privateparamedicalunion2002@gmail.com
PRIVATE PARAMEDICAL UNION &CHARITABLE SOCIETY (PPMU), INDIA REGD. NO. CA 459/2002 STATE COMMITTEE OFFICE ROOM NO. 4, II FLOOR, NOORARCADE BUILDING, CANNARA STREET, G. B. ROAD, PALAKKAD 678001.

Application To Enroll In PPMU(Institute)

Name of The Institution

Phone No with STD Code / Mobile No

Postal Address

City/Place

Block/Tehsil

District

Pincode

State

E-mail

Name of The Principal of Institution

Qualification of the Principal

Administrative Experience (in years)

Teaching Experience(in years)

Membership Form For PPMU

Name of the applicant

Address of the applicant

Phone Number of the Applicant

Married/Single

Whether belongs to SC/ST/OBC

Education Qualification(general) (Year of passing, university/board)

TechnicalQualification (professional) (year of passing, Certificate No. & date, period of course, board/university)

Work-experience

Membership in any other organization (Yes/No); If Yes Enter the details; Membership Receipt No. / Amount / Date