ApplicantDetails

NIELIT Delhi Centre

STEP-1

Course Applied * :

Please Select Course Applied

Personal Details

Candidate's Name* :

First *

Middle

Last

Note 1:Name and Father's Name should match with the corresponding information in class 10 Certificate

Father's Name * :

Please Enter Father's Name

Mother's Name * :

Please Enter Mother's Name

Gender * :

Please Select Gender Code

Whether Person with Disability *:

Category * :

Please Select Category

Date of Birth * :

(As per the 10th Certificate)

Course Fee (Including GST) * :

Rupees

Eligibility Details

Minimum Essential Qualification * :

Highest Qualification :

Contact Details

Mobile No * :

Please Enter Mobile No

Email Id *:

Please Enter Valid Email Id Please Enter Valid Email Id

Correspondence Address

Correspondence Address * :

Please Enter Address

City * :

Please Enter City

District * :

Please Enter District

State * :

Please Select State

Pin Code * :

Please Enter Valid PIN Code Please Enter Valid PIN Code

Permanent Address

Same as Correspondence Address

Permanent Address * :

City * :

District * :

State * :

Pin Code * :

Nationality * :

Please Select Nationality

Identity Details

Do You Have Aadhar Card * :

Declaration

I hereby declare that:

I have gone through the "Instructions to candidates" and shall abide by the same.
The information filled in the application are true, complete and correct to the best of my knowledge and belief.
I have submitted only one application for this course.
I fulfill all the conditions of eligibility prescribed for the course applied for.
I have never been debarred by any organisation for any illegal activity during my education/service.
I understand that in the event of any information found false/ incorrect or any ineligibility being detected before or after the admission, it is liable to be cancelled and no correspondence will be entertained by NIELIT in this regard and no fee will be refunded.

I Agree * :
(*) Star marked fields are essentially to be filled by the candidate.