Application Form

Mention any 2 (Two) examination centers' code as per your choice
Examination Center Codes
Code Examination Center:
01Agra
02Shimla
03Lucknow
04Ranchi
05Chandigarh
06Delhi
07Patna
08Kangra
Choice of Center Code:
Course Applied For:
Upload Your Recent Photograph:
Applicant's Name (As per High School Certificate):
Father's Name (Name of the Guardian and relationship with the applicant (in case Father is not the Guardian)):
Correspondance Address:
City:
State:
Pin Code:
Phone/Mobile:
Email
Date of Birth
Qualification Board/University Year of Passing Total Marks Obtained % of Marks Obtained Division/Grade
Source of information about HIHT:

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