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Jagran Institute of Management & Mass Communication, Kanpur
Online Registration Form
Name (As per High School Certificate) *
Course: One yr. PG Diploma (After Graduation) opted. *
Required
Last Qualification *
Any serious disciplinary action in school/college? *
D.o.B *
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Age as on 01.08.2021 *
Father's Name *
Mother's Name
Address *
WhatsApp No. *
Email address
Mobile No. (Father) *
Family Annual Income from all sources. *
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