Course & Personal Details :-
Name of the Course Applied for:  
Name in Full : Shri/ Smt / Kum :  
Father's Name :  
Mother's Name :  
Address for Correspondence  
Pin :-  
Telephone No.  
Mobile No.  
E-mail ID  
Permanent Address  
Pin :-  
Marital Status  
Date of Birth  [YYYY-MM-DD] : 

Education Qualification :-
DegreeName of InstitutionUniversity Board Year of Passing Percentage [%]
Any Other Qualification,

Experience Details :-

Name of EmployerDate of JoiningDate of Leaving Nature of work Designation
Examination Option  
Total Fee 
Paid Amount 
News & Events
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Disclaimer PIEM is a self private autonomous body which is deals in fast track, short duration distance learning programs .It’s provide the certificate courses only and doesn’t provide degree which only universities can provide. There is only one official site of PIEM which is ,we also aware that there are some fake sites of PIEM which mislead student. These sites do not belong to PIEM, so we are not responsible for such sites.