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Application Form for Four Month Certificate Course in Music Learning

Please make a non-refundable payment of Rs. 500/- (Registration Fees only) to complete the registration.

Name of the Candidate *

First

Last

Father’s / Husband’s Name *

First

Last

Date of Birth *

Gender

Mother Language

Nationality

Education

Occupation

Postal Address

Email ID *

Mobile No. *

Course Applied *

Please Select Course from the Drop down

Make a Payment of Rs. 500.00 (for the whole course)

Please Enter the Details of the Payment Made

Course Fees

Price: Rs. 500/-

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Please make the Payment of Rs. 500/- on Phone Number +91 90159 66468 or Scan the Following QR Code

[forminator_form id="5547"]

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