AIEEE 2009 - OnLine Form http://aieee.nic.in/aieee2009/exam09/online/onlineform.

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APPLICATION FORM FOR AIEEE 2009

#Marked fields are Optional and rest are Mandatory
Candidate's Name as given in Class X Certificate
Mother's Name
Father's Name as given in Class X Certificate
Choice of the exam center (First Choice is Mandatory)
1 st Choice: ----Select----
#
2ndChoice: ----Select----
rd
#
3 Choice: ----Select----
th
#
4 Choice: ----Select----
State Code of Eligibility (From Where +2 Passed/Appeared) ----Select----
Gender ----Select----
In case of girl candidate, Are you the only child of your parents? ----Select----
Nationality ---Select----
Question Paper Medium ----Select----

Date of Birth (As per Class X Certificate)(in DD/MM/YYYY Format)

Place of Residence ----Select----

Category ----Select----
Whether Physically Handicapped ? ----Select----
School Board of Class XII ----Select----
Type of Institution of Class XII ----Select----
Mode of Preperation ----Select----
Courses Applying for ----Select----
Year of Passing/Appearing Class XII ----Select----
Percentage of Class X Marks (In Round Figure) %
Percentage of Class XII Marks (If Passed,In Round Figure) %
Educational
Occupation# Annual Income#
Qualification#
Father's/Guardian's ----Select---- ----Select---- ----Select----
Mother's ----Select---- ----Select---- ----Select----
Please Enter Your Email Address#
Telephone No. with STD Code# (write STD Code first followed by phone no.)
DETAILS OF EXAMINATION PASSED OR LIKELY TO BE PASSED
Name of the Examination Passed / appearing
Board / University
Name & Address of the School / College from where passed / appearing
Year of Passing / appearing
Roll Number (if alloted)
Enter Security Pin (Shown In Green Color)

Security Pin

Submit Form Reset Your Data

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