Admission Form – Paramedical

Your name*

Name of the father*

PARENT OCCUPATION & INCOME*

EDUCATIONAL STATUS OF THE FAMILY*

Communication Address*

Date of Birth*

Community*
---HinduMuslimChristianSikh

Mail ID*

Contact Number *

Mark Scored IN 10th STD(%) *

Group Studied IN +2 *
---PCMPCBPCMB

MAJOR SUBJECTS STUDIED *

COURSE INTERESTED TO JOIN* :
B.PharmB.Pharm (LE)D.PharmB.Sc. NursingDiploma in Health InspectorB.Sc. Cardiac TechnologyB.Sc. Radiology and Imaging TechnologyB.Sc., Operation Theatre and Anesthesia TechnologyB.Sc., Cardiopulmonary Perfusion Care TechnologyB.Sc., Medical Laboratory TechnologyB.Sc., Optometry

Admission Seeking Through*
MANAGEMENT QUOTAGOVT QUOTA

EXPECTED DATE OF VISIT TO COLLEGE FOR ADMISSION*

FEED BACK / COMMENTS*