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Application For NIOS

    Aadhar No:
    Course Applied For:
    Medium of Study:
    Class Applied For:
    Name (In Capital Letters):
    Father's Name (In Capital Letters):
    Mother's Name (In Capital Letters):
    Guardian’s / Institution Name (In Capital Letters):
    Date of Birth:
    Gender :
    Mobile Number:
    Social Category / Caste:
    If Bc:
    Types of Disability(if any):
    Disadvantaged group(if applicable):
    Your Previous Qualification:
    Postal Address:

    Choose Subjects ( Minimum 5 and Maximum7):
    Are You Applying Under :
    Details of 10th Board Examinations:

    Mother Tongue:
    Extra Curricular activities:
    Father’s Educational qualification:
    Mother’s Educational qualification:
    Place of Residence:
    Your Geographical Area:
    Annual Income (in Rs.):
    Economically Backward Class:
    Ex- Serviceman :
    Permanent Address:

    Certificates Required: 9th Pass10th Marklist12th MarklistBirth CertificateAadhar CardCommunity CertificatePhotoSignatureTransfer/ Migration CertificateParent'sSignatureOBC Certificate (If BC)Declaration Scanned Documents: [multilinefile scancertireq limit:26214400 filetypes:jpg|jpeg|doc|docx|pdf "Upload Files"]Note: Upload Scanned Documents (Size: Below 25MB & Supported File:jpg, jpeg, doc, docx, pdf )


    I understand and agree that the fees once paid is Non refundable

    I Will give my 100 percent co-ordination to complete my 10th/12th Successfully by keeping in mind that the same will upgrade my career and academic Credential and If I Discontinue in between I understand that I will pay the relevant cancellation Charges

    I wholeheartedly accepting all the specified rules and regulations of our Institution.

    Signature of Applicant: Note: Upload Signature Document (Size: Below 15MB & Supported File:jpg, jpeg, doc, docx, pdf)


    I hereby declare that I have read and understood the conditions of eligibility and I fulfill the criteria for the courses for which I seek admission. I have furnished all the necessary documents and information correctly. I have filled this form in my own handwriting. I understand that my candidature is liable to be canceled by NIOS in the event any information or document is found misleading or incorrect at any stage. I accept the rules as laid down in the prospectus.


    Countersignature of Parent/Guardian:
    Signature of Candidate:

    Bank Details for Dr. Ambedkar National Scholarship(applicable for SC and ST only) For details please see section 4.11

    Academic Guide:
    Academic Head:

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