Application Form Advanced Diploma Course in Music Therapy Go backYour message has been sent Personal Details Title(required) Select one option Mr. Ms. Mrs. Warning First Name(required) Warning Middle Name Warning Last Name(required) Warning Full Name (as per your 10th Marksheet)(required) Warning Date of Birth (DD/MM/YYYY)(required) Warning Gender(required) Select one option Male Female Transgender Others Warning Mobile Number(required) Warning Alternate Mobile Number(required) Warning Email Address(required) Warning Nationality(required) Warning Blood Group(required) Select one option A+ A- B+ B- AB+ AB- O+ O- Warning Marital Status(required) Select one option Single Married Divorced Separated Widowed Warning Caste(required) Select one option General OBC SC ST None/Others Warning Religion(required) Select one option Hinduism Islam Christianity Sikhism Buddhism Jainism Others Warning Mother Tongue(required) Warning Parent’s Details Father’s/Guardian’s Details Title(required) Select one option Mr. Ms. Mrs. Dr. Prof. Warning Full Name(required) Warning Email Address(required) Warning Mobile Number(required) Warning Occupation(required) Select one option Private Sector Government Sector Defence Business Retired Homemaker Agriculture Warning Designation Warning Annual Income Warning Mother’s Details Title Select one option Mr. Ms. Mrs. Dr. Prof. Warning Full Name Warning Email Address Warning Mobile Number Warning Occupation Select one option Private Sector Government Sector Defence Business Retired Homemaker Agriculture Warning Designation Warning Annual Income Warning Address Details Country(required) Warning State/Province(required) Warning District Warning City(required) Warning Address Line 1(required) Warning Address Line 2 Warning Pincode(required) *In case your country doesn’t have pincode/zipcodes, enter 0 Warning Is your Permanent Address the same as the Address above? (required) Yes No Warning Education Details 10th Grade (or IGCSE) Academic Details (In case you’re from a foreign Education System, enter your High School Details for both 10th and 12th Grade) Institute’s Name(required) Warning Board of Examination(required) Warning Year of Passing (DD/MM/YYYY)(required) Warning Result Status(required) Select one option Awaited Declared Warning Marking Scheme(required) Select one option CGPA Percentage Grade Warning Obtained CGPA/Percentage/Grade(required) Warning 12th Grade (or IB/A Level) Academic Details (In case you’re from a foreign Education System, enter your High School Details for both 10th and 12th Grade) Institute’s Name(required) Warning Board of Examination(required) Warning Year of Passing (DD/MM/YYYY)(required) Warning Result Status(required) Select one option Awaited Declared Warning Marking Scheme(required) Select one option CGPA Percentage Grade Warning Obtained CGPA/Percentage/Grade(required) Warning Certificate Course’s Academic Details (if related to Music or Medicine) Status Attending Completed Did not Attend Warning Institute’s Name Warning Degree’s Title(required) Warning No. of Years(required) Select one option 2 Year 3 Year 4 Year Warning Year of Admission (DD/MM/YYYY)(required) Warning Year of Passing (DD/MM/YYYY)(required) Warning Result Status(required) Select one option Awaited Declared Warning Marking Scheme(required) Select one option CGPA Percentage Grade Warning Obtained CGPA/Percentage/Grade(required) Warning Bachelor’s Degree Academic Details Status Attending Completed Did not Attend Warning Institute’s Name Warning Degree’s Title Warning No. of Years Select one option 2 Year 3 Year 4 Year Warning Year of Admission (DD/MM/YYYY) Warning Year of Passing (DD/MM/YYYY) Warning Result Status Select one option Awaited Declared Warning Marking Scheme Select one option CGPA Percentage Grade Warning Obtained CGPA/Percentage/Grade Warning Master’s Degree Academic Details Status Attending Completed Did not Attend Warning Institute’s Name Warning Degree’s Title Warning No. of Years Select one option 2 Year 3 Year 4 Year Warning Year of Admission (DD/MM/YYYY) Warning Year of Passing (DD/MM/YYYY) Warning Result Status Select one option Awaited Declared Warning Marking Scheme Select one option CGPA Percentage Grade Warning Obtained CGPA/Percentage/Grade Warning Doctorate’s Academic Details Status Attending Completed Did not Attend Warning Institute’s Name Warning Degree’s Title Warning No. of Years Select one option 2 Year 3 Year 4 Year Warning Year of Admission (DD/MM/YYYY) Warning Year of Passing (DD/MM/YYYY) Warning Result Status Select one option Awaited Declared Warning Marking Scheme Select one option CGPA Percentage Grade Warning Obtained CGPA/Percentage/Grade Warning Upload Documents Country(required) Warning State/Province(required) Warning Warning! Submit your applicationSubmitting form Δ Share this: Click to share on X (Opens in new window) X Click to share on Facebook (Opens in new window) Facebook Like Loading...
Indian Association of Music Therapy 