Pratibha Education Society
Shop. No 5, Hari Mamta Appt. Behind Shani Mandir Jail Road Nashik Road – 422 101
APPLICATION FORM
NATIONAL INSTITUTE OF CAREER EDUCATION
NATIONAL SCHOLARSHIP EXAMINATION – 2016



PERSONAL INFORMATION


Full Name (IN BLOCK LETTERS)





FAMILY DETAILS (IN BLOCK LETTERS)


Fathers / Husbands Name



Mothers Name



Home Address





Contact Details



SCHOOL / COLLEGE / CO-ORDINATOR DETAILS


School / Collage / Co-ordinator Name



Address





EDUCATIONAL DETAILS


  ( Please Select one)

  ( Specify e.g. Std V / VI / X / XII OR D.E / B.E. / B.Sc. / MCA / B.A. / B.Com. )


  ( If Regional Language Please Specify )

EXAM. FEE DETAILS


NSE Exam Fee Rs. 350/- (Rs. Three Hundred Fifty only)



 



 

Note: Please submit Application form & Fee of a exam before last date of application to School / College / Co-ordinator / Head Office


Declaration:- I hereby declare, that the particulars submitted by the online examination application form of NSE are true to the best of my knowledge and belief I agree to abide by the rules and regulation of NICE and also to the decoction of NICE and also to the decision of NICE Regarding my Admission for the I have noted that, NICE has the right to withhold my result even after my appearing in the examination in addition to any other action as may be deemed fit in the event of any of the statements /particulars mode above being fund incorrect. I have noted that, I might be required to appear in the examination at any other examination centre not specified under examination centre choice. I further Understood that, in the event of non-conduction / non – evaluation of my examination due to any reason whatsoever, I will not held NICE responsible for any damages.