Registrar Note : Interested candidates are required to visit to Institute Web Site( www.nitp.ac.in) for full information.
BIO-DATA
PHOTO
1. 2. 3. 4. 5. 6 7
Name of post applied for Name of Applicant (in Block letters): Fathers Name Date of Birth Postal Address with contact number Residential Address Educational Qualification Examination passed Name of the Board Subjects Percentage of marks Passing Year
a) b) c) d) e) 8 Experience, if any : Institute a) b) c) d) 9. 10. Any other Information Declaration: I declare that the statements made in this application are true, complete and correct to the best of my knowledge and belief. Place: Date: Signature of Applicant Position held Scale of pay Date of joining Date of leaving