NIFT Admission - 2013Application Form

* Application/Form No. 508879

* Programme applied for M.F.M.  Test Centre Details

* Test Taking Option PBT

* Test Centre Name 14 : Bhubaneswar

Personal Particulars* Name ANKIT MOHANTY* Mother's Name KAVITA MOHANTY * Father's Name JATINDRA NATH MOHANTY* Date of Birth 18-Dec-91 * Category GEN* Gender Male * Nationality Indian * State Domicile(State in which candidate has completed his /her class 12th/Graduation Examination): Orrisa * Are you Physically Handicapped?   NO * Address for Communication Cda,Sector-6    Plot No-377/E    markat nagar,cuttack* City cuttack * Pin Code 753014  Email-ID ankitmohanty01@gmail.com  Contact No. - * Mobile No. 9437080904

Qualifying Examination* Qualification Name Undergraduate Degree from any institute/univ. recognized by law in India

* Status of Examination Passed *Qualification attained from (NIFT/Others)

Others

Mode of Payment: --> Netbanking/Credit/Debit Card * Transaction No. 11540 * Payment Date 12/12/2012 6:03:09 PM

* Ref. No: 201212120924541 * Amount

1100

I hereby agree to the NIFT 2013 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.

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