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Application Form
B.Tech Program (2011-12)
Computer Science and Engineering
Biotechnology
Roll Number
Rank
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Instructions
1. Read the application form carefully before you fill it.
2. Please use tick ( ) in a appropriate boxes where ever required, except for questions where you need to list in numbers.
3. The application form will be attended to only if all the required information is included. Please re-check the form to ensure you have not left any data
un-filled.
4. All information you provide will only be used by our Admission Department and will remain strictly confidential.
Personal Data
First Name Middle Name Last Name
Father’s Email ID
Mother’s Email ID
City or Town
Academic Qualification
Class X Details Class XII Details
Subjects Percentage Subjects Percentage
Extra-curricular Activities
(Briefly describe any extra-curricular, personal and voluntary activities you have pursued.)
Preferences
Which of the following activities would you like to be part of (Choose any two):
Cultural Publicity Sports Seminar Conferences
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How did you get to know about NIIT UNIVERSITY?
Have any of your friends been studying/teaching/employed at NIIT UNIVERSITY? If yes, specify.
Name
Program
Personal Statement
This personal statement helps us become acquainted with you in ways different from courses, grades, test scores and
other objective data. It will demonstrate your ability to organize thoughts and express yourself. We are looking for
responses that will help you know better and as a student, Please describe yourself to your classmates.
Declared by Applicant:
I have gone through the Admission and Fees Policy. I shall abide by all the condition laid therein. I declare that all
information in my application is complete, factually correct, and honestly presented. I agree to the condition that if any
information or statement is found to be incorrect, my admission will be automatically cancelled.
Signature Date
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Detailed Information on NU Online Examination Centre for B.Tech in Biotechnology are as under:-
Date : 29-06-2011
Duration : 1 hr
Nature : Objective questions
Marking : No negative marking
Location : The test as well as interview will be conducted at some or all of the following locations:
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