ApplicantDetails

NIELIT Delhi Centre

STEP-1

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 * :

Mother's Name * :

Gender * :

Whether Person with Disability *:

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 * :

Email Id *:

Correspondence Address

Correspondence Address * :

City * :

District * :

State * :

Pin Code * :

Permanent Address

Same as Correspondence Address

Permanent Address * :

City * :

District * :

State * :

Pin Code * :

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.