NARAYANI INSTITUTE OF ENGG. & TECH.,ANGUL

DIPLOMA ADMISSION ENQUIRY SECTION

Applied Year

Admission ID

Date of Enquiry

Referred By:

Name:

Father's Name:

Mother's Name:

Select Bond Issued Status:

Y N

Date of Birth

Cadidate Mob No

Parent's Mob No

WhatsApp No

User ID

Password

Email

Email Password

Course

Branch

Reservation Pref.

1st Reservation	2nd Reservation
			(Reservation Preference only for TFW & EWS Candidates)

Course Prefernce

1st Preference	2nd Preference	3rd Preference
			(Course Preference only for Both, Lateral & WP Candidates)

Branch Prefernce

1st Preference	2nd Preference	3rd Preference	4th Preference	5th Preference

Course Fee/Year

1st Yr Topay	2nd Yr Topay	3rd Yr Topay

Residential Status :

Day Scholar Hosteller

Conveyance Type

Conveyance Type

Course Fee Type

Attendance Type

Comapny Name

Comapny Location

PMS Applied Remark

Aadhaar No

Adh. Linked Status

Linked Mob. No

AC Holder Name

Bank Name

Account No

IFSC Code

Branch Name

CIF No

Bank Seeding Status

Bank Regd. Mob. No

Cheque Book Status

Ch.Book Signed Status

Withdraw Slip Status

No of W.S Signed

Enrolment Type:

Final Enrolment Provisional Enrolment