NATIONAL INSTITUTE OF MUSIC Post Box 0027, Olavakkode, Palakkad-678002, Kerala, India.
Please use the form below to send us your Enquiry. * fields are mandatory.
Personal Details
REG NO
Date
Name
:
Age
:
Date of birth
:
Mother Tongue
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Full address for Communications
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Phone
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Email
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Course Details
Instrument Possessing
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No. Of Black & White Key’s of Birth
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Course selected
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Medium of Instruction (English /Hindi/ Tamil/ Malayalam
/Marathi)
:
Employment/Profession :
:
Fees Remmittance Details
DD
Telex Trasfer
Cable Transfer
WUMT
MO
Demand Draft /
Money
Order No. & Date
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Name of Bank
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Branch
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Amout in Rs
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Bank address
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Place and Date
Place
:
Date
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I do here by confirm that all deals furnished herein above are true. Also I declare that I would abide the rules, regulations and other conditions implied and being in force of the Institute.
