NICT Employee Self Registration Form

Personal Details



   1) Fields with * are mandatory
   2) You are requested to fill your official E-mail address correctly. You will get login and password information for daily MIS portal on your official E-mail
Mother/Father/Husband Name*     Relation
Present Address*
Permanent Address*
(R) Telephone
STD Code Number

Mobile Number*    Without +91 or leading 0
Official E-mail*
Office Location/City*
Date of Birth*    ( DD / MM / YYYY )
Blood Group*
Joining Date*    ( DD / MM / YYYY )
Reference* Name     Mobile    Without +91 or leading 0
Educational Qualification
S.No. Level Name of Degree/Diploma Stream Board/University/Organization Year of passing Division/Grade
1 Graduation
2 Post Graduation
3 Diploma / Certification / Other
  I hereby declare that the information provided above by me is true.*