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PRAN Media Institute
PRAN Media Institute
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PRAN Media Institute
ONLINE APPLICATION FORM
ADMISSIONS 2013
PRAN Media Institute

Your Online Form will only be excepted when you send a Demand Draft of Rs 1,200/- (Rupees One Thousand Two Hundred Only). The draft is to be made in Name of “Pran’s Media Institute” payable at New Delhi. Mention your name and address at the back of the Draft.

Students Details :

Course Name:
Name:    
Father's Name:   Mother's Name:  
Date of Birth: Day  Month  Year
Nationality:
Postal Address:
       
City: State: Pin:
   
Phone Number: Mobile:
   
Sex: Job Status: Category:

Educational Qualification :

Exam Passed University / Board Year of Passing Marks Obtained % of Marks
10th Class
10 + 2
Graduation
Post Graduation
Others

Study Center :
I Would Like To Take Admission At

Course Type :

  Permanent Course   Weekend Course   Correspondence Course

Declaration By The Applicant :
I hereby declare that I have read the institutes prospectus thoroughly and have understood the conditions of eligibility for the program for which I seek admission. I fulfill the minimum eligibility criteria and have provided necessary information in this regard. In the event of any information being found incorrect or misleading , my candidature shall be liable to be cancelled by the institute at any time and I shall not be entitled to the refund of any fee paid by me.

I also solemnly affirm to agree and abide by the rules & regulations, submit myself to disciplinary control and agree to make all payments in time. I accept the decision of management of PMI will be final and binding in all matters.