Diploma in Retail Management

Student Application Form 2018

1. Course Name:*

Diploma in Retail Management

2. Course Duration (in Months):*

3. Fees:*

NOTE: Fill Student Information (Enter Name LETTER, Do not write Shri/Smt./Km/Ms)

4. Name of Candidate:*

5. Father Name of Candidate:*

6. Mother Name of Candidate:*

7. Date of Birth:*

8. Gender:*

Male Female

9. Mobile No:*

10. Telephone No:

11. Email Id:*

NOTE: Password must contain at least one number and one uppercase and lowercase letter, and at least 8 or more characters

12. Password:*

13. Confirm Password:*

14. Student Address:*

15. Study Material Sources:

Offline Hard Copy By Courier

16. Payment Mode: Online Offline

17. Are You a Human?
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I am hereby applying for the Diploma course and remitting course fee with this application. I have read the prospectus of the course and will abide by the rules therein or at any time during the course, introduced by the institute.