Title

CourseApplyAs

Year of Exam

Block of Exam

Course Apply For *

Name of Candidate

Father Name

Mother Name

Date of Birth

Gender

Aadhar

Candidate Mobile Number

Father Mobile Number

Candidate Email id

Father Email id

Email id for NIOS Form

Password of New Generated Email Id

House/Door/Flat No.

Street/Locality/Area Name

Village/Ward No/Landmarks

State

District

Pin Code

Cast Category

EX Servicemen

Disability

Orphan

Guardian's/Institution's Name

Medium of Study

Previous Qualification

Previous Qualification Status

Part Admission or Dual Enrollment

Disadvantaged Group

Nationality

Mother Tongue

Religion

Father Qualification

Mother Qualification

Place of Residence

Geographical Area

Employment

Extra Curricular

Annual Family Income

Economically Backward Class

Apply for TOC

Board

Year You Appeared

Enter Roll Number

Subject 1

Subject 2

Subject 3

Subject 4

Subject 5

Subject 6

Subject 7

Study Center Country

Study Center State

Study Center District

Study Centers

Photo

Notes

Country

City

candidate_Middle_Name

candidate_Last_Name