IPSM

IPSM (GURUGRAM)

AN INITIATIVE OF INSTITUTE OF PARAMEDICAL SCIENCE & MANAGEMENT

(IN COLLABORATION WITH JUSTICE GOPAL SINGH PUBLIC CHARITABLE TRUST)

ONLINE REGISTRATION

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Account Details

A/c Number -
IFSC Code :-

Name of candidate *

Courses:-

Course Type

E-Mail

Father's Name

Mother's Name

Date of Birth

Mobile No

Postal Address

Educational Qualification:-

	Name of Board	Pass out year	Percentage
High School*
Intermediate
Graduation
Any other qualification

Description:-

I hereby declare that I have read and understood the conditions of eligibility for the program for which I seek admission. I fulfill the minimum eligibility criteria and I 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 cancellation by the University at any time and I shall not be entitled to refund any fee paid by me to the University.

Place