NIFT Admission 2017 https://applyadmission.net/NIFT2017/Fill_ApplicationNext.

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NIFT Admission - 2017

Application Form

* Application No. 579386

* Programme applied for B.FTECH.-APPAREL PRODUCTION

Test Centre Details

* Date of Written Test 12th February 2017 (Sunday)

* Test Centre City Name Lucknow

Personal Particulars
AYUSH SHANKER
* Name
PANDEY
* Mother's Name kiran pandey * Father's Name vijay shanker pandey
* Date of Birth 01-Sep-1995 * Category GEN
* Gender Male * Nationality INDIAN
* State Domicile(State in which candidate has completed his /her class 12th Qualifying Examination): Other
* Are you Physically Handicapped? NO
Address for
* VILL-SURHURPUR
Communication
POST-SURHURPUR
DIST-AMBEDKER NAGAR
* City AMBEDKER NAGAR * State Uttar Pradesh-224159
Email-ID asp010995@gmail.com
Contact No. - * Mobile No. 9582521135

Qualifying Examination
Status of
* Qualification: 10+2 WITH PCM * 10+2/Equivalent Passed
Examination

Mode of Payment: --> Credit/Debit Card

Transaction Reference
* 290283 * Payment Date 1/7/2017 11:08:10 PM
No.
Receipt No/ 104355207186558/
* * Amount 1500
PG Ref.No. 207186558

I hereby agree to the NIFT 2017 admission guidelines and affirm that the statement made and information furnished by
me in the Online Application Form is true and correct and it will be my responsibility to establish the same as and when
required. In case of incomplete or untrue information my application form will be rejected.

You are NOT required to send Application Form/any documents/receipt to NIFT.

Place

Date
Signature of Applicant

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1 of 1 07-Jan-17 11:15 PM