NRITYAM members Admission Form Name of the Student Academic Qualification Occupation Date of Birth Sex Select> Male Female Upload Your Passport Photo (Size 1MB) Nationality Mother Tongue Address Telephone no Mobile no Email Name of Father / Mother / Husband Occupation: Company/Office Date of birth Designation Office Address Telephone no Mobile no Email STUDENT’S PARTICULARS Name of the Guru(s) Seeking admission for: Summer course /Special Course /Regular course Date of workshop & academic year applying for : VENUE for regular course students : Main / Kasba / Newtown / Online Group / Online Individual Group: Junior / Intermediate / Senior (Admission to any of these group is subject to approval of the Guru/ Teacher) Workshop Plan : ID Proof are given PAN Card Voter ID Card Birth Certificate Driving Licence Passport Aadhar Card Ration Card Others Upload File (Size 1MB) Upload Nrityam Id Card (Size 1MB) Medical History (if there please mention) : From where have you come to know about N R I T Y A M : Select Face book Friends Advertisement Google EMERGENCY CONTACT Telephone No Address Submit
