Student Enrollment Form

Complete the form below to start your learning journey with CIMT Academy

Personal Info

Course Details

Submit

Enrollment Application

All fields marked with * are required

01 Personal Information

Enter your basic personal details

First Name *

Please enter your first name

Last Name *

Please enter your last name

Gender *

Please select your gender

Phone Number *

Please enter a valid phone number

Email Address *

Please enter a valid email address

Complete Address *

Please enter your complete address

Profile Picture (Optional)

Drag & drop or click to upload

PNG, JPG or JPEG (Max: 2MB)

02 Parent/Guardian Information

Details of parent or guardian

Father's Name *

Please enter father's name

Father's Contact Number

Please enter a valid phone number

03 Course Information

Select your preferred course

Select Course *

Please select a course

Preferred Joining Date *

Please select joining date

04 Declaration

I hereby declare that all information provided in this application is true and complete to the best of my knowledge. I understand that any false statement may result in cancellation of admission. I agree to abide by the rules and regulations of CIMT Academy and authorize the institution to verify the information provided.

You must agree to the declaration to proceed

After submission, you will receive a confirmation email with your application ID

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Email Us

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