National Museum Institute

of History of Art, Conservation & Museology

(Deemed University – under Ministry of Culture, GOI)
Janpath, New Delhi-110011
Admission Form
(for short – term courses)

• Name of the Course (Please Specify)

Please paste a passport
………………………………………………… size recent
photograph (duly
• Name of applicant ………....…………………………………… signed)

• Father’s/Husband’s name …………………………………………

• Date of Birth ………………………………………………………
• Address …………………………………………………………
………………………………………………………….
• Phone/E-mail/Mobile no. …………………………………………………
• Qualification ………………………………………………………………
• Present Occupation ………………………………………………………

I ………………………… declare that I shall abide by the rules/regulations time to time

issued by National Museum Institute for Short – Term Courses.

Enclosures:- Signature of applicant