ONLINE APPLICATION FORM
General Details
Source
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Course Applied For
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D.Pharm.
B.Pharm.
B.Pharm. (Lateral Entry)
Bachelor of Physiotherapy (BPT)
B.Sc in Radiology
B.Sc in Radiology (Lateral Entry)
B.Sc in MLT
B.Sc in MLT (Lateral Entry)
B.Sc Agriculture (Hons.)
M.Sc.(Agriculture)
BA LLB
LLB
LLM
B.Tech Mining
B.Tech Mining (Lateral Entry)
Diploma in Mining Engg.
Diploma in Mining Engg. (Lateral Entry)
Diploma in CSE
Diploma in CSE (Lateral Entry)
B.Tech AI & ML
B.Tech Computer Science Engg.
B.Tech Computer Science Engg. (Lateral Entry)
BCA
MCA
B.Com (Hons.)
BBA
MBA
Personal Details
Candidate Name
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Date of Birth
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Hostel Required
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Gender
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Category
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ST
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SPORTS QUOTA
OTHERS
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Mother's Name
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Mother's Occupation
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Annual Income
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Upto 2L
2L - 5L
5L - 10L
10L & Above
Religion
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Candidate Mobile No.
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Guardian Mobile No.
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Email ID
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Address
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State
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Select your State:
Andhra Pradesh (AP)
Arunachal Pradesh (AR)
Assam (AS)
Bihar (BR)
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Goa (GA)
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Himachal Pradesh (HP)
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Nagaland (NL)
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Rajasthan (RJ)
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Uttar Pradesh (UP)
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Educational Details
Matric (10th)
Year of Passing
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Name of the School
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Board
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Percentage/CGPA (Eg:. 75 or 7.5)
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Intermediate (12th)
Year of Passing
Name of the School/College
Board
Stream
Subject/Specialization
Percentage/CGPA
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Graduation (UG)
Year of Passing
Name of the College
University
Stream/Degree
Subject/Specialization
Percentage/CGPA
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Amount
Application + Registration Fee Rs. 13000
Application Fee Rs. 1000
Declaration
I Agree - I do hereby certify that the information given in the admission form is true and correct to the best of my knowledge and belief. I understand and agree that misrepresentation or omission of facts will justify the denial of admission or expulsion.
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