Nomination Form



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Separate Category NIELIT

Institute Name*

Institute Name Approved with AICTE/UGC*

Name of Trustee*


Enrolment of Student for Current Year *

  Out of

Address *

City *

Chairman Name*
Chairman Email: *
Chairman Mobile No: *
 Director Name *
 Director Email: *
 Director Mobile No: *
Training/Placement officer Name*
Training/Placement officer Email:*
Training/Placement officer Mobile:*

Contact Person *

Designation *

Phone/Mobile Number *

Email *

Website *

Statuary Approval

Any Issue/Objection Pending with AICTE/UGC

Investment in Infrastructure

Additional Information

Description and Justification for eligibility *


To ensure all your details are received kindly send an email to with cc to

Hard Copy of justification documents when asked may please be sent to:-

Ms. Pooja Sharma, 

P-90B, Basement NDSE Part –II, 
New Delhi – 110049 
Ph. No- 011- 26266411 /412 /211

- For any clarifications / additional information please contact
(a) Ms. Sauravi Dutta Ray – +91-8376975258
(b) Mr. Navtesh Kumar – +91 9711 869 771