Admission Department

Email info@gloryeducationcenter.com
Call Us +91-9910452177

Admission Department

Post Applied For*

Name (As per school leaving certificate)*

Last Name*

Gender*
Male Female Other

Permanent Address*

Street Address

Address Line 2

City

State / Province / Region

ZIP / Postal Code

Country*

Address for Correspondence*

Street Address

Address Line 2

City

State / Province / Region

ZIP / Postal Code

Country*

Contact Number (with code)*

Residence Telephone Number (with code)

Email*

Date of Birth

Place of Birth

Country*

Mother Tongue

Other languages you can speak

Is any of your relative studying or employed at present in this college?
Yes No

If yes, what is his/her Name & Relationship

Select your Photograph*

Accepted file types: jpg, jpeg, png, gif.

Course Studied

Name of Institutio

Year

Rank / Percentage