Dear Student, We are in the process of updating data of our students who are preparing for the IIT-JEE,

AIEEE and other Engineering Entrance Exam, 2012. Kindly fill the given Student Information Proforma & attach a photocopy of your APPLICATION FORM(s) at the earliest and return the same to FIITJEE (address shown below) or through E-mail (chandigarh@fiitjee.com) or submit at the Test Centre on the coming AITS Exam day. This will ensure that you are fully benefited by way of getting mailing papers and supplement etc. and become eligible for Rewards*. You can also use the link www.fiitjee.com/regnoupdate.htm to update the said information. Wishing you success in all your endeavors. Team FIITJEE

STUDENT INFORMATION PROFORMA A

FIITJEE Enrolment No:
(As mentioned in IIT-JEE Application Form)

Date of Birth

Name __________________________________________________________________________________________ FIITJEE Program Joined ___________________________________________________________________________ Correspondence Address ___________________________________________________________________________ ________________________________________________________________ Mobile No. ___________________________________ Pin Code:

Telephone ______________________________________

e-mail ID (in capital letters) ______________________________________________________________________________ Correspondence Address ___________________________________________________________________________ ________________________________________________________________ Mobile No.: ___________________________________ Examinations 2012 CBSE XII (Boards), if any IIT-JEE* A.I.E.E.E.* BITSAT V.I.E.E.E. Other(s) 1. 2. 3. 4.
* If you have applied on-line (through internet), please give Application Form Number & necessary Details.

Pin Code:

Telephone ______________________________________ Application Form No. / Admit Card No. Rank

(for Office Use Only)

Date of Conduction Various (whole of March) 08-Apr-12 Offline: 27-Apr-12 Online: May 07-26-12

Class XII: Studying Please ( )

or Pass

Category (IIT-JEE): GE

or Other

I certify that all above information are correct. Date: __________________

* Please see reverse for Information on Rewards.

_____________________ Signature of the Student

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FIITJEE Limited, Chandigarh Centre, SCO-321-322, Sector 35-B, Chandigarh 160 022 Ph. 0172 3010043, Fax: 4001003 Website: www.fiitjee.com Email: chandigarh@fiitjee.com

Rewards for FIITJEE students selected in IIT- JEE

Rewards for Classroom / Integrated School Program Students

Rewards for Correspondence Program Students

All India 1st Rank A gold plated plaque and Rs. 2,00,000/payable every year for four / five years of graduate / integrated studies. All India 2nd Rank - 10th Rank A silver plaque and Rs. 1,50,000/payable every year as above.

All India 1st Rank A gold plated plaque and Rs. 1,00,000/payable every year for four / five years of graduate / integrated studies. All India 2nd Rank A silver plaque and Rs.75,000/payable every year as above.

All India 11th Rank - 20th Rank A silver plaque and Rs. 1,00,000/payable every year as above.

All India 3rd Rank A silver plaque and Rs.60,000/payable every year as above.

All India 21st Rank - 30th Rank A silver plaque and Rs. 75,000/- payable every year as above.

All India 4th Rank A silver plaque and Rs. 50,000/payable every year as above.

All India 31st Rank - 50th Rank A silver plaque and Rs. 50,000/payable every year as above.

All India 5th Rank A silver plaque and Rs. 40,000/payable every year as above.

All India 51st Rank - 100th Rank A silver medal and Rs. 25,000/payable every year as above.

All India 6th to 10th Rank A silver medal and Rs.25,000/payable every year as above.

All India 101st Rank - 200th Rank A silver medal and Rs. 5,000/- per semester (Rs. 10,000/- per year) as book grant.

All India 11th to 20th Rank A silver medal and Rs.15,000/payable every year as above.

All India 201st Rank - 500th Rank Rs. 2,000/- per year as book grant.

All India 21st to 50th Rank A silver medal and Rs. 10,000/payable every year as above.

All India 501st to last Rank A set of books.

All India 51st to 100th Rank A silver medal and Rs. 2,000/per semester as book grant.

All India 101st to 500th Rank One time reward of Rs. 1,000/-

All India 501st to last Rank A set of books.

All students enrolled for any of the FIITJEE Classroom / Integrated School Programs including Intensive Contact Program, are eligible for the above rewards. All students who are enrolled in AITS or RSM program and who attend at least 80% of Concept Strengthening session & Test Analysis Program will also be eligible for the Rewards associated with Classroom Programs students. The awards are for candidates getting Ranks in IIT-JEE as above in Common Merit List only.

All students enrolled for any of the FIITJEE programs other than Classroom / Integrated School Programs, viz. Rankers Study Material, all Test Series Programs, Grand Masters Package and Rankers Test Papers File are eligible for the above rewards. The awards are for candidates getting Ranks in IIT-JEE as above in Common Merit List only.

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FIITJEE Limited, Chandigarh Centre, SCO-321-322, Sector 35-B, Chandigarh 160 022 Ph. 0172 3010043, Fax: 4001003 Website: www.fiitjee.com Email: chandigarh@fiitjee.com