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  • Kiit University KIITEE 2015: ST TH

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    raju_randya
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    Tulsiram Maliwad, a 17-year-old male from Ratlam, Madhya Pradesh, India applied for the 4-year B.Sc Nursing program at KIIT University. He provided his personal details, address, contact information, and academic qualifications. He is currently in 12th standard and appearing for board exams in 2015. He selected Indore and Bhopal as his exam center options and was informed that the online entrance exam will be held from April 24-27, 2015 for the nursing program. Candidates must book exam slots online from March 31 to April 5, 2015.

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    TULSIRAM MALIWAD.pdf

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    Tulsiram Maliwad, a 17-year-old male from Ratlam, Madhya Pradesh, India applied for the 4-year B.Sc Nursing program at KIIT University. He provided his personal details, address, contact information, and academic qualifications. He is currently in 12th standard and appearing for board exams in 2015. He selected Indore and Bhopal as his exam center options and was informed that the online entrance exam will be held from April 24-27, 2015 for the nursing program. Candidates must book exam slots online from March 31 to April 5, 2015.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    9 views3 pages

    Kiit University KIITEE 2015: ST TH

    Uploaded by

    raju_randya
    Tulsiram Maliwad, a 17-year-old male from Ratlam, Madhya Pradesh, India applied for the 4-year B.Sc Nursing program at KIIT University. He provided his personal details, address, contact information, and academic qualifications. He is currently in 12th standard and appearing for board exams in 2015. He selected Indore and Bhopal as his exam center options and was informed that the online entrance exam will be held from April 24-27, 2015 for the nursing program. Candidates must book exam slots online from March 31 to April 5, 2015.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 3

    1/22/2015

    KIITEE2015

    KIITUNIVERSITY
    KIITEE2015
    ApplicationNumber

    295467

    CourseAppliedfor:
    B.ScNursing(4years)
    PersonalDetails

    FullName

    TULSIRAMMALIWAD

    Gender

    Male

    DateofBirth

    21Jan1998

    FathersName

    RAMESHMALIWAD

    MothersName

    DHAPUBAI

    Nationality

    Indian

    Category
    Reservation

    ST
    Candidate'sSignature

    CenterOption

    1.Indore2.Bhopal

    TheOnlineEntranceExaminationforB.ScNursing(4years)atIndorewillbeheldon24thAprilto27th
    April2015(PCBCombination).Candidatesarerequiredtobookslotsforexaminationfrom31stMarch
    2015to5th April2015atwww.Kiitee.ac.infailingwhichtheUniversitywillautomaticallyallotslots.

    CommunicationDetails

    Addressfor
    communication

    VILLDANTODA,POSTKANERI,TEHSILRATLAM,DISTTRATLAM
    ,

    City

    RATLAMPincode:457001

    State

    MadhyaPradesh

    PhoneNo

    MobileNo:9617833410

    EmailID

    TMALIWAD@1998GMAIL.COM

    PasterecentColorpassport
    sizephotograph.
    (Thephotographmust
    indicateclearlythenameof
    thecandidate).
    (Don'tstaple)

    QualificationDetails

    CourseName

    B.ScNursing(4years)

    Qualification

    10+2(PCBWithEnglish)

    %Marks

    NA

    QualifyingExam
    Status

    Appearing2015

    ClassXRollNumber 1214069
    ClassXBoardName CBSE
    ClassXPassYear

    2013

    ApplicationNumber:295467
    Declaration:
    IherebyundertakethattheinformationgiventhroughthisApplicationformaretrueandcorrecttothebestofmyknowledge.

    http://solutions.eduquity.com/KIIT2015MainREg/Printform.aspx

    1/3

    1/22/2015

    KIITEE2015

    SignatureoftheFather/Mother/
    Guardian

    SignatureoftheCandidate

    Date:
    CheckList:

    Yes No

    1. XeroxcopiesofClassXMarkssheet/BoardCertificateenclosed:
    2.

    Twopassportsizephotographs(Mustindicateclearlythenameofthecandidate)pastedinthe
    Applicationformintheboxesprovided

    3. SignedbybothCandidateandGuardian:

    http://solutions.eduquity.com/KIIT2015MainREg/Printform.aspx

    2/3

    1/22/2015

    KIITEE2015

    [Print]

    PleasesendKIITEE2015ApplicationFormtothebelowmentionedaddress
    inanA4sizeEnvelop.Donotfoldtheform.
    KIITEE2015ApplicationForm
    ApplicationNumber:295467

    To:
    DirectorAdmissions

    From:

    AdmissionCell(KoelCampus),

    ____________________________

    KIITUniversity,

    ____________________________

    P.O.KIIT

    ____________________________

    Bhubaneswar751024

    ____________________________

    Odisha,India

    ____________________________

    Ph:06742742103,2741389,2741998
    Fax:06742741465

    http://solutions.eduquity.com/KIIT2015MainREg/Printform.aspx

    3/3

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