14th ANNUAL CONVOCATION OF KIIT DEEMED TO BE UNIVERSITY
10th November 2018
BHUBANESWAR

Please Fill up the form as instructed.
Full Name is required
 
Parents Name Enter Father's name
  Enter Mother's name
 
Course Completed
Institute Roll No. Registration No.
Course Completed Branch or Field
e.g. July 2018
 

e.g. Bhubaneswar, Cuttack, etc. Enter district of City/Town.
Enter State Pincode of the address
Enter telephone no. (optional) Contactable Mobile No.
Enter your E-Mail address currently in use.  
 

Registration Fee: Attending Rs. 1000/-


OR
 

Draft Amount: Attending Rs. 1000/-
Details of Demand Draft, drawn in favour of KIIT University, Bhubaneswar, payable at Bhubaneswar, enclosed:

Name of the Bank issued the D.D. Drawee Bank
Name on D.D. D.D. Number
Bank Branch name Issue date of D.D.
D.D. Code Amount of D.D. in Rupees
If in dollar put a "$" sign. e.g. $16.32
 
 
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