NAME OF COURSE: (Write in Capital Letter)

Course Name (Ex: PGDCM)

Personal Details

Name Of Student

Date Of Birth (DD/MM/YYYY)

Gender GenderFemaleMaleOther

Address for Correspondence

Pin Code

City

Email Address

Phone Number

Academic Qualifications (Please mention the highest qualification first)

Post Graduation If any

Degree Qualification

University

Year of Passing

Division/comments If any

Graduation (B.SC, B B.Pharm, BAMS, BDS,BHMS) Aggregate

Degree Qualification

University

Year of Passing

Division/comments If any

12th

Board

Year of Passing

Percentage

New Field

Board

Year of Passing

Percentage

Declaration by Applicant Declaration by Applicant I hereby declare that, I have read and understood the eligibility conditions for enrollment. I fulfill the minimum eligibility criteria and I have provided necessary information. In the event of any incorrect or misleading information, my candidature shall be liable for cancellation at any time and I shall not be entitled for readmission/reimbursement/certification. The fee paid by me for the program is non-refundable, non-transferable under any circumstances whatsoever. Institute will provide Placement assistance for job interviews with reference and details of interview. It’s only student responsibility to crack the interview. It is mandatory for students to attend all the lectures & monthly sessionals & Perform in given task .

Current Date (DD/MM/YYYY)

NAME OF COURSE: (Write in Capital Letter)

Course Name (Ex: PGDCM)

Personal Details

Name Of Student

Date Of Birth (DD/MM/YYYY)

Gender GenderFemaleMaleOther

Address for Correspondence

Pin Code

City

Email Address

Phone Number

Academic Qualifications (Please mention the highest qualification first)

Post Graduation If any

Degree Qualification

University

Year of Passing

Division/comments If any

Graduation (B.SC, B B.Pharm, BAMS, BDS,BHMS) Aggregate

Degree Qualification

University

Year of Passing

Division/comments If any

12th

Board

Year of Passing

Percentage

New Field

Board

Year of Passing

Percentage

Declaration by Applicant Declaration by Applicant I hereby declare that, I have read and understood the eligibility conditions for enrolment in PGDCR & I fulfil the minimum eligibility criteria and I have provided necessary information. In the event of any incorrect or misleading information, my candidature shall be liable for cancellation at any time and I shall not be entitled for readmission/reimbursement/certification. The fee paid by me for the program is non-refundable, non-transferable under any circumstances whatsoever. Institute will provide Placement assistance for job interviews with reference and details of interview. It’s only student responsibility to crack the interview. It is mandatory for students to attend all the lectures & monthly sessionals & Perform in given task .

Current Date (DD/MM/YYYY)