NATIONAL INSTITUTE OF TECHNOLOGY, TIRUCHIRAPPALLI 620 015

NATIONAL INSTITUTE OF TECHNOLOGY, TIRUCHIRAPPALLI 620 015.STUDENT RECORD (B.Tech. / B.Arch.)CANDIDATE DETAILSStream Engineering / ArchitectureAffix your Photograph here

Name

AIEEE Roll No

Date of Birth

CategoryOP / OBC / SC / STSub Category*

State of Eligibility

Branch

Roll No.

*For PH candidates only

AIEEE RANK DETAILS

All India (AIR)Home State (HS)

OverallCategoryOverallCategory

SCHOOL ATTENDED

CoursePeriod of StudyName of the SchoolMarks (%)

SSLC

HSC or Equivalent

Permanent Address Address for Correspondence

Phone No :

Mobile No :Phone No :

Mobile No :

HOSTEL DETAILS

Name of the Hostel

Room No

Signature of the Student

HoD / Dean (Academic)