Apply Online

Course you wish to apply for:

PERSONAL INFORMATION

(Exactly as appears in certificate of last qualifying examination)

Name of the Student:
Father's Name:
Mother's Name:
Date of Birth: DD/MM/YYYY:
Gender: M / F:
Last Academic Qualification:
Year of Passing:
Contact Details: Residential Phone Number:
Mobile Number:
Email ID:
Full Address for Correspondence:
Centre you wish to Join: Branch Name:
City Name:
How did you first hear about INSD:
What do you want to achieve by doing this course:

PARENT'S & SPOUSE INFORMATION

Father's / Guardian Name:
Phone Number:
Address:
Occupation:
Email id
Do your Parents / Spouse support and encourage your interest in this field?

Application fees Rs.1500.

Account Holder : Pannache Academy,
Account No : 123605001712,
IFSC : ICIC0001236,
BANK : ICICI bank
Branch : Jogeshwari east