Personal Details

Full Name*

Father's Name*

Date of Birth*

Gender*
MaleFemaleOther

Aadhaar Number*

PAN Number

Email Address*

Mobile Number*

Upload a recent Passport-size Photo*

Contact Information

Street Address*

City*

State*

Pincode*

Course & Mode of Study

Select a Course*
—Please choose an option—Simulation-Based Digital Marketing with AIEcommerce with ShopifyDigital Marketing with Organic MastersGoogle Ads with SimulationMeta Ads with SimulationSEO Mastery/GEOPerformance Marketing with SimulationAI Driven Data Science

Preferred Mode of Study*
OnlineOffline

If Offline, Select Your Preferred Center
—Please choose an option—Delhi (Laxmi Nagar)Delhi (Lajpat Nagar)AgraKanpurLucknowPrayagrajVaranasiIndoreOther

If you selected "Other", please select your city from the list
—Please choose an option—All Indian cities (dynamically listed)

Academic Details

Highest Educational Qualification*
—Please choose an option—High School / 10thHigher Secondary / 12thDiplomaGraduatePost-GraduateOther

Degree/Field of Study*

Name of Institution*

Year of Passing*

Document Uploads

Aadhaar Card*

High School (10th) Marksheet*

Higher Degree Marksheets (12th and above)*

PAN Card

Certificate

Payment Details

Select a Payment Mode*
One-Time PaymentBajaj FinanceNDMIT Loan

Note for NDMIT Loan Applicants:

By selecting this option, you agree to the terms that payment installments must be made on the allotted day to avoid late payment charges.

Declaration

I hereby declare that all the information provided above is true and correct to the best of my knowledge and belief. I understand that any false or misleading information may lead to the cancellation of my admission.

I agree to the NDMIT terms and conditions.