Upload Personal Photo *

I accept the Terms and Conditions

I certify that the above facts are true to the best of my knowledge and belief.
I hereby authorize Engineers Institute of India to release/ publish my individually identifiable information under list of results/success students.