Course *
1 yr.
2 yr.
Crash Course
Engg.
Arch.
Eng.& Arch.
Name of student (Block letters)
:
Date of Birth
Fathers / Guardian’s Name
Res. Address
Res.& Mobile No.
(R)
(M-Student)
(M-Father)
(M-Mother)
Father's Occupation
Off. Address
Off. Phones
Academic Information
Class
School
Year of passing
Marks
Rank in class
Sc
P
C
M
NA
10th
11th
12th
In XI & XII you choose to study (Tick mark the one)
Bio
Computers
E.D.
Eco
Phy.Edu
Fine Arts
You got to know abut NICS through
Newspaper
Leaflets
Sibling
Friend
Any Other
If Sibbling/Friend, write name
Have you joined any other correspondence/ classroom coaching before?
Yes
No
If yes, then write the Name of the institute :
Note: Fee Once Paid is NON- REFUNDABLE
