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Contact Info

  • Plot No-690,91,92/2211, Opposite of Mangala Mandir, Jagamara, Khandagiri,
    Bhubaneswar-751030
  • +91 7381010821, 9437019154, 7894407350
  • secretary@iirs.ac.in,
    admission4iirs@gmail.com

Apply Online

  • Apply For BASLP
  • Apply For MSc. (Audiology)

BASLP Application Form

  • Personal Details ( Kindly fill up the below personal informations )
Course Applied for : *
 
Name of the Applicant: *
Date of Birth:*
Sex *
Caste: *
Father's Name
  • Address Details
Email id*
Phone no: *
Address: *
  • Educational Qualification
Class 10th
Class 12th
Other Qualification
Upload Your Photograph: *
(50kb to 100 kb)
Upload Your 10th Certificate: *
(50kb to 100 kb)
 

MSc. (Audiology) Application Form

  • Personal Details ( Kindly fill up the below personal informations )
Course Applied for : *
 
Name of the Applicant: *
Date of Birth:*
Sex *
Caste: *
Father's Name
  • Address Details
Email id*
Phone no: *
Address: *
  • Educational Qualification
Class 10th
Class 12th
BASLP Qualification
Upload Your Photograph: *
(50kb to 100 kb)
Upload Your BASLP Certificate:
(50kb to 100 kb)