NATIONAL INSTITUTE OF TECHNOLOGY CALICUT

Name of Qualifying Exam

School Studied

Aggregate % / Grade

Board

Year of Passing

Medium of Instruction for Plus two or Equivalent [English,hindi ,etc..] --- Select --- Assamese Bengali Bodo Dogri English Gujarati Hindi Kannada Kashmiri Konkani Maithili Malayalam Manipuri Marathi Nepali Oriya Punjabi Sanskrit Santali Sindhi Tamil Telugu Urdu

Transfer Certificate No.

Date of Transfer Certificate

JEE - MAIN RANK (CRL)

JEE Application No.

State of Eligibility

Base Category

Category Rank (if applicable)

Passport No. (For Candidates who have studied abroad at 12th level)

Name of CSAB/JoSAA verifying Centre (at which the candidate reported online if not in the list select OTHER)

Allotted Category

Passport No.

JEE Score

Visa Embassy

DASA Roll No / ID

Passport No.

Visa Embassy