
Name of the Institution*	:

Name of the Director / President

:

Complete Postal Address	:

City	:
State	:
Pin Code	:
STD Code	:
Phone No	:
Fax No	:
Website	:
Email *	:

Test Date

:

Enclosed Payments Registration Charges @ Rs. 2000/-

Rs.

:

We herewith provide notification material of		Pages
(Black & White / Color Page @ Rs. 16,000/- per page)

Rs.

:

Amount in words

Total Rs.

:

DD.No.

:

Date

:

Amount

:

Bank's Name & Branch

Place
Date

Name
Designation

Certified that the particulars filled in this form are correct. We hereby agree to abide by the terms and conditions (including as modified from time to time) for participation in NAT of SRDE/SAHEI, Delhi.

Terms and Conditions for Participating Institutions:

* Provide information about NAT to candidates seeking information about the test.
* Display promotional material supplied by SAHEI at appropriate locations in the campus.
* Highlight NAT as an admission eligibility in its various promotional publications.
* The test information including student database etc. supplied by SAHEI shall be for the exclusive use of
participating Institutes.
* Abide by the terms and conditions of SRDE/SAHEI (including as amended from time to time).