Details of the Student to be Enrolled
1. Enrollment No.
2. Program
3. Semester
4. Full Name (As in 10th Pass Certificate)
    (In English CAPS)
5. Date of Birth (DD) (MM) (YYYY)
6. Gender Male   Female  
7. Fee DD/Cash Receipt/UTR No. (Deposited at IIITA)
    Fee Amount
    Fee Date
    Bank Name & Branch
8. Mess Fee DD/Cash Receipt/UTR No. (Deposited
    at IIITA) * Not required for IIITL students.
    Mess Fee Amount
    Mess Fee Date
    Bank Name & Branch
9. Hostel
10. Room No.
11. Paper Code 1
12. Paper Code 2
13. Paper Code 3
14. Paper Code 4
15. Paper Code 5
16. Paper Code 6
17. Paper Code 7