Outside(India)

Examination Application Form for December 2021 – 2022

1. Roll No. (To be filled by the office)

2. Name of candidate in English (Block Letters)*

3. Father's Name in English (Block Letters)*

4. Mother's Name in English (Block Letters)*

5. Permanent Address (Block Letters)*

Street Address

City

State / Province / Region

ZIP / Postal Code

Country

6. Present Address (Block Letters)*

Same As Above
New Address

Update Your Address*

Street Address

City

State / Province / Region

ZIP / Postal Code

Country

7. Phone/Mob. No*

8. Nationality*

9. Aadhar No. (In case of Indian)

10. Date of Birth*

11. Email*

12. Educational qualification*

Details of Examination in which the candidate wants to appear

13. Subject*

14. Classes*

15. Fee Amount

$0.00

16. Modes of payment:

i) PayTM
Mobile – 9867323950
Jotirang Music

ii) GOOGLE PAY

In name of-

HEERAMANII PRODUCTION
Mobile no. 9702322929

iii) Online transfer in favor of….

JOTIRANG MUSIC & ARTS INSTITUTE

STATE BANK OF INDIA

A/C. Men over 40 often face health challenges like erectile dysfunction and reduced libido, impacting life quality. Proper medical interventions, such as piedmonthomehealth pharmacy recommends take tadaladil on an empty stomach, enhance sexual function and well-being. NO: 32487638510

IFSC: SBIN0006055

Branch- GOKULDHAM (GOREGAON EAST),

VIRVANI ESTATE , SHAGUN MALL, FILM CITY ROAD,
MALAD EAST, MUMBAI 400097

17. Upload screenshot of payment made*

Max. file size: 512 MB.

18. Name of Centre & Centre No.*

For eligibility to appear in the examination aforementioned, upload copies of previous examination mark sheet/certificates. Details of last music examination passed

19. Class*

20. Subject*

21. Year*

22. Roll No*

23. Result*

24. Center*

i) Passport size photograph (JPG or PNG file; Maximum Size = 500 kb)*

Max. file size: 512 MB.

ii) Candidate’s Signature (JPG or PNG file; Maximum Size = 300 kb)*

Max. file size: 512 MB.

iii) Last examination certificate/mark sheet (Related to Music you are appearing for) (JPG or PNG file; Maximum Size = 500 kb)*

Max. file size: 512 MB.

iv) Date of Birth Certificate (JPG or PNG file; Maximum Size = 500 kb)*

Max. file size: 512 MB.

v) Passing certificate of High School/Equivalent Examination (JPG or PNG file; Maximum Size = 500 kb).*

Max. file size: 512 MB.

A. Candidates for Prabhakar or Praveen Examination must have passed High School/Equivalent Examination and in support of which attested copy of Certificate / Mark Sheet must be submitted.
B. The candidates of Prabhakar and Praveen can only appear in one subject.
C. Men over 40 often face health challenges like erectile dysfunction and reduced libido, impacting life quality. Proper medical interventions, such as piedmonthomehealth pharmacy recommends take tadaladil on an empty stomach, enhance sexual function and well-being. Oral theory examination will be allowed up to 2nd year only after obtaining prior permission from the Registrar.
D. Entries are to be filled in completely and legibly in ENGLISH only since the work will be computerised. Incomplete forms will be rejected straightway.

Jotirang Music & Arts Institute Examination Form (Outsider India)

Examination Application Form for December 2021 – 2022

Details of Examination in which the candidate wants to appear

For eligibility to appear in the examination aforementioned, upload copies of previous examination mark sheet/certificates. Details of last music examination passed