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8/10/2019 Niftem Form
1/2
PLUS TWO PHYSICS,CHEMISTRY,MATHS,ENGLISH,PHYSIC
AL EDUCATION
CBSE 2014 451 90.2
Bank Amount Dated DD No.
Undertakings by the Candidate:
250.00
I testify that my son / daughter / ward .......................................... is seeking admission with my consent and I am personally
responsible to the University for payment of all his/her dues. I assure that the applicant will abide by the rules of the University.
Application fee Details (if not submitted online)
JEE(Main)- 2014 Roll No.: 72800036 (Attach photocopy of JEE 2014 admit card with hard copy of application)
I hereby certify that the foregoing particulars are correct. I understand that my admission may be cancelled and total fee paid byme may be forfeited if the particulars given by me in this application are subsequently found to be wrong.
Date: ___/ ___/ 2014 (Signature of Parent/Guardian)
Undertakings by Parents / Guardian
I agree that institutes rules and decisions thereby in all matters concerning my admission, studies, discipline and conduct will befinal and binding on me.
Date: ___/ ___/ 2014 (Signature of Applicant)
Contact No. : 9690100029 Passport:
EDUCATIONAL DETAILS
Examination Passed
Subject/Branch Board/University Year of Passing Marks Obtd. Marks (%) Remarks (Not to be filledby the Applicant)
Father's Name : PK SHARMA Identical to the
Full Name : ANJALI SHARMA Coloured Photo
Date of Birth : 16/03/1997 Application Form
Mother's Name : KUSUM SHARMA one given with
PERSONAL DETAILS
Internal ID : 21695
Application Ref. No. : 11755
Place/Village/City : KASHIPUR Pin: 244713
House No. : 819 Mohalla/Street: GIRITAL COURT ROAD
E-mail ID : [email protected] Country:
District : UDHAM SINGH NAGAR State: Uttarakhand
Category : GENERAL Religion: HINDU
Gender : FEMALE Nationality: INDIAN
Address for Correspondence:
Physically Handicap : N Kashmiri Migrant: N
National Institute of Food Technology Entrepreneurship and ManagementDeemed to be University (De-novo Category) under Section 3 of the UGC Act, 1956 and an Autonomous Institution under Ministry of Food Processing Industries, GOI
Application Form for Admission to B Tech Programme:2014-15
Plot No. 97, Sector-56, HSIIDC Industrial Estate, Kundli-131 028, Distt.-Sonepat (Haryana)
8/10/2019 Niftem Form
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Note: 2. You must upload your JEE (Main) All India Open rank within 3 days of its announcement by C.B.S.E.
Note: 1. In case of payment through DD, a printed copy of the application form along with the DD, must reach Head, AdmissionCell, NIFTEM, Plot No. 97, Sector 56, HSIIDC Industrial Estate, Kundli 131028, Distt. Sonepat, Haryana, on or before 27thJune 2014.
Application Form for Admission to B Tech Programme:2014-15
National Institute of Food Technology Entrepreneurship and ManagementDeemed to be University (De-novo Category) under Section 3 of the UGC Act, 1956 and an Autonomous Institution under Ministry of Food Processing Industries, GOI
Plot No. 97, Sector-56, HSIIDC Industrial Estate, Kundli-131 028, Distt.-Sonepat (Haryana)