|
|
 |
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
enquiry
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 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 | : | |
| Full address for Communications | : | |
| Phone | : | |
| : |
Course Details |
| Instrument Possessing | : | |
| No. Of Black & White Key’s of Birth | : | |
| Course selected | : | |
| Medium of Instruction (English /Hindi/ Tamil/ Malayalam /Marathi) |
: | |
| Employment/Profession : | : |
Fees Remmittance Details |
|
||||||||||||
| Demand Draft /
Money Order No. & Date |
: | |||||||||||
| Name of Bank | : | |||||||||||
| Branch | : | |||||||||||
| Amout in Rs | : | |||||||||||
| Bank address | : | |||||||||||
Place and Date |
| Place | : | |
| Date | : |
| 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. | |
|
 |
+91 9446 23 67 69 |
Home--- About us--- Course details--- Fee strcture--- Enquiry |
|
|||||
