National Institute of Technology Manipur
Imphal-795004, India

  3rd Convocation
December 20, 2016
 
   Online Registration form for participation in Convocation

Name of the candidate* :
Enrolment no.* :
Specialisation* :
Branch * :
Year of passing* :
Email* :
Father's/Mother's name* :
Contact address at present* :
Gender* :
Mobile no.* :

Detail of Payment

DD of Rs. 300 to be drawn in favour of Director NIT Manipur payable at Imphal
Bank Name :
DD Date :  
DD No. :
  OR
Online transaction details (NEFT to the Director, NIT Manipur. Account No. 31098026413, IFSC No. SBIN0004562, MICR No. 795002003 of SBI Imphal Secretariat Branch) or by cash to Cash Counter towards the Convocation fee (non-refundable).
Online transaction reference no. :
Date of payment :  
Bank :
Branch :

DECLARATION

             I shall attend the Convocation and receive the Degree in person. I will reach Imphal on _____, 2016 and deposit the DD (if applicable) to NIT Manipur office on or before 18th December 2016.
N.B. Boarding and lodging for students coming from outside the state will be arranged by the Institute