NRITYAM members Admission Form Name of the Student Academic Qualification Occupation Date of Birth Sex Select> Male Female Upload Your Passport Photo 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 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 Upload Id Card 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
