Online Application form
MIT Pune's
MIT SCHOOL OF ENERGY & LIGHTING
MIT Campus, Paud Road, Kothrud, Pune - 411 038, India.
Tel.: +91 20 32506220/32538489,
Fax: +91 20 25442770
www.mitlra.com
POST GRADUATE DIPLOMA (Lighting Technology & Energy Management)
Commencing July 2010
Application form for Admission
First Name
:
Middle Name
:
Surname
:
Photo
(attach only jpg file)
Gender
:
Male
Female
Educational Qualification
B.A.
M.A.
B.Com
M.Com
B.Sc
M.Sc
BBA
B.E.
B.Tech
Other
If Other :
Date of Birth
:
Day :
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month :
January
February
March
April
May
June
July
August
September
October
November
December
Year :
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
Place of Birth
:
Nationality
:
Communication Address
:
Permanent Address
:
City
:
State
:
Pin Code
:
Country
:
Telephone/Mobile No
:
Parents Phone/Mobile No
:
Email address
:
Parents/Guardian's Name
:
Relationship with Applicant
:
Parents/ Guardian's Yearly Income
:
