Online Registration

 * Fields are Mandatory

 		 Application for the post course of : *
(TO BE FILLED IN CAPITAL LETTERS ONLY )

1. Full Name :*
(As per School Leaving Certificate

2. Father's name :*

3. Father's Occupation :

4. Postal Address : *

   Pin Code :

5. Contact Ph. No. with STD Code :

   Mobile :*

  E-mail id*
6. Date of Birth :
7.
Sex : Male Female
 
Marital Status : Married Unmarried
  (Tick for the Sex & Marital Status)
8. Education Qualification :
 
Exam Passed * Board/University* Year of Passing* Subject* Total %age* %age of PCM*
10th
10+2
Graduation
Diploma/Any

DECLARATION :

I hereby declare that all the information as given above are correct to the best of my knowledge and belief. I understand and will follow all the decision of the institution with regard of conduct good discipline and best training. I further declare that in the event of any information being false or incorrect. My Candidature/Course is liable to be rejected/ terminated without notice.
Place :*
Date :*
 
   

Contact Us >> IPMT, 129, Anand Nagar, Inderlok, Delhi – 110035  Ph: 01123640777, 09717535959,  E-mail : ipmtmail@yahoo.co.in

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