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    (Registration Wing) Form For Capturing Details of Parent's Name & Communication Details

    Uploaded by

    Vinesh Nair
    This document is an application form submitted by Mr. Nair Vineshkumar Parameswaran to capture his parent's name and contact details. It includes his registration number, address, personal details such as name, date of birth, contact information. It also includes a declaration signed by the applicant and instructions regarding attaching documents to support the parent's name.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    (Registration Wing) Form For Capturing Details of Parent's Name & Communication Details

    Uploaded by

    Vinesh Nair
    70 views1 page
    This document is an application form submitted by Mr. Nair Vineshkumar Parameswaran to capture his parent's name and contact details. It includes his registration number, address, personal details such as name, date of birth, contact information. It also includes a declaration signed by the applicant and instructions regarding attaching documents to support the parent's name.

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    doeacc.pdf

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    This document is an application form submitted by Mr. Nair Vineshkumar Parameswaran to capture his parent's name and contact details. It includes his registration number, address, personal details such as name, date of birth, contact information. It also includes a declaration signed by the applicant and instructions regarding attaching documents to support the parent's name.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    70 views1 page

    (Registration Wing) Form For Capturing Details of Parent's Name & Communication Details

    Uploaded by

    Vinesh Nair
    This document is an application form submitted by Mr. Nair Vineshkumar Parameswaran to capture his parent's name and contact details. It includes his registration number, address, personal details such as name, date of birth, contact information. It also includes a declaration signed by the applicant and instructions regarding attaching documents to support the parent's name.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    Application_Form_of_1084663 https://student.nielit.gov.in/CAND/Application.

    aspx

    National Institute of Electronics and Information Technology


    Ministry of Electronics and Information Technology, Government of India

    [Registration Wing]
    Form for capturing details of Parent's Name & Communication Details
    1. Registration Details Date: 13-Jan-2017
    Registration Number 1084663
    Current Level O Level
    2. Address For Communication
    Address1 Renuka Nivas
    Address2 Po-Peringode
    Address3 Via-Koottanad
    City Pattambi Taluk District Palakkad
    State Kerala Pin Code 679535

    DATA TO BE CAPTURED
    Please provide the following information
    3. Applicant's Personal Details
    Name of Candidate Mr. Nair Vineshkumar Parameswaran
    Father's Name Mr. P. Parameswaran Nair
    Mother's Name Mrs. Renuka
    Date of Birth (dd-MMM-yyyy) 10-Oct-1985
    4. Contact Details
    Phone Number with STD NA
    Mobile Number 8301859762
    Email Address vinesh.kumar.022@gmail.com
    (Please provide your active e-mail ID and mobile number. Kindly note that important data/information pertaining to registration form will be provided to candidates through e-mail/SMS.)
    5. Attachment
    Attested copies of certificates in support of Father/Mother's or Guardian's Name
    6. Declaration
    I hereby declare that the above statement and information are correct to the best of my knowledge and belief and I agree and abide by the information above.
    I have attached self attested certificates in support of Father/Mother's or Guardian's Name.

    ................................................
    [Signature of the Applicant]

    Photograph of the Applicant Signature of the Applicant Left hand thumb impression

    This form can also be downloaded from our website www.nielit.in www.nielit.in
    Father's and mother's name must be according to 10th qualifying certificate or any certificate issued by any
    Government agency.
    The certificate will not be issued unless and until this filled in form is received whether by post or submitted
    personally at our following address.

    National Institute of Electronics and Information Technology


    NIELIT Bhawan,Plot No. 3, PSP Pocket, Sector-8, Dwarka,New Delhi-110077

    1 of 1 15/09/18, 2:26 PM

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