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First Name *

Middle Name

Last Name * ( In case you don't have Last Name, please write as NA.)

Mobile No. *

Select Course *

How did you get to know about NIFTEM? *

E-mail address * A valid e-mail address. All e-mails from the system will be sent to this address. The e-mail address is not made public and will only be used if you wish to receive a new password or wish to receive certain news or notifications by e-mail.

Password*

Re-Password * (Password and Re-Password Should be same...)