National Institute of Electronics and Information Technology, Calicut

Government of India

Ministry of Electronics and Information Technology

Course Registration Form

List of Courses (All fields are mandatory) Registration Details with Payment Link

Course

*
Prospectus

Name

(as in 10^th/12^th/degree certificate) *

Note: E-Certificate to eligible candidates will be issued to the registered emailid with name as mentioned in the application only. After the issue of certificate Request for correction in name will be considered only on payment of fee of Rs.150/- along with copy of Govt. ID card as proof of name attested by gazetted officer. Hence may check and ensure correctness of data provided before submitting.

Date of Birth

(dd-mmm-yyyy format only) * *

Gender

Category

Address for Communication

Mobile Phone

(10 digits only, Whatsapp No. preferred) * *

Email Id

* *

Qualification

(with branch/stream) *

Marks Percent

(rounded to 2 decimal places, numeric values only) * *

Please enter the text you see in the picture *