No.15, `Sri Shiva Nilaya’, 4th Main Road,
Madiwala Extn., Bangalore – 560 068.
www.nisvartha.org
email :nisvartha@gmail.com

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Upon completion of your Registration, print out the pre-filled application and make plan to attend interview. Interview will be online. Date and time will be informed in advance

General
Fields marked with a * are mandatory
First Name:		10th Hall Ticket Number:
Middle Name:		Date of Birth :
Last Name:		Gender:
Address:		Home Phone:
		Mobile Phone:
		Email:
City:		Religion:
District:		Caste:
State:		Course:
PIN:

Academic
All the fields in this section are mandatory
Name of the School:		Institution Type:
Name of the Principal:		Phone Number of the instistution:
		Medium of Instruction:
8th Std Score:		8th Std Percentage:
9th Std Score:		9th Std Percentage:
10th Std Score:		10th Std Percentage:

Fields marked with a * are mandatory

Read all the instructions below and click on Close button

Registration Number:
Hall Ticket Number:

Title of the confirm dialog

Description of what is about to happen

Options to select appears here