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Application
Personal Information:
Candidate’s Name:
First Name:
Middle Name:
Last Name:
Father’s Name:
Mother’s Name:
Guardian’s Name:
Address:
Country:
N/A
Afghanistan
Akrotiri
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Ashmore and Cartier Islands
Australia
Austria
Azerbaijan
Bahamas, The
Bahrain
Bangladesh
Barbados
Bassas da India
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
British Virgin Islands
Brunei
Bulgaria
Burkina Faso
Burma
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Clipperton Island
Cocos (Keeling) Islands
Colombia
Comoros
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Congo, Republic of the
Cook Islands
Coral Sea Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
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Denmark
Dhekelia
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Europa Island
Falkland Islands (Islas Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern and Antarctic Lands
Gabon
Gambia, The
Gaza Strip
Georgia
Germany
Ghana
Gibraltar
Glorioso Islands
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
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Guinea
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Indonesia
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Jan Mayen
Japan
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Jordan
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Korea, North
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Kuwait
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Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
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Mauritius
Mayotte
Mexico
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Morocco
Mozambique
Namibia
Nauru
Navassa Island
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Netherlands
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New Caledonia
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Niger
Nigeria
Niue
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Oman
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Tromelin Island
Tunisia
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Venezuela
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State:
Pin Code:
Date of Birth:
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MMM
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Aug
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YYYY
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1927
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1923
1922
Gender:
Male
Female
Cast:
General
SC
ST
OBC
Others
Religion:
Nationality:
Phone No.:
Mobile No.:
E-Mail ID:
Admission Information:
Academic Session
2021-2022
2020-2021
2019-2020
2018-2019
2017-2018
2016-2017
2015-2016
2014-2015
2013-2014
2012-2013
2011-2012
2010-2011
2009-2010
2008-2009
2007-2008
2006-2007
2005-2006
2004-2005
2003-2004
2002-2003
2001-2002
2000-2001
1999-2000
1998-1999
1997-1998
1996-1997
1995-1996
1994-1995
1993-1994
1992-1993
1991-1992
1990-1991
1989-1990
1988-1989
1987-1988
1986-1987
1985-1986
1984-1985
1983-1984
1982-1983
1981-1982
1980-1981
1979-1980
1978-1979
1977-1978
1976-1977
1975-1976
Admission Cycle
First-Cycle
Second-Cycle
OD-Cycle
Study Centre / Institute / School
Head Office
Medium
English
Hindi
Bengali
Applied For:
Secondary
Post Secondary
Senior Secondary
ITI Dipolma
Vocational Training
Certificate
Diploma
Advance Diploma
PG Diploma
Bachelor Degree
Master Degree
Paramedical
Course:
Secondary (Class 10)
Employed Information:
Employed:
No
Yes
Experience:
00
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
Years
00
01
02
03
04
05
06
07
08
09
10
11
Month(s)
Designation:
Employer Name:
Previous Qualification:
Name of Exam
Board / University
Year of Passing
Subjects
Marks / Percentage
Opted Subject Details:
Duration
1
Year
Group
Compulsory
Secondary (Optional-1/8)
Secondary (Optional-2/2)
Secondary (Optional-1/4)
Secondary (Additional-1/5)
Sub-Group
N/A
Subjects
Communication English
Mathematics
Payment Details:
Rs.:
DD No.:
DDated :
DD
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MMM
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Jul
Aug
Sep
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Nov
Dec
YYYY
2021
2020
2019
2018
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2016
2015
2014
2013
2012
2011
2010
2009
2008
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2002
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1939
1938
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1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
Bank Details.:
Photo:
Signature:
Declaration by the Candidate:
I hereby declare that all particulars in this Admission Form are true and genuine to the best of my knowledge and belief.
I hereby declare that in the event of suppression and distortion of any facts such as Educational Qualifications, Nationality, Study period etc. or any other information expected to be disclosed by me in this application form. Then I understood and agree that Enrolment/Admission is liable to be declared null & void irrespective of the stage at which it is.
I hereby declared that in the event of non-commitment/non-compliance of any process / rule / regulation, my Enrolment / Admission stands to be rendered null and void with immediate effect.
I know that the courses are council’s own autonomous training programme and also know the legality, validity, utility of the course is strict conformity with the constitution of India.
I also know that the certificate and mark sheet shall be awarded by only “National Council of Intermediate & Technical Education”. Not awarded by any other govt. organization/institute.
I also declared that I know that the running courses are for knowledge and wisdom and not guaranteed for further educational use and job. Hence I am taking admission after knowing all legal facts and own choice and without any pressure and I never be entitled to claim any way on any ground of recognition and legal status of the Institute / Council.
I hereby declared that all jurisdictions regarding any dispute (s) shall be in the consists of Kolkata city only.
I know that all updates are available in Council’s Official Website- “www.nciteindia.org”.