IPSM

Application Form

Name of candidate *

Select Course *

Select Gender *

Are you married or single ? *

Catagory *

Student Photo *

Email Id *

Mobile *

Alternate Number

Parents Number

Pincode

Permanent Address *

Correspondence Address

Father's/Husband Name *

Father's/Husband Occupation

Mother's Name *

Place of Birth

Date of Birth *

State *

Give the following particulars concerning your Educational Qualification.

Examination Passed	Name of the University/Board/Institution	Subject,	Division and Percentage	Year of Passing	Result

Nationality *

From where you get information of IPSM ?

Do you require Hostel Accommodation ?
YesNo

Document to be upload.

10th Marksheet *

10th Certificate

12th Marksheet

12th Certificate

Migration

Aadhar Card *

Address Proof Local

Any Other

Please deposit admission fee of Rs 5000/- online or through neft or through Scan.

Bank details:-
Institute of paramedical science and management gurugramt
Ac.no - 536401010000913
IFSC code- UBIN0538884
This 5000/- will be deducted from 1st installment.

IPSM (GURUGRAM)

AN INITIATIVE OF INSTITUTE OF PARAMEDICAL SCIENCE & MANAGEMENT

Application Form

Give the following particulars concerning your Educational Qualification.

Document to be upload.

Scan here to pay

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