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)

Name of applicant .... Fathers/Husbands name Date of Birth Address . Phone/E-mail/Mobile no. Qualification Present Occupation

Please paste a passport size recent photograph (duly signed)

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