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Diploma Programs Application Form

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Academic Year 2022-23

Application Form

Kindly ensure you fill in all details and sign the last page after reading the terms and conditions. Incorrectly filled, incomplete or unsigned forms are liable to be rejected.

Select Course
Student Information
First Name *
Middle Name *
Last Name
Date Of Birth *
Gender *
Student Photo
Maximum file size: 1 MB
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Address Information
Permanent Address
Address In Pune
Telephone Numbers
Residence Phone Number
Mobile Number (1)
Mobile Number (2)
Email Address (1)
Email Address (2)
Emergency Contact (if Any)
Educational Details
HSC Details
Completed In Year
Board/Degree/Diploma
Percentage (%) Or Grade
Graduation Details
Completed In Year
Board/Degree/Diploma
Percentage (%) Or Grade
Post Graduation Details
Completed In Year
Board/Degree/Diploma
Percentage (%) Or Grade
Sports Achievements (If Any)
Add Sports Achievements Here
Family Members Information
Fathers Name
Age
Organization
Designation
Mother Name
Age
Organization
Designation
Spouse Name
Age
Organization
Designation
Sibling Name
Age
Organization
Designation
Sibling Name
Age
Organization
Designation
Source of Enquiry
How Did You Hear about this programme (Please Tick)
Source of Enquiry Offline
Source of Enquiry Online
Source of Enquiry Recommendation

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