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National Institute of Open Schooling (NIOS) : Addmission Form Basic Details

This document contains an admission form for the National Institute of Open Schooling (NIOS). The form requests basic personal details of the candidate such as name, father's name, date of birth, gender, Aadhar card number, mobile number, email, course applying for, and addresses. It also asks for additional information like social category, type of disability, medium of study, and previous qualifications. The candidate is required to provide soft copies of documents like photo, address proof, Aadhar cards, signature, mark sheets, and caste certificate if applicable. The candidate must also select subjects according to their future plans and is informed that admission and exam fees may vary depending on the selected stream and

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Khushbu vimal Patel
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3K views1 page

National Institute of Open Schooling (NIOS) : Addmission Form Basic Details

This document contains an admission form for the National Institute of Open Schooling (NIOS). The form requests basic personal details of the candidate such as name, father's name, date of birth, gender, Aadhar card number, mobile number, email, course applying for, and addresses. It also asks for additional information like social category, type of disability, medium of study, and previous qualifications. The candidate is required to provide soft copies of documents like photo, address proof, Aadhar cards, signature, mark sheets, and caste certificate if applicable. The candidate must also select subjects according to their future plans and is informed that admission and exam fees may vary depending on the selected stream and

Uploaded by

Khushbu vimal Patel
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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National Institute of Open Schooling (NIOS)

ADDMISSION FORM
Basic details:
Name of Candidate: ___________________________________________________

Father’s Name: ____________________ Mother’s Name: ____________________

Date of Birth: ___ (DD) ___ (MM) _______ (YYYY) Gender: M / F: ____________
PHOTO
Aadhar Card No.: _____________________________Mobile No.: ______________

E-Mail: __________________________________ Course: 10th/12th: ___________

Permanent Address:
House/Door/Flat No.: ____________ Street/Locality/Area Name: _______________________________

Village/Ward No. /Land Mark: ___________________________________ State/UT: ________________

Dist.: ______________ Pin Code: ______________ Telephone No. (With STD Code): ________________

Correspondence Address:
House/Door/Flat No.: ____________ Street/Locality/Area Name: _______________________________

Village/Ward No. /Land Mark: ___________________________________ State/UT: ________________

Dist.: ______________ Pin Code: ______________ Telephone No. (With STD Code): ________________

Other Information:
Social Category/Caste (General/SC/ST/OBC): ____________Type of Disability (If any): _________________

Ex-Serviceman (Yes/No): _______________ Medium of Study: _______________________

Orphan: ____________ Guardian's/Institution's Name: _________________________________________

Your Previous Qualification: ___________________Your Previous Qualification Status: _______________

Part Admission or Dual Enrollment (Yes/No): _______________

Declaration:
I, the deponent, do hereby solemnly declare and verify that the contents of the above declaration are true to the best of my knowledge and
belief, and nothing material has been concealed or suppressed therefrom. This electronic self-declaration has been given with reference to IT Act
2000 and is admissible under The Indian Evidence Act 1872.

Applicant’s Signature
Document Soft Copy Required:
(1) Photo with Date (2) Aadhar Card (3) Father Aadhar Card
(4) Mother Aadhar Card (5) Signature With Black Pen
(6) L.C or Previous Qualification Mark Sheet (7) Address Proof (8) Std-10 Mark Sheet (for 12th) (9) Scan Copy
of Original Cast Certificate if Applicable (10) Original Mark Sheet for T.O.C
(2) Selection of Subjects as per your future planning. (Please refer Pamphlet for Subjects Name & Code)

(1) _______________ (2) _______________ (3) _______________ (4) _______________ (5) _______________
(3) For Admission Fees and Exam Fees: It may depends on selection of Streams and Subjects.

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