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ISLAHIYA MEDIA ACADEMY
APPLICATION FOR MEDIA ADMISSION 2020
* Indicates required question
Name of Applicant (BLOCK LETTERS)
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Age
*
Your answer
Gender
*
Female
Male
Mobile Number
*
Your answer
Email
*
Your answer
Permanent Residential Address along with pin code
*
Your answer
Name of Guardian and relationship to the applicant
*
Your answer
Educational Qualification
*
Plus 2
Graduation
Other:
Year of Completion
*
MM
/
DD
/
YYYY
Which design sector you would like to study
*
Graphic Design
Web Design
Visual Media
3D Arch: design
Other
Required
Do you want hostel facility?
*
Yes
No
Comments
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