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ONLINE APPLICATION FORM

Admissions are open for Academic Year 2023-24. Kindly fillup the given below form to Apply Online.
Our Admission Representaive will get back to you shortly.

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   PREFERRED COURSE:*

Select Course BASIC B.SC. NURSING (B.SC. NURSING) MASTER IN NURSING (M.SC. NURSING) B. PHARMACY D. PHARMACY M. PHARMACY PHARMA D. (DOCTOR OF PHARMACY) B. PHARMACY(LATERAL ENTRY) B.SC. MEDICAL LABORATORY B.SC. OPERATION THEATER TECHNOLOGY B.SC. IMAGING TECHNOLOGY

Student's Name*

Nationality*

Gender

Male

Female

Student's DOB*

Phone Number*

Email Address*

Father's Name*

Mother's Name*

Permanent Address*

Local Guardian Address

City*

Location*

   HIGHEST EDUCATIONAL QUALIFICATION:

Previously Qualified Exam:*

Name of the College & University last attended*

   ATTACH RELATED DOCUMENTS:

Class X Marksheet

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Class XII Marksheet

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TC

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CC/MC

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Degree Certificate/ Marks Sheet

Choose File

Aadhar Card Copy

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Recent passport size photograph

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Additional Document

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Payment Details

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Your Message

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