Examination Form
The form completely filled in capital letter containing appropriate documents and fee will be accepted only.
Student Type
*
New
Old
1. Session Year
*
2. Name of Study Centre
*
3. Code of Study Centre
4. Name of Programme
*
A.N.M.
B.E.M.S.
C.G.O.
C.M.S.& E.D.
C.P.T.
DMLT
M.D.{A}
5. Student Name
*
6. Father's Name
*
7. Mother's Name
*
8. Sex
*
--SELECT--
Male
Female
9. Nationality
*
--SELECT--
Indian
Other
10. Medium
*
11. Date Of Birth
*
12. Phone No.
*
13. Email ID
*
14. UID No.
*
Upload UID
*
15. Permanent Address
*
16. Local Address
*
17. Fee Deposit Challan No, Amount Details & Date
*
Amount Details
Date
Upload Challan:
18. Upload Photo:
19. Upload Signature:
20.High School Deteail
*
High School Roll No.
High School Year
High School Marks
10th Moarksheet
21.Intermediate Deteail
*
Intermediate Roll No.
Intermediate Year
Intermediate Marks
12th Moarksheet
22.Last Examination Passed Deteail
*
Last Examination Roll No.
Last Examination Year
Last Examination Marks
Last Examination Moarksheet
*
I hereby declare that tha particulars stated in this application form are true to the best of my knowledge and belief. I have read the prospectus and the admission / eligibility requirements as laid down by the Parishad and I shall abide by them. I have attached all the required self-attested documents with this form. In the event of suppression of distortion of any fact in application, my addmission will stand cancelled at any point of time. In case my admission in cancelled by the Parishad due to any reason, I shall have no claim for refund of fee paid by me.
Submit