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Application Form For AIEEE 2012: Exam Related Details

This 3 page document is an application form for the AIEEE 2012 exam. It requests personal details of the applicant such as name, date of birth, gender, address and contact information. It also asks for academic details including the school/college attended, year of passing Class X and XII, percentage scores obtained. Details of the qualifying exam like name of exam, board/university, roll number are also required. The applicant needs to provide guardian details and select options for courses applying to, medium of question paper and mode of examination. A security pin is also requested to submit the online application form.

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deepak_sindri
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57 views3 pages

Application Form For AIEEE 2012: Exam Related Details

This 3 page document is an application form for the AIEEE 2012 exam. It requests personal details of the applicant such as name, date of birth, gender, address and contact information. It also asks for academic details including the school/college attended, year of passing Class X and XII, percentage scores obtained. Details of the qualifying exam like name of exam, board/university, roll number are also required. The applicant needs to provide guardian details and select options for courses applying to, medium of question paper and mode of examination. A security pin is also requested to submit the online application form.

Uploaded by

deepak_sindri
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 3

Application Form for AIEEE 2012

Page 1 of 3

Application Form For AIEEE 2012

Exam Related Details

Courses Applying for : Mode of Examination : Question Paper Medium :

--Select---Select---Select--

Personal Details

Candidate's Name : Mother's Name : Father's Name : State of Eligibility : Category : Whether Blind Candidate ? : Person With Disability : Date of Birth : Gender: In case of girl candidate, Are you the only child of your parents? : Nationality : Place of Residence :
----Select-------Select------Select-------Select-----Select---Select-----Select-------Select----

(dd/mm/yyyy)

Academic Details ( List of Qualifying Examinations)

School Board of Class XII / Equivalent : Type of Institution of Class XII / Equivalent :

--Select-----Select----

http://aieee.nic.in/aieee2012/aieee/online/ApplicationForm.aspx

12/3/2011

Application Form for AIEEE 2012

Page 2 of 3

Mode of Preperation : Year of Passing or Appearing Class XII / Equivalent : Percentage of Marks obtained in Class X : Percentage of Marks obtained in Class XII / Equivalent :

----Select-------Select----

(% In Round Figure) (% If Passed,In Round Figure)

Contact Details

Enter Your Email Address : Enter Your Mobile No. :

Guardian Details # Qualification Occupation

Father's/Guardian's : Mother's :

--Select---Select--

--Select---Select--

Details of Examination Passed or Likely to be Passed

Name of the Examination Passed / appearing : Board / University : Name & Address of the School / College from where passed / appearing : Year of passing / appearing : Roll Number (if alloted) :

Security Pin

Enter Security Pin (Shown in green colour) : Security Pin :

Disclaimer: This site is designed and hosted by NIC and the contents are provided by CBSE. For any further inf Designed and Developed by
Education Informatics Division National Informatics Centre

http://aieee.nic.in/aieee2012/aieee/online/ApplicationForm.aspx

12/3/2011

Application Form for AIEEE 2012

Page 3 of 3

Ministry of Communications & Information Technology Government of India New Delhi

http://aieee.nic.in/aieee2012/aieee/online/ApplicationForm.aspx

12/3/2011

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