NITC- BTech Admission

PERSONAL DETAILS

Name of the Candidate

(as in the Std X Mark sheet)

Date of Birth

Scheme/Quota of Admission

Branch Allotted

Nationality

State of Domicile

Name of Father

Phone Number of Father

Name of Mother

Phone Number of Mother

Name of Guardian

Mobile number of Candidate

Aadhaar Number

if there is no Adhaar No. enter 12 zeros (applicable to SII only)

Email of Candidate

Blood Group

Gender

Differently Abled

Annual family income

(From All Sources in INR) enter digits only, not separated by commas.

Relegion

Caste

Occupation of Parent

Email of Parent

Relation with Guardian

Place of Birth

ADDRESS FOR CORRESPONDENCE

Line 1

Line 2

Line 3

District

State

Pincode

Nearest Railway Station

PERMANENT ADDRESS

Copy Address for Correspondance