1. Your Name *

2. Email Address *

3. Mobile No.

4. Date of Birth (required) *

5. Select Course * Bachelor of Journalism & Mass Communication (BJMC)Masters in Journalism & Mass Communication (MJMC)Diploma in Journalism & Mass Communication (PGDMC)Under Graduate Diploma in Mass Communication (UGDMC)Weekend Radio Jockeying and TV Anchoring WorkshopPhotography Workshop

6. Father's Name

7. Father's Mobile No.

8. Mother's Name

9. Mother's Mobile No.

10. State

11. City

12. Pin Code

13. Address

* Required