PIMS 2023 Convocation Registration Form
Important Note
After Filling the Form, Take the Print out and carry it along with you for Verification at the institute reception counter
Student Name
Father Name
Mobile
Email
Gender
Male
Female
Course
--Select Course--
NURSING
PHYSIOTHERAPY
Passing Year
--Select Year--
2015
2016
2017
2018
2019
2020
2021
2022
Person Allowed
--Select--
None
1 Person
2 Person
Photo