Home
About Us
About IIPMS
Courses
Diploma Courses
Diploma In X-Ray & Imaging Technology
Diploma In Medical Laboratory Technology
Diploma In OT Technician
Diploma In Dialysis Technician
Diploma In Medical Record Technology
Diploma In Cardiac Technology
Certificate Courses
Certificate Course in Blood Bank
Certificate Course In CT
Certificate Course in CT MRI
Certificate Course In MRI
Admission
Admission Enquiry
Events
Gallery
Photo Gallery
Contact Us
Email Us:
info@iipms.in
Call Us:
+91-9832104439
/
+91-7811839343/
+91-9800871512
Admin
Home
About Us
About IIPMS
COURSES
Diploma Courses
Diploma In X-Ray & Imaging Technology
Diploma In Medical Laboratory Technology
Diploma In OT Technician
Diploma In Dialysis Technician
Diploma In Medical Record Technology
Diploma In Cardiac Technology
Certificate Courses
Certificate Course in Blood Bank
Certificate Course In CT
Certificate Course in CT MRI
Certificate Course In MRI
Admission
Admission Enquiry
Events
Gallery
Photo Gallery
Contact Us
Admission Enquiry
Home
Admission Enquiry
Admission Form
For Admission Enquiry. You may call us at +91 78118 39343 / 9609910288 / 8750091799 / 9800871512
Name
*
Email
*
Date Of Birth
*
Mobile
Name of Last Studied School/ Board
*
Qualification
Select your Qualification
Maticulation
Higher Secondary
Graduation
Post Graduation
Diploma
Percentage in Last Examination
*
Admission to be Sought In
Select Package
Diploma In X-Ray & Imaging Technology
Diploma In Medical Laboratory Technology
Diploma In OT Technician
Diploma In Dialysis Technician
Certificate Course in Blood Bank
Certificate Course In CT
Certificate Course in CT MRI
Diploma In Medical Record Technology
Diploma In Cardiac Technology
Certificate Course In MRI
Father / Guardian Name
*
Guardian Contact Number
*
Permanent Address
*
Current Address
*
District
*
State
*
Gender
Select Gender
Female
Male
Prefer Not to Say
Nationality
Select Nationality
Indian
Nepalese
Bangladeshi
Bhutanese
Others
If Any Enquiry
SUBMIT