preadmission-application PrefixMr.Mrs.Ms.Mx.MissDr.Prof.First NameLast NameMobile Phone *Email Address *Alternate PhoneAlternate Email AddressStreet AddressApartment, suite, etcCity *State/Province *ZIP / Postal Code *Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaAustraliaArubaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGuernseyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauNorth MacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontserratMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSaint HelenaSaint Pierre & MiquelonSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUS Minor Outlying IslandsUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemen Arab Rep.Yemen DemocraticZambiaZimbabweDate of Birth *Gender *MaleFemaleOtherGenderHow did you get to know about NIE?NIE WebsiteFriends & RelativesAlumnusEducational WebsiteNewspaper Adv.Bill BoardUpload Your Passport Photo *Choose FileNo file chosenDelete uploaded fileFather's InformationFather NameQualificationOccupationDesignationAnnual IncomeAlumnus of NIE?YesNoFather's Email IdPhoneMother's InformationMother NameQualificationOccupationDesignationAnnual IncomeAlumnus of NIE?YesNoMother's Email IdPhoneStudent Education DetailsX Std DetailsSSLC/X – Name of the Institution *Reg. No.: *Name of the Board *Year of Passing *Science % *Mathematics % *Overall % *PUC DetailsName of HSC / PUC – II / Class-12 Institution *Year of Passing *Reg. No.: *Board Name *% of PCM Marks *I PUC/11th Mathematics % *I PUC/11th Science % *II PUC/12th Mathematics % *II PUC/12th Science % *% of PUC Marks *Total Score *Graduate Details (If applying for M.Tech/MCA)University/Institute Name:Enter details of your B.E or B.Tech Graduation Institute NameReg. No.:Name of the BoardYear of PassingArea of Specialization% of Marks or CGPACompetitive Exams TakenKCET Hall Ticket / Roll No.Total ScorePercentileKCET RankingExamination Center Name and CityCOMEDK Hall Ticket / Roll No.Total ScorePercentileCOMEDK RankingExamination Center Name and CityJEE Hall Ticket/Roll No.Total ScorePercentileJEE RankingExamination Center Name and CityGATE/PGCET Roll No.Total ScorePercentileGATE / PGCET RankingExamination Center Name and CityCourse Preference and Achievements1st PreferenceAI and MLComputer ScienceInformation ScienceElectronics and CommunicationMechanical Engineering2nd PreferenceAI and MLComputer ScienceInformation ScienceElectronics and CommunicationMechanical Engineering3rd PreferenceAI and MLComputer ScienceInformation ScienceElectronics and CommunicationMechanical EngineeringMention any achievements in professional or in extra curricular ActivitiesDo you have any achievements in Sports and Games?Do you have any achievements in Sports and Games?YesNoLevel of ParticipationPositionEvent Name:Do you have any achievements in Cultural Activities?Do you have any achievements in Cultural Activities?YesNoLevel of ParticipationPositionEvent Name:Why NIE?Mandatory Files Uploading Section10th Marksheet *Choose FileNo file chosenDelete uploaded file12th Marksheet *Choose FileNo file chosenDelete uploaded fileAadhar Card: *Choose FileNo file chosenDelete uploaded fileDegree Certificate (Your may submit when available): *Choose FileNo file chosenDelete uploaded fileCopy of Photo ID( PAN Card): *Choose FileNo file chosenDelete uploaded fileEntrance Exam Certificate: *Choose FileNo file chosenDelete uploaded filePayment SectionTransaction Id: *Payment Date *Amount Paid *PAN Number of the Person making the Payment *Submit The Form
