R L INSTITUTE OF ANIMATION AND MEDIA STUDIES

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All fields are mandatory

PLEASE INDICATE WHICH PROGRAMME YOU WOULD PREFER TO JOIN

* Course

* Are you applying through

Direct Application
Counselor

* Counselor's Name

Application Processing Fee Rs.300/-

*Mode of Payment

NEFT
DEMAND DRAFT
CASH AT COLLEGE

* UTR No

* Re-confirm UTR No

* Date of remittance (dd/mm/yyyy)

* Name of the Remitting Bank

* Branch Name & Place

* Application No

* Name of the Candidate

* Sex

Male Female

* Nationality

* Religion

* Community

OC BC OBC MBC SC ST

* Caste

* Date of Birth

* Name of father / Guardian Name

* Occupation

Private Government Proffessional Business

* Annual Income of Parent/Guardian

ADDRESS FOR COMMUNICATION

Flat/Door/Name of Building

Road/St./Lane/P.O.

Area / Locality

* Town/City/District

* Pin-Code

* State/Union Territory

Phone - Home

STD Code

* Mobile

(Please give a valid Number)

* Email

(Please give a valid Email ID)

All correspondence / updates will be sent to this EMail ID / Mobile No.

* Upload Photo

Please upload a recent passport size photo ( 200 x 250 )
(Format ==> jpg / png / gif file --- Max File Size Limit ==> 500kb)

   Your Application Number is your User name.
   Your Date of Birth is your Password.
   If you have already passed +2, please go to Annexure and submit your marks immediately.
   If you are awaiting your +2 results, submit your marks as soon as you get them.