Student Id: Full Name: Full Address: House No & Name: Street Name: City: State: Pincode: Email ID: Mobile No: Landline No: Course code: ---Select Course Code-- CDC ECC ECCE KG LD Title of the course: Academic qualification/s: Principle subject/s in the final: Birthday Month January February March April May June July August September October November December Day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 Gender i am.... Male Female Marital status i am.... Married Single Nationality Payment Getway By Cash By Cheque By E-Banking I accept the terms and condition
User Name Password Re-enter Password Identity I seek admission in the following course/courses Course & Fees StructureSelect Course Here (Compulsory)* Course CodeCourse NameDurationFees CDCPost Graduate Counselling Diploma Course15 MonthsRs. 35,500/- ECCEarly Childhood Counselling Diploma Course Through Play Therapy Or Art Therapy6 MonthsRs. 30,500/- ECCEEarly Childhood Care Education Diploma. Includes Pre-primary Management Course1 YearRs. 24,500/- KGK.G.Teacher’s Training1 YearRs. 20,500/- LDLearning Disability Training Diploma Course1 YearRs. 24,500/- Student Photo Bank Details MRS RAJ S INSTITUTE BANK NAME : BANK OF MAHARASHTRA A/C NUMBER : 20036101000 IFSC Code : MAHB0000155