Full name of the applicant
Date of Birth
DD MM YYYY
Gender
Male Female
Nationality
Religion
Caste
SC ST BC BT
Course applying for
% Marks obtained
10th
PUC/+2/Higher Secondary
Degree
Others
Permanent Address
Phone with STD Code
Address for Correspondence
Name of the Parent/Guardian (If parent is not alive):
Occupation of the Parent/Guardian And annual Income
Whether the candidate is and NRI Foreign National
Yes No
Local Address
Mobile Number of Student
Highest Exam Passed with Year
Name of the school/college last attended with address
Date of leaving the school/college
Tick the Course applied For:
Select M.Sc Biotechnology M.Sc Bio Chemistry M.Sc Micro Biology M.Sc Chemistry(organic Chemistry) Msc Chemistry ( Inorganic) Msc Chemistry (Analytical) M.Sc Physics M.Sc Computer Science M.Sc Nursing MSC Mathematics MA English M.S.W M.Com MFA M.Ed M.Sc Pharmacy (D. Pharma) BBA B.Com B.Sc Biotechnology B.Sc Micro Biology B.Sc Bio Chemistry B.Sc Fashion Designing B.Sc Computer Science B.Sc Nursing B.Sc Genteics B.Sc Statistics B.Sc Chemistry PC Bsc Nursing B.C.A B.A. Political Science B.A. Economics B.A.(Psychology) B.Ed D.Ed G.N.M P.U.C Diploma in Operation Theatre and Anesthesia Technology Diploma in Medical Imaging Technology Diploma in Medical Lab Technology Diploma in Health Inspector Diploma in Medical Records Technology
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