Application Form

IMPACT PARAMEDICAL & HEALTH INSTITUTE, NEW DELHI

Application for Diploma/Certificate Course /E learning / Masters course

Course * :
Full Name of Applicant * :
Mobile Number * :
Email ID * :
Security Code*
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Application Form

IMPACT PARAMEDICAL & HEALTH INSTITUTE, NEW DELHI

Application for Diploma/Certificate Course /E learning / Masters course
Course * :
Full Name of Applicant * :
Mobile Number * : Email ID * :
Date of Birth : Age :Years Sex Marital Status
Father's Name :
Present Address :
Permanent Address :
Academic Record:
Levels of Passing Year Institutions Board Subjects % Marks Obtained
10th
12th
Graduation
Others
Any Other Information :
Security Code*
Captcha
Declaration

I hereby declare that the information furnished above is true to the best of my knowledge. I have gone through the programme guide and I will abide by the Rules and Regulation of the institute formulated for conducting the course.

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IPHI have very friendly and helpful administration
Come, Be a part of india's No.1 Paramedical Institute
IPHI have world class paramedical faculties
Impact Paramedical Healthcare Training Institute Student Association
CONTACT US
Dr. Archana Aravindan, Director IPHI,
RR-17, Miyan Wali Nagar, Paschim Vihar,
Near Peeragarhi Metro Station, New Delhi-110087
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