National Computer Institute of Technology

STUDENT REGISTRATION

Your Name

Father Name

Mother Name

Aadhar No

Mobile No

Alternate No

Email Id * Enter Valid Email Id

Category *

Date of Birth

Gender *

Marital Status *

Permanent Address

Highest Qualification *

School/College/University **

Board/University (Roll No.)

Percentage

Course Category *

Applying Course *

State *

City *

Other Details :-

Photo* Image Only (Size not more than 1 MB.)

Signature* Image Only (Size not more than 1 MB.)

Left Thumb Impression* Image Only (Size not more than 1 MB.)

Aadhar Copy* Image Only (Size not more than 1 MB.)

Qualification Copy* Image Only (Size not more than 1 MB.)

I declare that all the above information given by me is correct, no fact has been suppressed by me. If the information given by me is found to be incorrect then my selection/candidature will be cancelled. I wouldn't mind this.