NATA Application Form 2017

S.No.

Description of Field

Value

Remarks

A. Personal Information -as registered In Class 12 or equivalent examination

1

Candidate's Full Name

Enter name

Max 46 character; as per school leaving record

don't use prefixes like Sri,Mr,Ms,Dr,Late etc.

2

Father's Name

Enter name

Max 46 character;as per school leaving record

don't use prefixes like Sri,Mr,Ms,Dr,Late etc.

3

Mother's Name

Enter name

Max 46 character;as per school leaving record

don't use prefixes like Sri,Mr,Ms,Dr,Late etc.

4

Date of Birth

DD/MM/YYYY

See Section 5.2 for eligibility condition on date of birth

(must be 17 years of age as on 31.07.2017).

5

Gender

---Select---

Male (M) I Female (F) I Transgender (T)

6

category

--Select--

General I SCI ST I OBC-NCL

Has no bearing on the exam

7

Person with disability

YES/NO

Auto-filled with NO,may be changed to YES

Has no bearing on the exam

8

Type of disability

--Select---

VisualAcuity I One eyed vision I Others

Note: extra support to be provided to disabled candidates based on their appeal and at the discretion of centre-in-charge

Note: Certain disabilities,such as colour blindness,may render a candidate ineligible for admission to B.Arch. course,depending on admitting institute policy.

9

Place of Residence

---Select---

Rural I Urban I SubUrban

10

Nationality

--Select--

Indian I OCI I PIO I Foreign

11

Aadhar Number

--Enter---

This field is optional and verified offline

12

Have you applied in JEE (Main) Paper-11

--Select---

YES (Y) I NO (N)

13

If Yes,enter Application

No of JEE(Main)

Type valid number ifY

(Max 8 character)

Has no bearing on this exam and verified offline

14

Have you qualified in

NATA-2016?

--Select--

YES (Y) /NO (N)

15

If Yes,enter ld of NATA-2016

Type valid number if Y

Enter Candidate-ld (Max 10 character) Has no bearing on this exam and verified offline

B. Choice of examination centre

16-18

Choice of Location of

Examination

-- 1st Choice--

--2nd Choice-

-- 3rd Choice-

Three choices to be selected mandatorily from the entire list of examination cities nation-wide

(see Appendix-V for the complete list)

C. Details of education - Class X or equivalent

19

Education Qualification

---Fixed--

Class lOth or equivalent

20

Pass Status

--Fixed--

Passed

21

Course/Stream name

--Fixed---

High School

22

Board/University

--Select--

Select from drop down list

23

Year of passing

--Select--

Select from drop down list

24

Obtained Marks

Enter value

Mandatory (aggregate)

25

TotalMarks

Enter value

Mandatory

26

%Marks

---

Auto calculate

27

Roll No/Enroll No

Enter value

Enter correct roll no as per Class X records

28

Institute Name and address

100 character

Enter name and address of school of study in Class X

29

Pin Code

6 character

Pin code of school address

D. Details of education - Post X

30

Education Qualification

---Fixed--

Class 12th or equivalent

31

Pass Status

--Select--

Passed/Appearing

32

Course/Stream name

---Select---

10+2/10 + 3 years Diploma

33

Board/University Name

--Select--

Select from drop down list

34

Year of passing

---Select---

Conditional- if Passed,Select from drop down list

35

Obtained Marks

Enter value

Conditional - if Passed,enter aggregate

36

TotalMarks

Enter value

Conditional- if Passed

37

%Marks

---

Auto calculate - if Passed

38

Roll No/Enroll No

Enter value

Conditional- if Passed

39

Institute Name and address

100 character

Enter name and address of school of study in Class X Mandatory

40

Pin Code

6 character

Pin code of school address- Mandatory

E. Communication address

41

Address of residence

50 characters

Enter full address

42

State of Domicile

--Select--

All states and union territories to be shown

43

District of Domicile

---Select---

Select from drop down menu

44

Pin Code

6 character

Mandatory

45

Emailld

Enter valid id

Please enter valid -to be used for communication

46

Mobile no

Enter valid no

Please enter valid -to be used for communication

47

Land line no

Enter valid no

Optional

F. Income category

48

Family Income 

--- Select ---

Below 2.5 lakh/2.5 to 6 lakh/6 to 10 lakh/above 10 lakh (4 options).

G. Secure application before final submission

49

Choose password

Enter as per password policy

1. Password must be 8 to 13 characters long.

2.Password must have at least one Upper case,one lower case alphabet and one numeric value and at least one special characters among !@#$%A&*-

3.New Password cannot be identical to any of the previous three passwords.

50

Confirm password

Enter same as above

Has to match with the above entry and noted down for all future entries into the system

51

Security question

--Select---

Select from options in drop down menu

52

Security answer

Enter response

Please enter relevant value and note down- used for future retrievalof forgotten password

Now the application may be reviewed before final submission.Once application is submitted, an Application

Number (7 digit, Most Significant Dlglt=7) gets generated.It must be noted down along with password and security question-answer - as these are all important for subsequent logins - to upload images and submit fees. Please note that It is impossible to submit a duplicate form by any candidate- with same name,father name, mother name and date of birth. Any correction to filled-up form details can be sought through correction window to be made available on designated dates.