Course Registration Form

Course Registration Form

Kindly fill this form if you are attending Course during November 2019 conducted at Statistics Department, KTHM College, Nashik.

Please fill in details below

Full Name :
(as you want on certificate)
Email :
Mobile :
Additional Mobile :
Upload Your Photo :
(Allowed types PNG,JPG,GIF,BMP)

Date Of Birth :
Current Address :
Permanent Address :
College Name :
College Address :
Course :
Year :
Department :
School Name :
School Medium :
Father's Occupation :
Mother's Occupation :


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