Online Application Form - Haneefa Institute

Personal Information

First Name *

Last Name *

Date of Birth *

Gender *

Male

Female

Other

Father's Name *

Mother's Name *

Nationality *

Category *

Contact Information

Email Address *

Phone Number *

Alternate Phone Number

WhatsApp Number

Permanent Address *

City *

State *

PIN Code *

Country *

Course Information

Select Course *

Academic Year *

Preferred Mode of Study *

Educational Qualification

10th Standard Board *

10th Percentage/CGPA *

10th Year of Passing *

12th Standard Board

12th Percentage/CGPA

12th Year of Passing

Any Other Qualifications

Documents Upload

Please upload scanned copies of the following documents (PDF/Image format, Max 2MB each)

10th Marksheet *

Choose File

12th Marksheet

Choose File

Identity Proof (Aadhar/PAN) *

Choose File

Passport Size Photo *

Choose File

Additional Information

How did you hear about us?

Website

Social Media

Friend/Relative

Newspaper/Advertisement

Other

Any Additional Information or Questions

I hereby declare that all the information provided by me is true and correct to the best of my knowledge. *

I agree to the terms and conditions of Haneefa Institute. *