You are on page 1of 4

National Aptitude Test in Architecture (NATA) 2016

Registration Form

Wed Apr 13
Pay Mode ATOM Transaction Number 14571060 Date 16:09:19 IST
2016

Application Form
16KY-SNXY-CK3Y
Number

Candidate ID 2016362067

Name SHIFA GOYAL

Date of Birth Sunday, November 8, 1998

Address H NO BXI/2790 A M.C. ROAD BARNALA City - PIN BARNALA - 148101

State Punjab

Country India

Home Phone 0-0 Mobile 8146897100

Email rkg9091@gmail.com

SSC (STD X) Board Central Board of Secondary Education

SSC Exam Seat 2252878 SSC Passing Year 2014


Number

DECLARATION

I have appeared / registered for NATA previously. My Candidate ID is : 2016362067

I have not appeared / registered for NATA previously.


All the information filled in this form by me is true.

Signature of the candidate

For Test Center Use Only

Candidate ID Allotted: 2016362067 Appointment NO: PJ07-20160023


National Aptitude Test in Architecture (NATA)
Receipt cum Appointment Voucher

Appointment No PJ07-20160023
Candidate Photo

Exam Date Tuesday, May 24, 2016 Exam Time 10:00:00

Test Center PJ07 - RIMT COLLEGE OF ARCHITECTURE


NEAR FLOATING RESTAURANT, SIRHIND SIDE, MANDI GOBINDGARH

Name of Candidate SHIFA GOYAL

Standard X Exam Seat 2252878 Passing Year 2014


no
Candidate ID:
2016362067

Standard X Board Name Central Board of Secondary Education

Identification National / State Identification with photo and signature (Passport/PAN Card/Aadhar Card) and Attested
Document Photocopy of STD 10 Marksheet

Test Fees Receipt Received Amount of Rs. 1250 on 5/21/2016 12:00:00 AM by

Signature of Seal of test Center Signature of Test Center Incharge


candidate

--------------------------------------------------------------------------------------------------

Voucher 2: Aesthetic Sensitivity Test (Online)

Appointment No PJ07-20160023 Exam Date and Time Tuesday, May 24, 2016 10:00:00 AM

Test Center PJ07 - RIMT COLLEGE OF ARCHITECTURE


NEAR FLOATING RESTAURANT, SIRHIND SIDE, MANDI GOBINDGARH

Name of candidate SHIFA GOYAL Exam Entry Key 4QHQC-3MMNG

Signature of candidate Seal of test Center Signature of Test Center Incharge

Date Time

Sign in front of the Supervisor at the time of the Test

----------------------------------------------------------------------------------------------------

Voucher 1: Drawing Test

Appointment No PJ07-20160023 Exam Date and Time Tuesday, May 24, 2016 10:00:00 AM

Test Center PJ07 - RIMT COLLEGE OF ARCHITECTURE


NEAR FLOATING RESTAURANT, SIRHIND SIDE, MANDI GOBINDGARH
Name of candidate SHIFA GOYAL Exam Entry Key 4QHQC-3MMNG

Signature of candidate Seal of test Center Signature of Test Center Incharge

Date Time

Sign in front of the Supervisor at the time of the Test


Date of Exam: 24 May 2016 10:00
Signature of Test Center Incharge