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http://www.tiipa.com/registration/

Note: Kindly fill up all the fields


Name *

: Jakir Hussain

ADMISSION KIT WILL BE POSTED TO THE FOLLOWING ADDRESS SO PLEASE ENTER THE CORRECT COMMUNICATION ADDRESS IN DETAIL
Address *

: Bohnoorabad, Tehseeldhtora,

Dist: Kulgam, Jammu & Kashmir


Pincode *

: 192233

Country *

India

State *

Jammu and Kashmir

City / Town *

Kulgam

Email *

: malikzake@ymail.com

Contact Number *

: 9622882060

Training Program selected *

Training Starting Date *

: 19-12-2014

Accomadation Required ? *

CAE

Yes

No

Educational Qualification
Name of the Degree *

: Ploytechnic

Name of the Course / Department *

: Mechanical

Name of the Institute *

: Kite Polytecnic

Name of the University *

: Kite Polytecnic

Year of Passing *

: 2011

Registration Details
Registration Date *

: 25-12-2014

Mode Of Payment *

Online Payment ( Credit Card / Debit Card / Net Banking )


(OR)
Cash Deposit
Registration Amount *

Bank Name *

500
ICICI
SBI
Bank Of India

Branch / Place of Deposit *


Staff Name
(Assisted for Details / Registration) *

: Gayathri. J

For receiving SMS relating to Registration &


Admission details / Fees / Course details
kindly tick in the box provided.

Message *

Yes

No

Submit
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12/25/2014 6:12 PM