Eform

Eform

REGISTRATION FORM FOR JIPMER B.SC. / M.SC. / M.P.H / PBD / PGD / PGF / PH.D COURSES - AUGUST 2019 SESSION

Important Note :

1) Kindly use Internet Explorer(version 11) or Mozilla Firefox(48 to 57) or Google Chrome(50 to 63) to fill in the Application Form.

2) Fields marked with * are mandatory.

3) Fill in the details and click on Register to proceed.

4) Please read the Prospectus carefully before filling this Registration.

5) After successful registration you will receive User ID and Password to the registered Mobile number and Email ID.

6) Login link will be sent to the registered Email ID.

7) Click on the login link to fill the application.

Registration Details

NOTE :

The details should correspond to entry in any standard document issued by Government/School/College/University.

*Applicant Name : Please enter Applicant Name.

Mobile Number : * Please enter Mobile Number.

Confirm Mobile Number. : * Please Re-Enter Mobile Number.

Email Address : * Please enter Email Address.

Confirm Email Address : * Please Re-Enter Email Address.

Register

Version 13.08.02