Email : director@ndiit.org, admission@ndiit.

org
A++ RANKED BUSINESS SCHOOL

FOR OFFICE USE ONLY

_________________________________

_________________________________

_________________________________

(CGPA)

Post
Graduation
(if any)
Professional (Diploma,
Qualification Skill/Vocational)
(If any)
Work Experience Designation Experience Last Salary
(If any) Company Name (In Years)
8. Entrance Exam(Appearing/Given) CAT ¨ MAT ¨ XAT ¨ GMAT ¨

9. Correspondence Address with Pin Code:__________________________________________________________

____________________________________________________________________________________________

10. Permanent Address: ________________________________________________________________________

____________________________________________________________________________________________

City: _________________ State: _________________ Pin Code: __________________

Phone with STD Code: (R) _____________ (Father’s) _________________ (Mothcr’s)_____________________

11. Category: Gen ¨ SC ¨ ST ¨ OBC ¨ Ex- Servicemen ¨ Defence ¨ Kashmiri Migrant ¨

12. Email ID:______________________________________

13. Reference : _______________________________________

14. How did you come to know about NDIIT :_______________________________________

DECLARATION

I hereby solemnly affirm that the information furnished by me in this form is true & correct and nothing has been concealed.
Should it be found that any information there is fraudulent and /or incorrect in material particulars, I understand that my
admission is liable to be cancelled at any stage and legal action can be taken against me.

i undertake to pay the fees as prescribed in full at the time of admission, shall pay further fees as per rules of the
University/Institute. I have noted that tuition fees and other fees are not refundable under any circumstances. I will abide by the
rules and regulation of the institute as laid down by the management from time to time. Also I will not indulge myself in any
unlawful activity including ragging during my stay in the Institute,

Date:__________________________

(Signature of Candidate)

I have fully read the information furnished by my ward and affirm that it is true and nothing has been concealed. I assure that my
ward will abide by the rules and regulations of the university and the institute and will attend the classes regularly. I am aware that
if he / she fails to fulfill the minimum requisite conditions regarding the attendance, he/she can be detained from the forthcoming
examination without prior information.

(Signature of Parents / Guardian)

IMPORTANT:
Please attach self attested photocopies in triplicate of the following documents along with this Registration Form:-
(i) Matric (10th) Marks Sheet with Certificate.
(ii) Diploma ; 10+2 Marks Sheet along with Provisional Certificate / Certificate.
(iii) Four (4) Passport size photographs cach Black & White and Coloured,
(iv) Graduation Marks Sheet along with Provisional Certificate & Migration Art.
(v) Latest Character Certificate from School / College (ORIGINAL).
(vi) School / College Leaving Certificate / Migration Certificate (ORIGINAL).
(vil) Latest Medical Certificate for fitness from MBBS Doctor (ORIGINAL).
(viii) Residence Proof / 1D Proof.
(ix) Score Card of Entrance Exam Given.