ADMISSION Form / Examination Form

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ADMISSION Form / Examination Form
1. Registration Details / पंजीयन का विवरण * अनिवार्य फिल्डस (Mandatory fields)
Have you got Online reference Number For Enrollment With AIEC/Accrediation/Extension Center*
Whether Applied Perviousli in Examination / क्या आपने परीक्षा के लिए आवेदन किया है*
Course Application / कोर्स के लिए आवेदन*
2. Applicant’s Personal Details / आवेदक का व्यक्तिगत विवरण* अनिवार्य फिल्डस (Mandatory fields)
Student full name / आवेदक का पूरा नाम *
( Full name as per the highest / latest qualification certificate or legal certificate )
Care Of / देखभाल *
Father's Name / पिता का नाम *
( Full Name As Per Educational/Legal Certificate )
Mother's Name / माता का नाम *
( Full Name As Per Educational/Legal Certificate )
Date of Birth / जन्म दिनांक * (MM/DD/YYYY) ( As per high school certificate in 'MM/DD/YYYY' format. i.e. '01/16/1999' )
Category / श्रेणी *
Gender / लिंग *
Occupation / व्यवसाय *
Disability / दिव्यांगता *
EWS /आर्थिक रूप से कमजोर वर्ग *
Contact Details / संपर्क विवरण* अनिवार्य फिल्डस (Mandatory fields)
Phone with STD Code / पता *
Mobile Number / मोबाइल नंबर *
Email Address / ईमेल पता
([email protected])
4. Educational / Qualification Details / षैक्षिक / योग्यता का विवरण* अनिवार्य फिल्डस (Mandatory fields)
Highest Educational Qualification / शैक्षिक योग्यता *
Year of Passing / *
Roll No /*
Result /*
5. Applicant’s Personal Details / आवेदक का व्यक्तिगत विवरण* अनिवार्य फिल्डस (Mandatory fields)
Address Line 1/ पता 1 *
Address Line 2/ पता 2 *
Address Line 3/ पता 3 *
City Name/*
Pin Code / पिन कोड *
District / जिला *
6. Examination Details / परीक्षा विवरण* अनिवार्य फिल्डस (Mandatory fields)
Applied As / *
Select Center Code of Accredited Institute / केंद्र कोड * Center Status
Selected Center Name of Accredited Institute / *
Selected State of Accredited Institute / *
Examination Center 1 / परीक्षा केंद्र *
Center Status
Examination Center 2 / परीक्षा केंद्र *
Center Status
7. Identification Details / पहचान की सूचना* अनिवार्य फिल्डस (Mandatory fields)
Voter ID#/Adhaar ID#/PAN # /मतदाता आईडी # / आधार आईडी # / पैन # *
Upload Photo / फोटो अपलोड करें *

( JPG,JPEG,GIF,PNG image with size upto 50 KB )
Upload Student Signature / छात्र के हस्ताक्षर अपलोड करें *

( JPG,JPEG,GIF,PNG image with size upto 50 KB )
Upload Thumb Impression / *

( JPG,JPEG,GIF,PNG image with size upto 50 KB )
7. Identification Details / पहचान की सूचना* अनिवार्य फिल्डस (Mandatory fields)
Declaration / घोषणा * I, hereby declare that the particulars submitted by me in the online application form of All India Education Council (AIEC, New Delhi) are true to the best of my knowledge and belief. I agree to abide by the rules and regulations of All India Education Council (AIEC, New Delhi) and also to the decision of All India Education Council (AIEC, New Delhi) regarding any action. I will not held All India Education Council (AIEC, New Delhi) responsible for any damages. I hereby accept that ,if the number of Candidates are less than minimum required, All India Education Council (AIEC, New Delhi) can move my registration to the Second Preference City even after I submit the consent to First Preference City. I also declare that i am fit in physically and mentally for yoga courses.