+ 91 90 87 500 600 nihm.info@gmail.com

Application Form

PERSONAL DETAILS

Name*
(as per SSLC certificate)
Aadhaar Card No.*
Date of Birth*
(as per SSLC Certificate)
Gender
Mother Tongue*
Qualification*
Passed Out year*
Marks Obtained / Grade*
Medium of Study*
Languages known
 Tamil  Malayalam  Kannada  Telugu  Hindi  English  Others
Religion*
Community*
Father’s Name*
Occupation*
Mother’s Name*
Occupation
Father’s Contact No*
Mother’s Contact No
Primary Student Contact Mobile No*
Email ID*
Communication Address*
House No, Street
City/Town/Village
District
State*
Pin code
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