Learners seeking Online admission through AI (Study Centre)/Regional Centre may fill the particulars
such as Name, Father’s Name, Address etc. in the form and give it to Study Centre/Regional Centre for
On-line registration as per instructions given below.
General Instructions:
1. Before filling up the application form, please ensure your eligibility for admission as given in Table-3 in the prospectus, otherwise
the application form will be cancelled and the fee paid by you will not be refunded. Neither any intimation will be sent to you, nor
any correspondence will be entertained in this regard.
2. One application form for admission has been given at the end of this prospectus.
3. Information in the admission form should be filled in English only.
4. Please put your signature and paste passport size photograph on original form. Attach the attested documents with form and get
the photographs attested on the photocopies from Principal/Co-ordinator or Gazatted Officer/Tehsildar/District Magistrate.
5. You should ensure that the particulars filled in the Application Forms are correct. Don't leave any column blank in the Admission
Form. You have to submit original form photographs and signatures on form for admission at the AI (Study Centre) along
with the duly filled in Provisional Admission Letter cum Receipt.
6. Writing should be legible. Any cutting should be attested.
Other Instructions:
Your Reference Number: It will be given by the Accredited Institution (AI)/ Study Center where you have deposited the admission form.
1. Name of Candidate: Write your name in block letters, in English. Each letter should be written in a separate column, as per
specimen given below, leaving one space between name, middle name and surname.
S U S H I L C H A N D E R J O S H I
You should mention your name as already recorded in your previous school or Board certificate.
2 and 3. Father’s and Mother’s Name: Write your father’s and mother’s names in block letters, in English as per specimen given
below. Do not write Shri, Smt., Mr. or Mrs. before the name.
K A M A L C H A N D E R J O S H I
Your father’s and mother’s name should tally with your previous records. This will be recorded in the Certificate.
No change will be permitted later on. The students who don't want their father's/mother's name to be printed on the
certificate, kindly put cross ×××××× upto 15 boxes given for father's or mother's name.
4. Guardian's/Institution's Name : Write Guardian's/Institution's name in case of Orphan.
5. Postal Address : Please write your complete address in block letters in English with e-mail Id, telephone number and the
mobile number for SMS alerts. Please do not give the AI or Coaching Centre address.
6. Date of Birth: Mention your Date of Birth correctly. Attach the attested copies of documents in proof of date of birth as per
the table-3 in the prospectus. If, for example, your Date of Birth is 17th
April 1986, it should be written as under.
1 7 0 4 1 9 8 6
DATE MONTH YEAR
7. Gender: Write 1 for Male and 2 for Female in the box provided.
8. Category: Write 1 for General, 2 for SC, 3 for ST, 4 for Ex-Servicemen and 5 for Handicapped, 6 for OBCs (Others
Backward Classes) in the box provided.
9. Disability: Write 1 for Locomotor Disability, 2 for Visually Impaired, 3 for Hearing Impaired, 4 for Leprosy Cured, 5 for
Mentally Retardation, 6 for Mental Illness, 7 for Multiple Disabilities, 8 for Cerebral Palsy, 9 for Learning Disabilities and
10 for Not Applicable, in the box provided.
10. Disadvantaged Group: Write 1 for Street Children, 2 for Working Children, 3 for Rural Women, 4 for Slum Dwellers and
5 for Not applicable, in the box provided.
10a. Orphan Write 1 for Orphan, 2 for Institute for Orphan, 3 for Not Applicable.
11. Course Applied for: Write 1 for Secondary and 2 for Senior Secondary in the box provided.
12. Medium of Study: Write 1 for Hindi Medium and 2 for English Medium in the box provided.
13. Mother Tongue : Write 1 for Hindi, 2 for Urdu, 3 for Assamese/Asomiya, 4 for Bengali/Bangla, 5 for Bodo, 6 for Dogri, 7
for Gujarati, 8 for Kannada, 9 for Kashmiri, 10 for Konkani, 11 for Maithili, 12 for Malayalam, 13 for Manipuri, 14 for
Marathi, 15 for Nepali, 16 for Odia, 17 for Punjabi, 18 for Sanskrit, 19 for Santhali, 20 for Sindhi, 21 for Tamil, 22 for
Telugu, 23 for any other language.
Instructions for filling up the Application form for Admission 2013–14
FOR MORE DETAILS CLICK;http://online.nios.ac.in/niosreg13/Admission%20Form_2013-14.pdf
such as Name, Father’s Name, Address etc. in the form and give it to Study Centre/Regional Centre for
On-line registration as per instructions given below.
General Instructions:
1. Before filling up the application form, please ensure your eligibility for admission as given in Table-3 in the prospectus, otherwise
the application form will be cancelled and the fee paid by you will not be refunded. Neither any intimation will be sent to you, nor
any correspondence will be entertained in this regard.
2. One application form for admission has been given at the end of this prospectus.
3. Information in the admission form should be filled in English only.
4. Please put your signature and paste passport size photograph on original form. Attach the attested documents with form and get
the photographs attested on the photocopies from Principal/Co-ordinator or Gazatted Officer/Tehsildar/District Magistrate.
5. You should ensure that the particulars filled in the Application Forms are correct. Don't leave any column blank in the Admission
Form. You have to submit original form photographs and signatures on form for admission at the AI (Study Centre) along
with the duly filled in Provisional Admission Letter cum Receipt.
6. Writing should be legible. Any cutting should be attested.
Other Instructions:
Your Reference Number: It will be given by the Accredited Institution (AI)/ Study Center where you have deposited the admission form.
1. Name of Candidate: Write your name in block letters, in English. Each letter should be written in a separate column, as per
specimen given below, leaving one space between name, middle name and surname.
S U S H I L C H A N D E R J O S H I
You should mention your name as already recorded in your previous school or Board certificate.
2 and 3. Father’s and Mother’s Name: Write your father’s and mother’s names in block letters, in English as per specimen given
below. Do not write Shri, Smt., Mr. or Mrs. before the name.
K A M A L C H A N D E R J O S H I
Your father’s and mother’s name should tally with your previous records. This will be recorded in the Certificate.
No change will be permitted later on. The students who don't want their father's/mother's name to be printed on the
certificate, kindly put cross ×××××× upto 15 boxes given for father's or mother's name.
4. Guardian's/Institution's Name : Write Guardian's/Institution's name in case of Orphan.
5. Postal Address : Please write your complete address in block letters in English with e-mail Id, telephone number and the
mobile number for SMS alerts. Please do not give the AI or Coaching Centre address.
6. Date of Birth: Mention your Date of Birth correctly. Attach the attested copies of documents in proof of date of birth as per
the table-3 in the prospectus. If, for example, your Date of Birth is 17th
April 1986, it should be written as under.
1 7 0 4 1 9 8 6
DATE MONTH YEAR
7. Gender: Write 1 for Male and 2 for Female in the box provided.
8. Category: Write 1 for General, 2 for SC, 3 for ST, 4 for Ex-Servicemen and 5 for Handicapped, 6 for OBCs (Others
Backward Classes) in the box provided.
9. Disability: Write 1 for Locomotor Disability, 2 for Visually Impaired, 3 for Hearing Impaired, 4 for Leprosy Cured, 5 for
Mentally Retardation, 6 for Mental Illness, 7 for Multiple Disabilities, 8 for Cerebral Palsy, 9 for Learning Disabilities and
10 for Not Applicable, in the box provided.
10. Disadvantaged Group: Write 1 for Street Children, 2 for Working Children, 3 for Rural Women, 4 for Slum Dwellers and
5 for Not applicable, in the box provided.
10a. Orphan Write 1 for Orphan, 2 for Institute for Orphan, 3 for Not Applicable.
11. Course Applied for: Write 1 for Secondary and 2 for Senior Secondary in the box provided.
12. Medium of Study: Write 1 for Hindi Medium and 2 for English Medium in the box provided.
13. Mother Tongue : Write 1 for Hindi, 2 for Urdu, 3 for Assamese/Asomiya, 4 for Bengali/Bangla, 5 for Bodo, 6 for Dogri, 7
for Gujarati, 8 for Kannada, 9 for Kashmiri, 10 for Konkani, 11 for Maithili, 12 for Malayalam, 13 for Manipuri, 14 for
Marathi, 15 for Nepali, 16 for Odia, 17 for Punjabi, 18 for Sanskrit, 19 for Santhali, 20 for Sindhi, 21 for Tamil, 22 for
Telugu, 23 for any other language.
Instructions for filling up the Application form for Admission 2013–14
FOR MORE DETAILS CLICK;http://online.nios.ac.in/niosreg13/Admission%20Form_2013-14.pdf
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