Registration For Diploma Courses

Course Appiled For : -

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Applicant's Name

Guardian's Name

Address

Your Contact No

Guardians's Contact No

Applicant's Email ID

Applicant's Date of Birth

Gender

Male Female

Religion

Caste

Examination Passout

10th Standard 12th Standard Graduate

Board / University

Year of Pass

Total Marks Obtained

% of Marks Obtained

Division / Grade

A B C

Professional Qualification if Any

Special Skill if Any

Confirmation

I hereby declare that the details furnished above are true, complete and correct to the best of my knowledge. The institute has full right to cancel my application or enrolment if any information is found incorrect or incomplete. I also accept liability for payment of all fees and understand that any fee once paid to JBIHM during the admission or afterwards, will not be refunded under any circumstances, except when the course is cancelled by JBIHM Management.

Course Fee

7500/-

Diploma Course Registration