Amount: Rs.

DD No.: ..........
Dated: .
Bank & Branch: .

Space for Office Use

www.nest.net.in

NATIONWIDE EDUCATION AND SCHOLARSHIP TEST

(N.E.S.T.)
APPLICATION FORM
Dear Sir,

Ive paid the required fees. Kindly allow me to appear in this test. My personal details are given in the following. Thanks!

1. Registration No.:
(To be filled in by the office)

2. Test Centre:
(Choose a city from the list as given in Instructions)

4. Tick-mark any ONE of the categories and a group relevant to your field of study in the following:

CATEGORY

and

NEST-Junior

and

Mathematics / Biology

NEST-I

and

Mathematics / Biology

NEST-II

and

3. Affix your
latest photo
here.

GROUP

/ B

/ C /

D.

5. Full Name of the Candidate: Mr. / Miss

(In capital letters as it appears in your School/College records)
6. Fathers Name: ...
7. Date of Birth:
8. Address for Correspondence: ...
.....
City: . State: Pin Code (Compulsory): ......
9. Personal Telephone No.: .. ; Alternative Telephone No.: ..
10. Mobile No. (Compulsory): .
11. E-mail ID (Compulsory): .....
12. Name of Class/Branch/Discipline: . .; Year & Semester: ...
13. Name of College & Town: ........
14. Percentage of Marks: SSC (10th): ; HSC (12th): ; Degree (Agg of all Sems. till date):

15. Declaration: I

undertake that all the information given by me as above is true to the best my knowledge and belief.

Place:
Date: .
-----------------------------------Signature of the Candidate