Details of the Student to be Enrolled
1. Program
2. Registration Date-Time
3. Campus
4. Full Name (As in 10th Pass Certificate)
    A. (English)
    B. (Hindi)
5. Enrollment No.
6. Date of Birth (DD) (MM) (YYYY)
7. Place of Birth
8. Category
 A. Sub Category (For OBC/SC/ST)
9. Religion
10. Gender Male   Female  
11. Marital Status Unmarried   Married  
12. Area
13. Blood Group
14. Nationality
15. Communication Address
16. City
17. State
18. Pin Code
19. Phone No.
19-A. AADHAAR No.
20. Email
21. Father Name
22. Father Profession
23. Father Office Address
24. City
25. State
26. Pin Code
27. Phone No.
28. Email
29. Mother Name
30. Mother Profession
31. Permanent Address
32. City
33. State
34. Pin Code
35. Phone No.
36. Email
37. Local Guardian Name
38. Address
39. City
40. Phone No.
41. Admission Category 42. Admit Card
(JEE/CCMT/CSAB/CAT)		 Yes   No   43. JEE Rank Card Yes   No  
44. JEE Roll No. 45. JEE Rank Position
(CRL Rank)		 46. JEE Seat Allotment Letter Yes   No  
47. 10 Marksheet Yes   No   48. 10 Certificate Yes   No   49. 10 Percentage
50. 10 Board
If other Board, please specify
51. 12 Marksheet Yes   No   52. 12 Certificate Yes   No   53. 12 Percentage
54. 12 Board
If other Board, please specify
55. Graduation Marksheet Yes   No   56. Graduation Degree Yes   No   57. Graduation Percentage
58. Graduation University
If other University, please specify
59. PG Marksheet Yes   No   60. PG Degree Yes   No   61. PG Percentage
62. PG University
If other University, please specify
63. GATE Score Card Yes   No   64. GATE Year 65. GATE Score
66. CAT Score Card Yes   No   67. CAT Year 68. CAT Score
69. Transfer Certificate Yes   No   70. Character Certificate Yes   No   71. Caste Certificate Yes   No  
72. PH Certificate Yes   No   73. PassPort Yes   No   74. Passport Validity Period
75. MACIP Yes   No   76. DASA Yes   No   77. Remark
78. Anti Ragging Certificate (Student) Yes   No   79. Anti Ragging Certificate (Parents) Yes   No   80. Medical Certificate Yes   No  

Email: aaa@iiita.ac.in, ar.aaa@iiita.ac.in (for UG), ar.rd@iiita.ac.in (for PG)      Phone: 0532-292 2030, 2032, 2033, 2085, 2282, 2286  

   
Developed By: Prashant Kumar Srivastava                             Maintain By: Kaushal Kumar Singh