Welcome to Dhruv Art & Design

Mudra Education Trust

DHRUV ART AND DESIGN

APPLIED ART INSTITUTE.

REGISTRATION FORM FOR APPLIED ART COURSE 2022

TO,
The Principal
Sir/Madam
I Wish to seek admission to APPLIED ART.

Passport size Photo ( jpg format Only)

Last Name

First Name

Middle Name

Local Address

UID / Aadhar No

Phone No

Date of Birth--

Age

Birth Place

Taluka

District

Nationality

Religion

If member of Scheduled Caste/Scheduled Tribe/Community Classified as backward class by the State Government

Caste

Mother Tongue

Other Languages Know

Permanent Address

Full name of Father/ Husband

Occupation

Phone No

Address

SSC Month

SSC Year

SSC Centre

SSC Seat No

SSC Marks Obtained

SSC Marks out of

SSC Percentage

HSC Month

HSC Year

HSC Centre

HSC Seat No

HSC Marks Obtained

HSC Marks out of

HSC Percentage

Passed Intermediate Drawing Grade Examination

Grade

Year

Centre No / Address

Last Class In Which Studying

Class

Marks Obtained

Out of

Percentage

Year

Last School/College Name

Note:- Due to this COVID 19 lockdown period, those who are willing to take admissions they should fill the online registration form as per given details. But as per government rules and regulation when actual admissions will be started you should visit respective college and fill the admission form with original document (with attested Xerox copy) it will be verified after that admission will be considered confirmed.