information brochure cum application form - National Institute of ...

(ii)
(iii)
(iv)
(v)
Application form is to be filled up neatly and legitimately. Please ensure to write
address and sign the application form only in the relevant box. The photograph of
the size 3.5cm X 4.5cm must be against a light background.
Information required in the relevant box is to be filled in Capital Letters only and
tick ( ) clearly the required information in the boxes wherever provided.
Option for test centers filled once cannot be changed by the candidate. However, in
unavoidable circumstances the examination centre may be changed by the
competent authority of CET-2012.
Please note that name, father's name and date of birth should be recorded as per
High School or first Board/Matriculation examination certificate. Any deviation
may lead to cancellation of your candidature, whenever noticed.
20.2 FOR ONLINE DOWN LOADED FORM:
Information Brochure & Application form can be downloaded from websitewww.nirtar.nic.in.
A Demand Draft of Rs.500/- for General OBC & Rs. 400/- for SC,ST
& PH candidates should be send along with the downloaded form in favour of “Director,
SVNIRTAR” payable at Cuttack. Incase of application submitted online, it will only be
confirmed on receipt of D.D.
20.3. NAME OF THE CANDIDATE
Write your name in capital letters as given in your original certificate of the High School or
Your first Board/University Examination. Write single letter in a box. Leave one blank box
between any two parts of the name as shown in the example below:
Note: Female Candidates must write Miss/Mrs./Km. at the end of the name.
For example :
20.4. NATIONALITY
Please tick ( ) in the appropriate box.
20.5. CASTE / CATEGORY
20.6 SEX
A S H I S H B I S H I
P O O J A S E T H K M
Please tick ( ) in the appropriate box.
Please tick ( ) in the appropriate box.
16