PRATIMA EDUCATIONAL INSTITUTE

ADMISSION form

Full Name

Father/Husband's Name

Mother's Name

Date of Birth

Mobile No

Email Id

Educational Qualification

Nationality

Religion

Admission Date

Gender

Marital Status

Course(s) want to learn

Time you want

Permanent Address

Present Address

Declaration

I, further declare that, my apllication may be cancelled, at any stage, if I am found ineligible and/or the informations provided by me are found to be incorrect.

PRATIMA EDUCATIONAL INSTITUTE

ADMISSION form

Quick Link

Quick Link

HOW TO REACH US

Plot No. 420/476, Court Chhaka PO/PS - Pipli, Odisha

+91 9668637002 +919861480333

Pkmoharana2015@gmail.com