HIGHER DIPLOMA IN COOPERATIVE MANAGEMENT (HDCM)
(36th Session) 2024-25

APPLICATION FORM FOR ADMISSION
(All fields are compulsory)
1 Name of the Candidate (In BLOCK letter) *
2 Male/Female * Male Female
3 Date of Birth * Age as on 01-01-2024
4 Name of Father / Guardian *
5 Address for Communication : *
Pin Code *
District *
Phone *


6 WhatsApp Mobile No.(Compulsory) *
7 Email Address *
8 Religion *
Community *

9 Whether belongs to SC/ ST *
10 Are you an Institutional Candidate? *
11 Upload a Passport Size Photo (Max size 100KB) *
( File should be an image file ie jpg, jpeg, png )
12.Details of Bachelor Degree Examination passed
Degree * Main Subject * University /Institution * Year of passing * % of Marks
Scored *
Action
Add Other
13. Details of Application Fee remitted through online:
Amount * Bank * Transaction ID * Date *
Declaration
I hereby solemnly declare that information given above are true and correct to the best of my knowledge and belief. If any of the information furnished above is found to be incorrect, the Institution has the right to terminate my candidature at any time / stage and initiate action against me under the law.
Place *
Upload Signature (Max size 50KB) *
( File should be an image file ie jpg, jpeg, png )
Validation code:


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