NPTEL Course Exam Fee Reimbursement Form (July -Oct 2018)
For all Faculty members and students who qualified NPTEL examination (for July - October 2018 session)
Email address *
Name *
Category *
College Enrollment No. (For Students only) *
NPTEL Registration Number *
Score *
Type of certification *
Branch *
Required
Name of Course Completed *
Father Name *
Date of Birth *
MM
/
DD
/
YYYY
Aadhaar Number *
Address *
State *
City *
District *
Pincode *
Proof of the exam qualified (Attach the copy of the certificate)(In PDF or JPEG format only) *
Required
Proof of the exam fee paid (Attach the copy of fee receipt in PDF or JPEG format only) *
Required
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service