INESO-2022

Student Registration Form

Candidates born on or after July 1, 2003 and studying in Class 9, 10 or 11 in September 2022 are eligible to write
INESO 2022. Further, the candidates must be Indian citizens. Provisionally, students with OCI cards are eligible to
write the IESO.

STUDENT REGISTRATION DETAILS

NAME OF THE STUDENT : : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

(As per the School Records)

DATE OF BIRTH : D D M M Y Y Y Y

GENDER : (Male/Female)
(Male/Female)
(Male/ Female)

: /STANDARD
CLASS : _______________________________________________________

STUDENT STUDYING DETAILS

SCHOOL TYPE : KV JNV OTHERS

SCHOOL NAME : _______________________________________________________

SCHOOL PLACE : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ PINCODE _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

CITY: ____________________ DISTRICT ______________________

STATE _ _ _____________ ________________________________

STUDENT CORRESPONDENCE DETAILS

RESIDENTIAL ADDRESS : __________________________________ ____________________

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ CITY: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

DISTRICT : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ STATE : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

PINCODE : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ MOBILE NO _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

EMAIL ID : __________________________________ _____________________

Declaration: I hereby declare that the details furnished herein are true to the best of my knowledge.
DATE :

PLACE : (Signature of the Student)

Acknowledgement (To be handed to the Student)

Applied for INESO 2022 Received Rs: 150/-

Centre Registration No.: _ _ _ _ _ _ _ _ _ _ _ Institution Seal Signature of Centre In-charge

Note: Confirm your registration status through “Check your registration status” within seven working days after
submission or else check with the respective Institution.