Norton Institute of Management & Technology

Online Form

Name of the Applicant				Enrollment No
Academic Year				Course
Speciality (if any)				Name of the study center
Sex				Father's Name
Correspondence Address				Date of Birth
Contact No				Pin Code
Nationality				Email
Details of Educational Qualifications (From X Standard onwards)
S. No	Name of the Qualifying Exam.	Year/Session	Name of the University / board		Percentage




Employ Details (if any)
Fee Payment Particulars :
Cheque /DD Details
DD Date				DD Amount
Rupees in words
DECLARATION I hereby declare that, the information furnished herein are true and correct to the best of my knowledge and belief. I have read the prospectus and the rules and regulations of the Institute. In case any information furnished is found incorrect, at any stage I agreed to forego the claim for admission. I declare that all the above Xerox copies of the certificates submitted by me at the time of admission are true and genuine.
Place		Date
Note : Fees once paid will not be refunded in any circumstances

Documents required for Admission :- 1. 3 Passport size Photographs. 2. Photocopy of 10th / Metric Certificate. 3. Photocopy of Highest Educational Qualification Certificate. 4. Photocopy of Identificaiton / Residence Proof. All the documents should be self Attested.