AIEEE 2009 - OnLine Form http://aieee.nic.in/aieee2009/exam09/online/onlineform.
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APPLICATION FORM FOR AIEEE 2009
#Marked fields are Optional and rest are Mandatory Candidate's Name as given in Class X Certificate Mother's Name Father's Name as given in Class X Certificate Choice of the exam center (First Choice is Mandatory) 1 st Choice: ----Select---- # 2ndChoice: ----Select---- rd # 3 Choice: ----Select---- th # 4 Choice: ----Select---- State Code of Eligibility (From Where +2 Passed/Appeared) ----Select---- Gender ----Select---- In case of girl candidate, Are you the only child of your parents? ----Select---- Nationality ---Select---- Question Paper Medium ----Select----
Date of Birth (As per Class X Certificate)(in DD/MM/YYYY Format)
Place of Residence ----Select----
Category ----Select---- Whether Physically Handicapped ? ----Select---- School Board of Class XII ----Select---- Type of Institution of Class XII ----Select---- Mode of Preperation ----Select---- Courses Applying for ----Select---- Year of Passing/Appearing Class XII ----Select---- Percentage of Class X Marks (In Round Figure) % Percentage of Class XII Marks (If Passed,In Round Figure) % Educational Occupation# Annual Income# Qualification# Father's/Guardian's ----Select---- ----Select---- ----Select---- Mother's ----Select---- ----Select---- ----Select---- Please Enter Your Email Address# Telephone No. with STD Code# (write STD Code first followed by phone no.) DETAILS OF EXAMINATION PASSED OR LIKELY TO BE PASSED Name of the Examination Passed / appearing Board / University Name & Address of the School / College from where passed / appearing Year of Passing / appearing Roll Number (if alloted) Enter Security Pin (Shown In Green Color)