THE LNM INSTITUTE OF INFORMATION TECHNOLOGY

(Deemed University)
Rupa Ki Nangal, Post-Sumel, Via - Jamdoli, Jaipur - 302031
Rajasthan, India
www.lnmiit.ac.in
aracademic.lnmiit@gmail.com
Contact No: +91-141-5191712

Registration No

ADMISSION FORM

(For Office use only)

Branch /es applied for:

1.
2.
3.
4.
General Information:
Full Name

(As appearing in 10th Certificate)

Father's Name

Mother's Name

Date of Birth (DD/MM/YYYY)

Gender

Mobile No.

Nationality

Email Id

Correspondence Address
Correspondence
Address

City/Village

District

Pin/Zip

State

Country

Permanent Address
Permanent Address

City/Village

District

Pin/Zip

State

Country

Eligibility Details
10th Standard Information
Marks
Obtained

Maximum
Marks

Percentage

TOTAL
For CBSE students only
CGPA

Percentage

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12th Standard Information:

Marks
Obtained

Maximum
Marks

Percentage

TOTAL
Physics
Chemistry
Mathematics
PCM
TOTAL
JEE (Main) Information:
Roll No.

Marks
Obtained in
Physics

Marks
Obtained in
Chemistry

Marks
Obtained in
Mathematics

Total
Score

BE/B. Tech. 1st Semester Information:

S.
No.

Course/Subject Name

Percentage
/ Grade

2
3
4

5
6
Total Percentage / SGPA
Participation in Talent Search Exams and Sports

A. Science Olympiad:
National Level

Discipline

International Level

B. Sports:
State Level

Name of Sport :

National Level

Prize/Rank

C. National Talent Search Scholarship (NTSS) / Kishore Vaigyanik Protsahan Yojana (KVPY):
D. "Scholarship to Young Artists" given by Ministry of Culture, Govt. of India:
E. NCC:

State Level

National Level

Signature of the Candidate

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